Department of Preventive Dentistry, Periodontology, and Implant Biology, Faculty of Health Sciences, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Laboratory of Agronomy, School of Agriculture, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Community Dent Oral Epidemiol. 2021 Aug;49(4):314-321. doi: 10.1111/cdoe.12653. Epub 2021 May 1.
A conceptual model was designed to examine interrelations among psychosocial factors, oral health behaviour, and dental caries in a sample of adolescents.
This cross-sectional study design of 531 Greek families included an oral examination and a survey completed by adolescents, and a survey completed by mothers. The outcome measure was dental caries experience. Additionally, dental sealants were recorded. The participants provided information which comprised the Sense of Coherence (SoC) scale and 11 psychosocial and behavioural variables that formed 6 composite variables (life-course experiences, socio-economic status, perceived parental support, perceived parental punishment, preventive measures, sugar intake frequency). The composite variables of preventive measures and sugar intake formed the latent variable of oral health behaviour. The interrelations of the above factors were included in a conceptual model and tested using a Structural Equation Modelling analysis.
Data fit the proposed conceptual model (χ = 23.338, df = 14, P = .055, RMSEA = 0.036). Among psychosocial variables, adolescent's SoC was the best predictor of both dental caries (Standardized Regression Coefficient - Std. RC ± Standard Error (SE) = -0.178 ± 0.04) and oral health behaviour (Std. RC ± SE = -0.378 ± 0.09). All psychosocial factors were associated with SoC (Std. RCs ± SE between -0.162 ± 0.04 and 0.211 ± 0.04) and via SoC with oral health behaviour (Std. RCs ± SE between -0.080 ± 0.03 and 0.061 ± 0.02).
A conceptual model was tested that integrated SoC with the psychosocial factors theoretically shaping it and clarified all factors' predictive abilities on dental caries via oral health behaviour.
设计了一个概念模型，以检验心理社会因素、口腔健康行为与龋齿在青少年样本中的相互关系。
本横断面研究设计纳入了 531 个希腊家庭，包括青少年口腔检查和问卷调查，以及母亲的问卷调查。结果测量为龋齿情况。此外，还记录了牙面窝沟封闭情况。参与者提供的信息包括心理一致感（SOC）量表和 11 个心理社会和行为变量，这些变量形成了 6 个组合变量（生活经历、社会经济地位、感知父母支持、感知父母惩罚、预防措施、糖摄入频率）。预防措施和糖摄入的组合变量构成了口腔健康行为的潜在变量。上述因素的相互关系被纳入一个概念模型，并使用结构方程模型分析进行测试。
数据符合提出的概念模型（χ²=23.338，df=14，P=0.055，RMSEA=0.036）。在心理社会变量中，青少年的 SOC 是龋齿（标准化回归系数- Std. RC±标准误差（SE）=-0.178±0.04）和口腔健康行为（Std. RC±SE=-0.378±0.09）的最佳预测指标。所有心理社会因素都与 SOC 相关（Std. RC±SE 介于-0.162±0.04 和 0.211±0.04 之间），并通过 SOC 与口腔健康行为相关（Std. RC±SE 介于-0.080±0.03 和 0.061±0.02 之间）。
测试了一个概念模型，该模型将 SOC 与从理论上塑造它的心理社会因素结合起来，并通过口腔健康行为阐明了所有因素对龋齿的预测能力。
