Dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, dental visiting, and caries: a cross-sectional study in Madrid (Spain)

Objective This study aimed to analyze the role that psychosocial elements may play concerning dental attendance and oral health in children. In particular, we explored the associations among dental fear‐related cognitive vulnerability perceptions, dental prevention beliefs, the pattern of dental vis...

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Veröffentlicht in:Community dentistry and oral epidemiology 2015-08, Vol.43 (4), p.375-384
Hauptverfasser: Carrillo-Diaz, Maria, Crego, Antonio, Armfield, Jason M., Romero, Martin
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container_title Community dentistry and oral epidemiology
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creator Carrillo-Diaz, Maria
Crego, Antonio
Armfield, Jason M.
Romero, Martin
description Objective This study aimed to analyze the role that psychosocial elements may play concerning dental attendance and oral health in children. In particular, we explored the associations among dental fear‐related cognitive vulnerability perceptions, dental prevention beliefs, the pattern of dental visits, and the number of decayed teeth. Methods A cross‐sectional design was used to collect data from 250 Spanish schoolchildren who completed a questionnaire. Oral health status was evaluated by pediatric dentists. Statistical analyses were mainly based on binary logistic regression and multiple linear regression, which allowed us to test possible associations among variables as well as interaction and mediation effects. Results Children with more vulnerability‐related cognitions (Adj. OR = 0.74 P 
doi_str_mv 10.1111/cdoe.12166
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In particular, we explored the associations among dental fear‐related cognitive vulnerability perceptions, dental prevention beliefs, the pattern of dental visits, and the number of decayed teeth. Methods A cross‐sectional design was used to collect data from 250 Spanish schoolchildren who completed a questionnaire. Oral health status was evaluated by pediatric dentists. Statistical analyses were mainly based on binary logistic regression and multiple linear regression, which allowed us to test possible associations among variables as well as interaction and mediation effects. Results Children with more vulnerability‐related cognitions (Adj. OR = 0.74 P &lt; 0.05) and more unfavorable dental prevention beliefs (Adj. OR = 1.47 P &lt; 0.01) were less likely to attend the dentist regularly. Moreover, the interaction between dental prevention beliefs and cognitive vulnerability perceptions was associated with more decayed teeth (β = −0.13 P &lt; 0.05). The irregular pattern of dental visit, associated with fearful and unfavorable dental prevention cognitions, accounted for 20% of the effects of these variables on dental caries. Conclusion The combination of greater cognitive vulnerability‐related perceptions and low awareness of the benefits of dental prevention increased the risk of dental caries. Children with this profile also tended to demonstrate a more inadequate pattern of dental attendance. Preventive oral health programs would benefit from considering the role of children's cognitions on their oral health habits and dental health.</description><identifier>ISSN: 0301-5661</identifier><identifier>EISSN: 1600-0528</identifier><identifier>DOI: 10.1111/cdoe.12166</identifier><identifier>PMID: 25904340</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Age Factors ; Child ; Child psychology ; Cognition &amp; reasoning ; cognitions ; cognitive vulnerability ; Cross-Sectional Studies ; Dental Anxiety - epidemiology ; Dental Anxiety - psychology ; Dental care ; Dental Care for Children - psychology ; Dental Care for Children - utilization ; Dental caries ; Dental Caries - epidemiology ; Dental Caries - prevention &amp; control ; Dental Caries - psychology ; dental fear ; dental prevention beliefs ; dental visits ; Dentistry ; DMF Index ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Linear Models ; Logistic Models ; Male ; oral health ; Perceptions ; Risk Factors ; Sex Factors ; Spain - epidemiology ; Surveys and Questionnaires</subject><ispartof>Community dentistry and oral epidemiology, 2015-08, Vol.43 (4), p.375-384</ispartof><rights>2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2015 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4656-fd4352112d740962b3f011eb0039dfe30687f64c6b2ebe9ab9812eb8a62742873</citedby><cites>FETCH-LOGICAL-c4656-fd4352112d740962b3f011eb0039dfe30687f64c6b2ebe9ab9812eb8a62742873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcdoe.12166$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcdoe.12166$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25904340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carrillo-Diaz, Maria</creatorcontrib><creatorcontrib>Crego, Antonio</creatorcontrib><creatorcontrib>Armfield, Jason M.