Freire M C, Sheiham A, Hardy R
Department of Epidemiology and Public Health, The Royal Free and University College Medical School, University College London, UK.
Community Dent Oral Epidemiol. 2001 Jun;29(3):204-12. doi: 10.1034/j.1600-0528.2001.290306.x.
To investigate the relationship between sense of coherence (SOC) and oral health. It was hypothesised that subjects with better oral health status and better oral health-related behaviours have higher levels of SOC.
A cross-sectional study was conducted in Goiânia-GO, Middle-West Brazil, on a sample of 664 15-year-olds randomly selected from schools. Data were collected through questionnaires, the short version of Antonovsky's SOC Scale (13-item) and clinical dental examinations. Multiple logistic regression and polytomous ordered regression were used in the data analysis. Two sets of outcome variables were selected for the analyses: oral health status (dental caries, oral cleanliness, and periodontal disease), and oral health-related behaviours (frequency of sugar intake, toothbrushing frequency, and pattern of dental attendance).
Adolescents' SOC was associated with their caries experience in anterior teeth (OR=0.81 for 10 units increase in SOC scale; 95% CI=0.66-0.98), but the relationship did not remain significant after controlling for other factors. Adolescents with higher SOC were less likely to visit the dentist mainly when in trouble, compared with those with lower SOC (OR=0.83, 95% CI=0.71-0.98), or equivalently more likely to visit for mainly check-ups. Other measures of oral health status and behaviours were not significantly associated with SOC.
SOC was identified as a psychosocial determinant of adolescents' oral health-related behaviour, particularly affecting their pattern of dental attendance.
探讨连贯感（SOC）与口腔健康之间的关系。研究假设为口腔健康状况较好且口腔健康相关行为较好的受试者具有较高水平的连贯感。
在巴西中西部戈亚尼亚进行了一项横断面研究，从学校中随机抽取664名15岁青少年作为样本。通过问卷调查、Antonovsky连贯感量表简版（13项）和临床牙科检查收集数据。数据分析采用多元逻辑回归和多分类有序回归。分析选择了两组结果变量：口腔健康状况（龋齿、口腔清洁度和牙周疾病）和口腔健康相关行为（糖摄入频率、刷牙频率和看牙模式）。
青少年的连贯感与他们的前牙龋齿经历相关（连贯感量表每增加10个单位，比值比=0.81；95%置信区间=0.66-0.98），但在控制其他因素后，这种关系不再显著。与连贯感较低的青少年相比，连贯感较高的青少年主要在有问题时看牙医的可能性较小（比值比=0.83，95%置信区间=0.71-0.98），或者等效地，主要为了检查而看牙的可能性更大。口腔健康状况和行为的其他指标与连贯感无显著关联。
连贯感被确定为青少年口腔健康相关行为的心理社会决定因素，尤其影响他们的看牙模式。
