Faculty of Dentistry, National University of Singapore.
J Dent. 2022 Jul;122:104085. doi: 10.1016/j.jdent.2022.104085. Epub 2022 Mar 3.
The objectives of this study were to determine the relationship between reported self-efficacy and dental status in older adults, identify factors which might influence self-efficacy and, their willingness to pay (WTP) for preventive care.
Participants aged 60-90 years of age living in Singapore were recruited. All participants completed an oral health questionnaire and a clinical examination. Details of participants' socio-economic status and educational attainment were collected, and participants also answered a range of questions related to self-efficacy, oral health attitudes, beliefs and dental attendance patterns. Participants were asked to indicate their willingness to pay for preventive care using contingent valuation. The clinical examination recorded decayed, missing and filled teeth [DMFT], root caries, periodontal attachment loss, bleeding on probing index, occlusal status and, denture wearing status. Associations between self-efficacy, self-report and clinical variables were assessed using Kendall's Tau B coefficient.
614 participants [mean age 68.07 (5.99) years] were recruited. There was a high level of dental awareness and nearly 70% of the participants reported visiting a dentist once or twice a year. Self-efficacy was associated with levels of bleeding on probing and self-reported satisfaction with oral health. Nearly 60% of participants were not willing to pay for preventive advice from an oral healthcare professional.
Older adults with a high level of self-efficacy had good gingival health, with low reported levels of bleeding on probing. Participants with low reported self-efficacy had higher disease levels and were less satisfied with their oral health.
Self-efficacy in relation to oral hygiene practices is variable, and participants with low self-efficacy had higher gingival bleeding scores. However, willingness to pay for preventive advice is low, and further work is required to increase the value proposition of preventive care to older adults.
本研究旨在确定报告的自我效能感与老年人的牙齿状况之间的关系，确定可能影响自我效能感的因素，以及他们对预防保健的支付意愿（WTP）。
招募了居住在新加坡的 60-90 岁的参与者。所有参与者都完成了口腔健康问卷和临床检查。收集了参与者社会经济地位和教育程度的详细信息，参与者还回答了一系列与自我效能感、口腔健康态度、信念和牙齿就诊模式相关的问题。参与者被要求使用条件价值评估来表示他们对预防保健的支付意愿。临床检查记录了龋齿、缺失和填充的牙齿（DMFT）、根龋、牙周附着丧失、探诊出血指数、咬合状况和义齿佩戴状况。使用 Kendall's Tau B 系数评估自我效能感、自我报告和临床变量之间的关联。
招募了 614 名参与者[平均年龄 68.07（5.99）岁]。他们的口腔保健意识很高，近 70%的参与者报告每年去看牙医一到两次。自我效能感与探诊出血水平和自我报告的口腔健康满意度有关。近 60%的参与者不愿意为口腔保健专业人员提供的预防建议付费。
自我效能感高的老年人牙龈健康状况良好，探诊出血水平低。自我效能感低的参与者报告的疾病水平较高，对口腔健康的满意度较低。
与口腔卫生习惯相关的自我效能感是可变的，自我效能感低的参与者探诊出血评分较高。然而，对预防建议的支付意愿较低，需要进一步努力提高预防保健对老年人的价值主张。
