Basak Cinar Ayse, Nilufer Kosku, Murtomaa Heikki
Department of Oral Public Health, Institute of Dentistry, University of Helsinki, Finland.
Oral Health Prev Dent. 2005;3(4):209-15.
To assess the association between toothbrushing and dietary self-efficacy and oral health status and behaviour related to it among Turkish pre-adolescents.
A cross-sectional study of Turkish school pre-adolescents aged 10 to 12 (n = 611) by oral health examinations (OHE) and self-administered health behaviour questionnaire (PHBQ). The PHBQ, including new Toothbrushing (TBSES), and modified Dietary Self-Efficacy (DSES), was designed to survey pre-adolescents' oral, dietary and general hygiene behaviour by psychosocial factors. An OHE based on World Health Organization criteria was implemented. The participation rate was 97% (n = 591), and 95% (n = 584) for PHBQ and OHE. Multiple linear regression analysis, descriptive statistics, factor and item analysis, Pearson correlation coefficient, chi-square test, and Student t-test were applied.
Pre-adolescents, mostly with regular toothbrushing habits (69% at least once a day) and high levels of irregular dental visits (79%) had as their mean DMFS figure 3.77 +/- 3.37. Principal component analysis for TBSES and DSES revealed that four factors met the Kaiser Criteria, accounting for 50.2% of total variance. Scales with good internal consistency and test-retest stability were associated with professionally (DMFS) and self-assessed dental health (p < 0.05). A similar tendency appeared between self-assessed gingival health and DSES (p < 0.05).
Self-efficacy beliefs were associated with oral health and related behaviour among pre-adolescents. Further research is needed for implementation of scales to enhance oral health.
评估土耳其青春期前儿童刷牙与饮食自我效能以及与之相关的口腔健康状况和行为之间的关联。
通过口腔健康检查（OHE）和自我管理的健康行为问卷（PHBQ）对611名10至12岁的土耳其在校青春期前儿童进行横断面研究。PHBQ包括新的刷牙（TBSES）和改良的饮食自我效能（DSES），旨在通过心理社会因素调查青春期前儿童的口腔、饮食和一般卫生行为。实施了基于世界卫生组织标准的OHE。参与率分别为97%（n = 591）和95%（n = 584）（分别针对PHBQ和OHE）。应用了多元线性回归分析、描述性统计、因子和项目分析、Pearson相关系数、卡方检验和Student t检验。
青春期前儿童大多有规律的刷牙习惯（69%至少每天一次）且不定期看牙的比例较高（79%），其平均龋失补牙面数（DMFS）为3.77±3.37。对TBSES和DSES的主成分分析显示，四个因子符合凯泽标准，占总方差的50.2%。具有良好内部一致性和重测稳定性的量表与专业评估的（DMFS）和自我评估的牙齿健康相关（p < 0.05）。自我评估的牙龈健康与DSES之间也出现了类似趋势（p < 0.05）。
自我效能信念与青春期前儿童的口腔健康及相关行为有关。需要进一步研究以实施相关量表来改善口腔健康。