</creatorcontrib><creatorcontrib>Romero, Martin</creatorcontrib><title>Dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, dental visiting, and caries: a cross-sectional study in Madrid (Spain)</title><title>Community dentistry and oral epidemiology</title><addtitle>Community Dent Oral Epidemiol</addtitle><description>Objective This study aimed to analyze the role that psychosocial elements may play concerning dental attendance and oral health in children. In particular, we explored the associations among dental fear‐related cognitive vulnerability perceptions, dental prevention beliefs, the pattern of dental visits, and the number of decayed teeth. Methods A cross‐sectional design was used to collect data from 250 Spanish schoolchildren who completed a questionnaire. Oral health status was evaluated by pediatric dentists. Statistical analyses were mainly based on binary logistic regression and multiple linear regression, which allowed us to test possible associations among variables as well as interaction and mediation effects. Results Children with more vulnerability‐related cognitions (Adj. OR = 0.74 P &lt; 0.05) and more unfavorable dental prevention beliefs (Adj. OR = 1.47 P &lt; 0.01) were less likely to attend the dentist regularly. Moreover, the interaction between dental prevention beliefs and cognitive vulnerability perceptions was associated with more decayed teeth (β = −0.13 P &lt; 0.05). The irregular pattern of dental visit, associated with fearful and unfavorable dental prevention cognitions, accounted for 20% of the effects of these variables on dental caries. Conclusion The combination of greater cognitive vulnerability‐related perceptions and low awareness of the benefits of dental prevention increased the risk of dental caries. Children with this profile also tended to demonstrate a more inadequate pattern of dental attendance. Preventive oral health programs would benefit from considering the role of children's cognitions on their oral health habits and dental health.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Child</subject><subject>Child psychology</subject><subject>Cognition &amp; reasoning</subject><subject>cognitions</subject><subject>cognitive vulnerability</subject><subject>Cross-Sectional Studies</subject><subject>Dental Anxiety - epidemiology</subject><subject>Dental Anxiety - psychology</subject><subject>Dental care</subject><subject>Dental Care for Children - psychology</subject><subject>Dental Care for Children - utilization</subject><subject>Dental caries</subject><subject>Dental Caries - epidemiology</subject><subject>Dental Caries - prevention &amp; control</subject><subject>Dental Caries - psychology</subject><subject>dental fear</subject><subject>dental prevention beliefs</subject><subject>dental visits</subject><subject>Dentistry</subject><subject>DMF Index</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>oral health</subject><subject>Perceptions</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Spain - epidemiology</subject><subject>Surveys and Questionnaires</subject><issn>0301-5661</issn><issn>1600-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhi0EokNhwwMgS2wKaopvsRN2aFoKUqEgrjvLiU8qtx4n2MnAvApPi2fSFokF3vjI_v5POvoRekzJEc3nRWt7OKKMSnkHLagkpCAlq-6iBeGEFqWUdA89SOmSEKq4lPfRHitrIrggC_T7GMJoPO7AxCKCNyNY3PYXwY1uDXg9-QDRNM67cYMHiC0Mo-tDOsR2Dg4R1nnKb7gB76D7-7V2KVvCxSE2IUtNdJBeYoPb2KdUJGi3qcylcbIb7AJ-Z2x0Fh98GowLzx6ie53xCR5d3_voy-uTz8s3xdn56dvlq7OiFbKURWcFLxmlzCpBaska3hFKoSGE17YDTmSlOila2TBooDZNXdE8VUYyJVil-D46mL1D7H9MkEa9cqkF702AfkqayporSjgXGX36D3rZTzHvsKNYVZdcyUw9n6ndohE6PUS3MnGjKdHbxvS2Mb1rLMNPrpVTswJ7i95UlAE6Az-dh81_VHp5fH5yIy3mjEsj_LrNmHilpeKq1N_en-qP38uvlaIftOB_AHAssLA</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Carrillo-Diaz, Maria</creator><creator>Crego, Antonio</creator><creator>Armfield, Jason M.