Nazir Muhammad Ashraf, Alghamdi Salman, Sallout Mohammed, Bubshait Salman, Asiri Amal
Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Patient Prefer Adherence. 2024 Jul 10;18:1463-1470. doi: 10.2147/PPA.S469519. eCollection 2024.
The purpose of the study was to assess the sense of coherence and its relationship with oral health and other study variables among adult patients at university dental hospital.
This cross-sectional study included adult patients visiting the Dental Hospital of the College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam. Sense of coherence was determined by Antonovsky's Sense of Coherence scale (SOC-13), which consists of 13 items on a 7-point Likert. DMFT index, plaque index, gingival index, and simplified oral hygiene index were used to evaluate the oral health of study participants. Bivariate and multivariable analyses were performed, and 0.05 level of significance was used in the study.
The study included the data of 558 participants with a mean age of 32.19±10.11 years. The mean score of SOC was 52.77±13.11, which was significantly higher in high-income participants (P <0.001), participants without a medical condition (P=0.021), non-smokers (P <0.001), and those who visited the dentist in less than one year (P=0.028). Bivariate analysis showed statistically significant negative correlations between SOC and DMFT index (P=0.002), SOC and plaque index (P <0.001), SOC and gingival index (P=0.002), and SOC and simplified oral hygiene index (P=0.001). Multivariable analysis also showed that SOC was significantly correlated with DMFT index (P=0.001), plaque index (P <0.001), gingival index (P <0.001), and oral hygiene index (P=0.004) after controlling for age, gender, education, and monthly income.
This study found that high-income and healthy participants, non-smokers, and those who visited the dental office during the last one year demonstrated significantly higher SOC. In addition, there was a statistically significant correlation between SOC and oral health. These study findings highlight the importance of raising awareness about SOC to improve oral health outcomes in adult patients.
本研究旨在评估大学牙科医院成年患者的连贯感及其与口腔健康和其他研究变量之间的关系。
这项横断面研究纳入了就诊于达曼伊玛目阿卜杜勒拉赫曼·本·费萨尔大学牙科学院牙科医院的成年患者。连贯感由安东诺夫斯基的连贯感量表（SOC-13）确定，该量表由13个项目组成，采用7点李克特量表。使用DMFT指数、菌斑指数、牙龈指数和简化口腔卫生指数来评估研究参与者的口腔健康状况。进行了双变量和多变量分析，研究采用0.05的显著性水平。
该研究纳入了558名参与者的数据，平均年龄为32.19±10.11岁。SOC的平均得分为52.77±13.11，在高收入参与者（P<0.001）、无疾病参与者（P=0.021）、非吸烟者（P<0.001）以及在不到一年时间内看过牙医的参与者（P=0.028）中显著更高。双变量分析显示，SOC与DMFT指数（P=0.002）、SOC与菌斑指数（P<0.001）、SOC与牙龈指数（P=0.002）以及SOC与简化口腔卫生指数（P=0.001）之间存在统计学上显著的负相关。多变量分析还显示，在控制年龄、性别、教育程度和月收入后，SOC与DMFT指数（P=0.001）、菌斑指数（P<0.001）、牙龈指数（P<0.001）和口腔卫生指数（P=0.004）显著相关。
本研究发现，高收入且健康的参与者、非吸烟者以及在过去一年中看过牙科诊所的人表现出显著更高的SOC。此外，SOC与口腔健康之间存在统计学上的显著相关性。这些研究结果凸显了提高对SOC的认识以改善成年患者口腔健康结果的重要性。
