Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, 310000, China.
Shulan International Medical College, Zhejiang Shuren University, Hangzhou, 310015, China.
Sci Rep. 2023 Jul 29;13(1):12320. doi: 10.1038/s41598-023-39658-6.
Oral health is crucial for health-related quality of life. However, the research on the factors affecting oral health status is not comprehensive enough. This investigation aimed to evaluate the multifaceted determinants of college students' oral health status and explore the impact of social support, oral health literacy, attitudes, behaviors, and self-efficacy on OHRQoL. By surveying 822 students from a university. Baseline data included sociodemographics (gender, age), social support (MSPSS scale), oral health self-efficacy (SESS scale), oral health knowledge, attitudes, and practices (KAP questionnaire), and OHRQoL (OHIP-14 scale). Based on social cognitive theory, partial least squares structural equation modeling (PLS-SEM) and fuzzy set qualitative comparative analysis (fsQCA) were used to examine the relationship between the study variables. PLS-SEM results showed that knowledge, attitude, and practice predicted OHRQoL through self-efficacy. FsQCA results showed that the combination of different variables was sufficient to explain OHRQoL. The conclusion was that self-efficacy plays an important role and the combination of high-level knowledge, positive attitudes, and strong self-efficacy was important in improving OHRQoL. The results of this study provided a reference for the oral health strategy planning of college students in China.
口腔健康对生活质量至关重要。然而，关于影响口腔健康状况的因素的研究还不够全面。本调查旨在评估大学生口腔健康状况的多方面决定因素，并探讨社会支持、口腔健康素养、态度、行为和自我效能对口腔健康相关生活质量（OHRQoL）的影响。通过对一所大学的 822 名学生进行调查。基线数据包括社会人口统计学（性别、年龄）、社会支持（MSPSS 量表）、口腔健康自我效能（SESS 量表）、口腔健康知识、态度和行为（KAP 问卷）以及 OHRQoL（OHIP-14 量表）。基于社会认知理论，采用偏最小二乘结构方程模型（PLS-SEM）和模糊集定性比较分析（fsQCA）来检验研究变量之间的关系。PLS-SEM 结果表明，知识、态度和实践通过自我效能预测 OHRQoL。fsQCA 结果表明，不同变量的组合足以解释 OHRQoL。结论是自我效能起着重要作用，高水平的知识、积极的态度和强大的自我效能的结合对于提高 OHRQoL 很重要。本研究结果为中国大学生口腔健康策略规划提供了参考。
