A national cross-sectional survey of dental anxiety in the French adult population

被引：57
作者：
Nicolas E. [1 ,2 ]
Collado V. [1 ,2 ]
Faulks D. [1 ,2 ]
Bullier B. [2 ]
Hennequin M. [1 ,2 ]
机构：
[1] CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu
[2] Univ. Clermont1, EA 3847, Faculté d'Odontologie, F-63000 Clermont-Ferrand
来源：
BMC Oral Health | / 7卷 / 1期
关键词：
Oral Health; Occupational Category; French Population; Dental Student; Dental Anxiety;
D O I：
10.1186/1472-6831-7-12
中图分类号：
学科分类号：
摘要：
Background. Dental anxiety is a public health problem but no epidemiological study has been undertaken in France to evaluate its prevalence. The aim of this study was to estimate the prevalence, severity and associations of dental anxiety in a sample of the French adult population. Methods. A convenience sample of 2725 adults (mean age = 47 years, SD16, minimum = 16, maximum = 101 years), representative of the French population with regard to age and urban distribution, completed a French version of the Corah Dental Anxiety scale (DAS) and a questionnaire relating to their dental appointments. Results. Moderate dental anxiety (14≥DAS≥13) was revealed for 172 persons (6.2%), while 195 (7.3%) had severe dental anxiety (DAS≥15), giving an overall prevalence of dental anxiety of 13.5%. Prevalence was lower proportionally with age (P < 0.001) and was higher in French overseas territories and in the countryside (P < 0.01). Farmers and low skilled workers were significantly more anxious than executives and shopkeepers (P < 0.001). Anxiety was associated with avoidance of care (p < 0.001) and lack of regular dental appointments (p < 0.001). Conclusion. Dental anxiety in France appears to concern a similar proportion of the population as in other industrialised European, Australasian or North American countries. Recommendations for prevention and management of dental anxiety are made with reference to dental education and health care services in France. © 2007 Nicolas et al; licensee BioMed Central Ltd.
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[1]  
Berggren U., Meynert G., Dental fear and avoidance -causes, symptoms and consequences, J Am Dent Assoc, 109, pp. 247-251, (1984)
[2]  
Locker D., Psychosocial consequences of dental fear and anxiety, Community Dent Oral Epidemiol, 23, pp. 259-261, (1995)
[3]  
Doebling S., Rowe M.M., Negative perceptions of dental stimuli and their effects on dental fear, J Dent Hyg, 74, pp. 110-116, (2000)
[4]  
Schuller A.A., Willumsen T., Holst D., Are there differences in oral health and oral health behaviour between individuals with high and low dental fear?, Community Dent Oral Epidemiol, 31, pp. 116-21, (2003)
[5]  
Armfield J.M., Stewart J.F., Spencer A.J., The vicious cycle of dental fear: Exploring the interplay between oral health, service utilization and dental fear, BMC Oral Health, 14, 7, (2007)
[6]  
Mindus P., Anxiety, pain and sedation: Some psychiatric aspects, Acta Anaesthesiol Scand, 88, pp. 7-12, (1988)
[7]  
Malamed S.F., Quinn C.L., Sedation: A Guide to Patient Management, (2003)
[8]  
Collado V., Hennequin M., Faulks D., Mazille M.-N., Nicolas E., Koscielny S., Onody P., Behavioural modifications after repeated conscious sedation: A three year study, J Clin Psychopharm, 26, pp. 474-81, (2006)
[9]  
Locker D., Shapiro D., Liddell A., Who is dentally anxious?, Community Dent Oral Epidemiol, 24, pp. 346-50, (1996)
[10]  
Horst G., De Wit C.A., Review of behavioural research in dentistry 1987-1992: Dental anxiety, dentist-patient relationship, compliance and dental attendance, Int Dent J, 43, pp. 265-273, (1993)
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