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 |
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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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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 < 0.05) and more unfavorable dental prevention beliefs (Adj. OR = 1.47 P < 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 < 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 & 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</subject><ispartof>Community dentistry and oral epidemiology, 2015-08, Vol.43 (4), p.375-384</ispartof><rights>2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2015 John Wiley & 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 < 0.05) and more unfavorable dental prevention beliefs (Adj. OR = 1.47 P < 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 < 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 & 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 & 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 & 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 & 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 & Calcified Tissue Abstracts</collection><collection>ProQuest Health & 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 < 0.05) and more unfavorable dental prevention beliefs (Adj. OR = 1.47 P < 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 < 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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