Department of Dental Public Health, Istanbul University, Turkey.
Acta Odontol Scand. 2011 Jan;69(1):54-64. doi: 10.3109/00016357.2010.535560. Epub 2010 Nov 18.
To determine oral health control beliefs of Istanbul adults using the Multidimensional Oral Health Locus of Control Scale (MOHLCS) after confirming its factorial validity and to examine the relationships between these beliefs, self-rated oral health, oral health behaviors and socio-demographic factors.
The MOHLCS was administered to a sample of 1200 subjects aged ≥18 years in Istanbul chosen using a quota-sampling method (response 88%). The relationship between the MOHLCS and oral health behaviors, self-rated oral health and socio-demographic factors was assessed after confirming the factorial validity of the MOHLCS.
The MOHLCS demonstrated satisfactory internal reliability. Factor analysis results showed a new four-factor solution, namely Internal, Dentist, Chance, and Socialization agents. Multivariate analysis showed that female gender, younger age, higher socioeconomic status, more frequent daily toothbrushing, and regular dental check-ups were associated with higher Internal beliefs, while older age, lower educational level, lower socioeconomic status, low toothbrushing frequency, and symptom-orientated dental attendance were associated with higher Chance beliefs. Being unmarried and low toothbrushing frequency were associated with lower Dentist beliefs. Males and older subjects had lower Socialization agents beliefs. Internal, Dentist and Chance beliefs were significantly associated with self-rated oral health.
Compared with the original factor structure, the new factor structure had better goodness of fit for this sample. Self-rated oral health, socio-demographic factors, and oral health behaviors were significantly associated with oral health control beliefs. These beliefs may be useful for planning oral health promotion programs and for formulating advice given by oral health professionals about their patients' oral health behaviors.
使用多维口腔健康控制信念量表（MOHLCS）确定伊斯坦布尔成年人的口腔健康控制信念，在确认其因子有效性后，研究这些信念与自我评估的口腔健康、口腔健康行为以及社会人口因素之间的关系。
采用配额抽样法（应答率 88%），对伊斯坦布尔 1200 名年龄≥18 岁的受试者进行 MOHLCS 问卷调查。在确认 MOHLCS 的因子有效性后，评估 MOHLCS 与口腔健康行为、自我评估的口腔健康和社会人口因素之间的关系。
MOHLCS 显示出良好的内部可靠性。因子分析结果显示出一种新的四因素解决方案，即内部、牙医、机会和社会化代理人。多变量分析显示，女性、年轻、较高的社会经济地位、更频繁的每日刷牙和定期看牙医与更高的内部信念相关，而年龄较大、较低的教育水平、较低的社会经济地位、较低的刷牙频率和以症状为导向的看牙医与更高的机会信念相关。未婚和低频率刷牙与较低的牙医信念相关。男性和年龄较大的受试者具有较低的社会化代理人信念。内部、牙医和机会信念与自我评估的口腔健康显著相关。
与原始因子结构相比，新的因子结构更适合该样本。自我评估的口腔健康、社会人口因素和口腔健康行为与口腔健康控制信念显著相关。这些信念可能有助于规划口腔健康促进计划，并为口腔健康专业人员就其患者的口腔健康行为提供建议。
