Novrinda Herry, Pangestuti Kamila, Rahardjo Anton, Dong-Hun Han, Badruddin Iwany Amalliah, Bahar Armasastra
Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, University of Indonesia, Salemba Raya Street 4, Jakarta, Jakarta, 10430, Indonesia.
Faculty of Dentistry, University of Indonesia, Salemba Raya Street 4, Jakarta, Jakarta, 10430, Indonesia.
BMC Oral Health. 2025 Jun 4;25(1):908. doi: 10.1186/s12903-025-06287-6.
During dental procedures, an individual may experience anxiety, which is referred to as dental anxiety (DA). This fear presents a dilemma for both dentists and patients because it causes people to avoid or even deny dental care, thereby affecting their oral health and quality of life.
This study aimed to (1) identify factors related to DA and (2) construct a model from various factors, including oral health habits and social support, among students in Indonesia.
A cross-sectional study design was used in the form of a self-report questionnaire administered online to 554 students selected using convenience sampling. The questionnaire consisted of Modified Dental Anxiety Scale (MDAS) items and questions about demographic information (field of study, year of intake / batch, etc.), oral health behaviors (frequency of toothbrushing, dental visit, etc.), social (parents, friends, others) and spiritual support (calm down and pray). The data were analyzed with chi-square tests, logistic regression and structural equation modelling using various statistical software programs, such as IBM SPSS and WarpPLS.
The final sample considered of 554 students, 155 (28%) of whom had a high DA score. Of the students, 286 (51.6%) were attending the School of Health Science cluster, and the largest single group (37%) belonged to the 2020 year of intake (batch). The fields of study, frequency of toothbrushing, reason for the last dental visit, oral health problem experience, self-ratings of oral health (SROH), and support from friends and spiritual support were significantly associated with DA. These results were supported by the odds ratios of the various variables, which ranged from 0.85 to 2.79. The coefficient of determination of the proposed model's (R) value was 0.15.
Dental anxiety among students in Indonesia was significantly associated with the demographic (fields of study), behaviors (frequency of toothbrushing, reason for the last dental visit, past dental experience, SROH), social support (from friends) and spiritual support. Although the proposed SEM model accounted for 15% of the variance in DA, further studies are needed to explore other potential contributing factors to better understand and address dental anxiety in this population.
在牙科治疗过程中，个体可能会经历焦虑，这被称为牙科焦虑（DA）。这种恐惧给牙医和患者都带来了困境，因为它会导致人们回避甚至拒绝牙科护理，从而影响他们的口腔健康和生活质量。
本研究旨在（1）确定与牙科焦虑相关的因素，以及（2）从包括口腔健康习惯和社会支持等各种因素中构建一个模型，该模型适用于印度尼西亚的学生。
采用横断面研究设计，以在线自我报告问卷的形式对通过便利抽样选取的554名学生进行调查。问卷包括改良牙科焦虑量表（MDAS）项目以及关于人口统计学信息（学习领域、入学年份/批次等）、口腔健康行为（刷牙频率、看牙频率等）、社会（父母、朋友、其他人）和精神支持（冷静下来祈祷）的问题。使用各种统计软件程序，如IBM SPSS和WarpPLS，对数据进行卡方检验、逻辑回归和结构方程建模分析。
最终样本包括554名学生，其中155名（28%）的牙科焦虑得分较高。在这些学生中，286名（51.6%）就读于健康科学学院集群，最大的单一群体（37%）属于2020年入学批次。学习领域、刷牙频率、上次看牙的原因、口腔健康问题经历、口腔健康自我评分（SROH）以及来自朋友的支持和精神支持与牙科焦虑显著相关。这些结果得到了各种变量的优势比的支持，优势比范围为0.85至2.79。所提出模型的决定系数（R）值为0.15。
印度尼西亚学生的牙科焦虑与人口统计学因素（学习领域）、行为（刷牙频率、上次看牙的原因、过去的牙科经历、SROH）、社会支持（来自朋友）和精神支持显著相关。尽管所提出的结构方程模型解释了牙科焦虑中15%的方差，但仍需要进一步研究以探索其他潜在的影响因素，以便更好地理解和解决该人群中的牙科焦虑问题。
