Shilpa M, Naik Sandhya P, Potdar Shrudha, Reddy Siddana G, Patwardhan Priyanka K, Shree Swetha S
Senior Lecturer, Department of Public Health Dentistry, AB Shetty Memorial Institute of Dental Sciences, Mangaluru, Karnataka, India, Phone: +919480234654, e-mail:
Department of Public Health Dentistry, Government Dental College and Hospital, Aurangabad, Maharashtra, India.
J Contemp Dent Pract. 2016 May 1;17(5):388-93. doi: 10.5005/jp-journals-10024-1860.
Sense of coherence (SOC) is an important psychological factor that enables people to cope with stressors and successfully maintain and improve health. Oral health affects general health and impacts quality of life. The aim of the present study is to assess the association between SOC and oral health status among 16 to 17-year-old preuniversity students in Virajpet, Karnataka, India.
A total of 361 subjects were included in the study by stratified cluster random sampling method. Sense of coherence was measured using the Kannada-translated 13-item scale proposed by Antonovsky. Oral health status was measured using oral hygiene index - simplified (OHI-S), Silness and Loe Plaque index, Community Periodontal Index (CPI) and Loss of Attachment (LA) as well as decayed-missing-filled teeth (DMFT) index. Chi-square test and analysis of variance were used to evaluate the association between SOC and oral health.
There was no statistically significant association of plaque index and caries experience with SOC, whereas the SOC scores were found to be significantly associated with loss of attachment and OHI-S among the subjects. The distribution of the mean number of sextants with loss of attachment was more among males.
Sense of coherence has a role to play in the maintenance of oral health. There is a need to closely examine the psychodynamic factors that affect oral health.
There is good evidence that SOC is a resource capable of promoting health, strengthening resilience, and developing a subjectively positive state of health.
连贯感（SOC）是一种重要的心理因素，能使人们应对压力源，并成功维持和改善健康状况。口腔健康影响整体健康并对生活质量产生影响。本研究的目的是评估印度卡纳塔克邦维拉杰佩特16至17岁大学预科学生的连贯感与口腔健康状况之间的关联。
采用分层整群随机抽样方法，共纳入361名受试者。使用安托诺夫斯基提出的经卡纳达语翻译的13项量表测量连贯感。使用简化口腔卫生指数（OHI-S）、西尔斯和洛菌斑指数、社区牙周指数（CPI）、附着丧失（LA）以及龋失补牙（DMFT）指数来测量口腔健康状况。采用卡方检验和方差分析来评估连贯感与口腔健康之间的关联。
菌斑指数和龋病经历与连贯感之间无统计学上的显著关联，而在受试者中，连贯感得分与附着丧失和OHI-S显著相关。附着丧失的牙面平均数量分布在男性中更多。
连贯感在维持口腔健康方面发挥作用。有必要密切研究影响口腔健康的心理动力学因素。
有充分证据表明，连贯感是一种能够促进健康、增强恢复力并形成主观积极健康状态的资源。
