Dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, dental visiting, and caries: a cross-sectional study in Madrid (Spain)

被引:7
作者
Carrillo-Diaz, Maria [1 ]
Crego, Antonio [2 ]
Armfield, Jason M. [3 ]
Romero, Martin [1 ]
机构
[1] Rey Juan Carlos Univ, Dept Paediat Dent, Madrid, Spain
[2] Madrid Open Univ UDIMA, Dept Psychol, E-28400 Madrid, Spain
[3] Univ Adelaide, Sch Dent, Australian Res Ctr Populat Oral Hlth, Adelaide, SA, Australia
关键词
cognitions; cognitive vulnerability; dental caries; dental fear; dental prevention beliefs; dental visits; oral health; ORAL HEALTH-STATUS; CHILDREN; ANXIETY; MODEL; BEHAVIOR; CARE; SCHOOLCHILDREN; EXPERIENCE; COHERENCE; PROGRAM;
D O I
10.1111/cdoe.12166
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
ObjectiveThis study aimed to analyze the role that psychosocial elements may play concerning dental attendance and oral health in children. In particular, we explored the associations among dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, the pattern of dental visits, and the number of decayed teeth. MethodsA cross-sectional design was used to collect data from 250 Spanish schoolchildren who completed a questionnaire. Oral health status was evaluated by pediatric dentists. Statistical analyses were mainly based on binary logistic regression and multiple linear regression, which allowed us to test possible associations among variables as well as interaction and mediation effects. ResultsChildren with more vulnerability-related cognitions (Adj. OR=0.74 P<0.05) and more unfavorable dental prevention beliefs (Adj. OR=1.47 P<0.01) were less likely to attend the dentist regularly. Moreover, the interaction between dental prevention beliefs and cognitive vulnerability perceptions was associated with more decayed teeth (=-0.13 P<0.05). The irregular pattern of dental visit, associated with fearful and unfavorable dental prevention cognitions, accounted for 20% of the effects of these variables on dental caries. ConclusionThe combination of greater cognitive vulnerability-related perceptions and low awareness of the benefits of dental prevention increased the risk of dental caries. Children with this profile also tended to demonstrate a more inadequate pattern of dental attendance. Preventive oral health programs would benefit from considering the role of children's cognitions on their oral health habits and dental health.
引用
收藏
页码:375 / 384
页数:10
相关论文
共 41 条
[1]   DECOMPOSITION OF EFFECTS IN PATH ANALYSIS [J].
ALWIN, DF ;
HAUSER, RM .
AMERICAN SOCIOLOGICAL REVIEW, 1975, 40 (01) :37-47
[2]   Self-efficacy and Oral Hygiene Beliefs about Toothbrushing in Dental Patients: A Model-guided Study [J].
Anagnostopoulos, Fotios ;
Buchanan, Heather ;
Frousiounioti, Sofia ;
Niakas, Dimitris ;
Potamianos, Gregory .
BEHAVIORAL MEDICINE, 2011, 37 (04) :132-139
[3]  
[Anonymous], 2010, Int J Clin Dent Sci
[4]  
[Anonymous], 1997, ORAL HLTH SURVEYS BA, V4th
[5]  
Antonovsky A., 1987, Unraveling the mystery of health: How people manage stress and stay well
[6]   Cognitive vulnerability: A model of the etiology of fear [J].
Armfield, Jason M. .
CLINICAL PSYCHOLOGY REVIEW, 2006, 26 (06) :746-768
[7]   What goes around comes around: revisiting the hypothesized vicious cycle of dental fear and avoidance [J].
Armfield, Jason M. .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2013, 41 (03) :279-287
[8]   Development and Psychometric Evaluation of the Index of Dental Anxiety and Fear (IDAF-4C+) [J].
Armfield, Jason M. .
PSYCHOLOGICAL ASSESSMENT, 2010, 22 (02) :279-287
[9]   Dental fear and adult oral health in Australia [J].
Armfield, Jason M. ;
Slade, Gary D. ;
Spencer, A. John .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2009, 37 (03) :220-230
[10]   Adolescents' sense of coherence and smoking as longitudinal predictors of self-reported gingivitis [J].
Ayo-Yusuf, Olalekan A. ;
Reddy, Priscilla S. ;
van den Borne, Bart W. .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2008, 35 (11) :931-937