Kneckt M C, Syrjälä A M, Knuuttila M L
Institute of Dentistry, University of Oulu, Finland.
Acta Odontol Scand. 1999 Jun;57(3):127-31. doi: 10.1080/000163599428841.
Our study evaluates the correlation between dental and diabetes locus of control beliefs and the potentiality of locus of control beliefs in predicting oral health behavior, dental status, diabetes compliance, and HbA1c level by using situation-specific locus of control scales and considering the value dimension. Data were collected by means of a quantitative questionnaire, a clinical oral examination and patient records. The research population comprised 149 insulin-dependent diabetics who had teeth of their own. Variables were the frequencies of tooth brushing and dental visiting, oral indexes, diabetes adherence, and HbA1c level. Dental and diabetes locus of control beliefs correlated with each other. Dental locus of control associated with frequency of dental visiting, plaque index, decayed surfaces, and with root caries, but diabetes locus of control associated only weakly with adherence with diabetes self-care regimens and not at all with HbA1c level. Correlations between dental locus of control and oral indexes were stronger among those having high value for dental care. Although there were correlations between dental and diabetes locus of control beliefs, only dental locus of control beliefs are practicable for determining health behavior and health status. It is therefore concluded that locus of control beliefs are health behavior specific.
我们的研究通过使用特定情境的控制点量表并考虑价值维度，评估牙齿与糖尿病控制点信念之间的相关性，以及控制点信念在预测口腔健康行为、牙齿状况、糖尿病依从性和糖化血红蛋白水平方面的潜力。数据通过定量问卷、临床口腔检查和患者记录收集。研究人群包括149名有自己牙齿的胰岛素依赖型糖尿病患者。变量包括刷牙和看牙的频率、口腔指数、糖尿病依从性和糖化血红蛋白水平。牙齿和糖尿病控制点信念相互关联。牙齿控制点与看牙频率、菌斑指数、龋坏表面以及根龋相关，但糖尿病控制点仅与糖尿病自我护理方案的依从性有微弱关联，与糖化血红蛋白水平完全无关。在对牙齿护理重视程度高的人群中，牙齿控制点与口腔指数之间的相关性更强。尽管牙齿和糖尿病控制点信念之间存在相关性，但只有牙齿控制点信念在确定健康行为和健康状况方面是可行的。因此得出结论，控制点信念是特定于健康行为的。