</creator><creator>Romero, Martin</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, dental visiting, and caries: a cross-sectional study in Madrid (Spain)</title><author>Carrillo-Diaz, Maria ; Crego, Antonio ; Armfield, Jason M. ; Romero, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4656-fd4352112d740962b3f011eb0039dfe30687f64c6b2ebe9ab9812eb8a62742873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Child</topic><topic>Child psychology</topic><topic>Cognition &amp; reasoning</topic><topic>cognitions</topic><topic>cognitive vulnerability</topic><topic>Cross-Sectional Studies</topic><topic>Dental Anxiety - epidemiology</topic><topic>Dental Anxiety - psychology</topic><topic>Dental care</topic><topic>Dental Care for Children - psychology</topic><topic>Dental Care for Children - utilization</topic><topic>Dental caries</topic><topic>Dental Caries - epidemiology</topic><topic>Dental Caries - prevention &amp; control</topic><topic>Dental Caries - psychology</topic><topic>dental fear</topic><topic>dental prevention beliefs</topic><topic>dental visits</topic><topic>Dentistry</topic><topic>DMF Index</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Male</topic><topic>oral health</topic><topic>Perceptions</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Spain - epidemiology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carrillo-Diaz, Maria</creatorcontrib><creatorcontrib>Crego, Antonio</creatorcontrib><creatorcontrib>Armfield, Jason M.</creatorcontrib><creatorcontrib>Romero, Martin</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Community dentistry and oral epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carrillo-Diaz, Maria</au><au>Crego, Antonio</au><au>Armfield, Jason M.</au><au>Romero, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, dental visiting, and caries: a cross-sectional study in Madrid (Spain)</atitle><jtitle>Community dentistry and oral epidemiology</jtitle><addtitle>Community Dent Oral Epidemiol</addtitle><date>2015-08</date><risdate>2015</risdate><volume>43</volume><issue>4</issue><spage>375</spage><epage>384</epage><pages>375-384</pages><issn>0301-5661</issn><eissn>1600-0528</eissn><abstract>Objective This study aimed to analyze the role that psychosocial elements may play concerning dental attendance and oral health in children. In particular, we explored the associations among dental fear‐related cognitive vulnerability perceptions, dental prevention beliefs, the pattern of dental visits, and the number of decayed teeth. Methods A cross‐sectional design was used to collect data from 250 Spanish schoolchildren who completed a questionnaire. Oral health status was evaluated by pediatric dentists. Statistical analyses were mainly based on binary logistic regression and multiple linear regression, which allowed us to test possible associations among variables as well as interaction and mediation effects. Results Children with more vulnerability‐related cognitions (Adj. OR = 0.74 P &lt; 0.05) and more unfavorable dental prevention beliefs (Adj. OR = 1.47 P &lt; 0.01) were less likely to attend the dentist regularly. Moreover, the interaction between dental prevention beliefs and cognitive vulnerability perceptions was associated with more decayed teeth (β = −0.13 P &lt; 0.05). The irregular pattern of dental visit, associated with fearful and unfavorable dental prevention cognitions, accounted for 20% of the effects of these variables on dental caries. Conclusion The combination of greater cognitive vulnerability‐related perceptions and low awareness of the benefits of dental prevention increased the risk of dental caries. Children with this profile also tended to demonstrate a more inadequate pattern of dental attendance. Preventive oral health programs would benefit from considering the role of children's cognitions on their oral health habits and dental health.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>25904340</pmid><doi>10.1111/cdoe.12166</doi><tpages>10</tpages></addata></record>
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subjects Adolescent
Age Factors
Child
Child psychology
Cognition & reasoning
cognitions
cognitive vulnerability
Cross-Sectional Studies
Dental Anxiety - epidemiology
Dental Anxiety - psychology
Dental care
Dental Care for Children - psychology
Dental Care for Children - utilization
Dental caries
Dental Caries - epidemiology
Dental Caries - prevention & control
Dental Caries - psychology
dental fear
dental prevention beliefs
dental visits
Dentistry
DMF Index
Female
Health Knowledge, Attitudes, Practice
Humans
Linear Models
Logistic Models
Male
oral health
Perceptions
Risk Factors
Sex Factors
Spain - epidemiology
Surveys and Questionnaires
title Dental fear-related cognitive vulnerability perceptions, dental prevention beliefs, dental visiting, and caries: a cross-sectional study in Madrid (Spain)
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