Factors associated with dental anxiety and attendance in middle-aged and elderly women.
Identifieur interne : 000450 ( Ncbi/Checkpoint ); précédent : 000449; suivant : 000451Factors associated with dental anxiety and attendance in middle-aged and elderly women.
Auteurs : C. H Gglin [Suède] ; M. Hakeberg ; M. Ahlqwist ; M. Sullivan ; U. BerggrenSource :
- Community dentistry and oral epidemiology [ 0301-5661 ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Bouche édentée, Caries dentaires (), Dentisterie esthétique, Environnement social, Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Humains, Indice CAO, Loi du khi-deux, Mastication, Modèles logistiques, Phobie des soins dentaires (étiologie), Restaurations dentaires permanentes, Santé en zone urbaine, Santé buccodentaire, Santé mentale, Satisfaction personnelle, Soins dentaires (utilisation), Sujet âgé, Sujet âgé de 80 ans ou plus, Suède, État de santé.
- MESH :
- utilisation : Soins dentaires.
- étiologie : Phobie des soins dentaires.
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Bouche édentée, Caries dentaires, Dentisterie esthétique, Environnement social, Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Humains, Indice CAO, Loi du khi-deux, Mastication, Modèles logistiques, Restaurations dentaires permanentes, Santé en zone urbaine, Santé buccodentaire, Santé mentale, Satisfaction personnelle, Sujet âgé, Sujet âgé de 80 ans ou plus, Suède, État de santé.
- Wicri :
- geographic : Suède.
English descriptors
- KwdEn :
- Adult, Age Factors, Aged, Aged, 80 and over, Attitude to Health, Chi-Square Distribution, DMF Index, Dental Anxiety (etiology), Dental Care (utilization), Dental Caries (classification), Dental Restoration, Permanent, Esthetics, Dental, Female, Health Status, Humans, Logistic Models, Mastication, Mental Health, Middle Aged, Mouth, Edentulous, Oral Health, Personal Satisfaction, Social Environment, Socioeconomic Factors, Sweden, Urban Health.
- MESH :
- geographic : Sweden.
- classification : Dental Caries.
- etiology : Dental Anxiety.
- utilization : Dental Care.
- Adult, Age Factors, Aged, Aged, 80 and over, Attitude to Health, Chi-Square Distribution, DMF Index, Dental Restoration, Permanent, Esthetics, Dental, Female, Health Status, Humans, Logistic Models, Mastication, Mental Health, Middle Aged, Mouth, Edentulous, Oral Health, Personal Satisfaction, Social Environment, Socioeconomic Factors, Urban Health.
Abstract
The aim of this study was to analyze the association between dental anxiety, dental attendance, health status and social factors. Our previous studies have shown that dental anxiety declines with age and is associated with poor oral health. In addition, correlations between dental anxiety, dental utilization and dental status have been revealed. However, the association of these factors with general health and social factors has not been analyzed in our previous studies. In a study of women's health in Göteborg, Sweden in 1992, 1.017 urban women aged 38 to 84 years took part in a series of investigations including clinical examinations, interviews and questionnaires. In addition to descriptive and simple inference statistics, a two-part multiple logistic regression model was utilized to investigate dental anxiety and dental utilization. Dental fear was less prevalent among older women, dentate or not, although 10% of females 62 years of age and older still reported high dental anxiety (DAS > or = 12). 94% of the younger (< or = 62 yr) and 76% of the older (> or = 70 yr) women reported regular dental attendance. When separating all women into dentate and edentulous groups, 94% of the dentate and 11% of the edentulous respondents reported regular dental care. Due to the large difference in dental attendance between dentate and edentulous women, these groups were analyzed separately. Multiple logistic regression analyses showed that the following factors were associated with irregular dental utilization among dentate women: high dental anxiety, fewer teeth and restorations, more caries, poorer chewing ability and dissatisfaction with dental esthetics. In the multiple regression for dental anxiety, high fear was shown to be associated with irregular dental care, age (younger), fewer teeth, dissatisfaction with dental esthetics and lower scores on the SF-36 mental health scale. A separate analysis showed that individuals with high fear and regular, as opposed to irregular, dental attendance had more teeth at a statistically significant level, which were less often decayed and more often restored. In spite of the group with high fear and irregular attendance having fewer teeth, their level of decay was seven times higher. Overall, the results indicate a strong association between dental fear and dental attendance. Weak associations were found among socio-economic, dental health and general health factors.
PubMed: 11106018
Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Health</term>
<term>Chi-Square Distribution</term>
<term>DMF Index</term>
<term>Dental Anxiety (etiology)</term>
<term>Dental Care (utilization)</term>
<term>Dental Caries (classification)</term>
<term>Dental Restoration, Permanent</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Mastication</term>
<term>Mental Health</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous</term>
<term>Oral Health</term>
<term>Personal Satisfaction</term>
<term>Social Environment</term>
<term>Socioeconomic Factors</term>
<term>Sweden</term>
<term>Urban Health</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Bouche édentée</term>
<term>Caries dentaires ()</term>
<term>Dentisterie esthétique</term>
<term>Environnement social</term>
<term>Facteurs de l'âge</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice CAO</term>
<term>Loi du khi-deux</term>
<term>Mastication</term>
<term>Modèles logistiques</term>
<term>Phobie des soins dentaires (étiologie)</term>
<term>Restaurations dentaires permanentes</term>
<term>Santé en zone urbaine</term>
<term>Santé buccodentaire</term>
<term>Santé mentale</term>
<term>Satisfaction personnelle</term>
<term>Soins dentaires (utilisation)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Suède</term>
<term>État de santé</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dental Anxiety</term>
</keywords>
<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Soins dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Dental Care</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Phobie des soins dentaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Health</term>
<term>Chi-Square Distribution</term>
<term>DMF Index</term>
<term>Dental Restoration, Permanent</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Mastication</term>
<term>Mental Health</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous</term>
<term>Oral Health</term>
<term>Personal Satisfaction</term>
<term>Social Environment</term>
<term>Socioeconomic Factors</term>
<term>Urban Health</term>
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<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Bouche édentée</term>
<term>Caries dentaires</term>
<term>Dentisterie esthétique</term>
<term>Environnement social</term>
<term>Facteurs de l'âge</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice CAO</term>
<term>Loi du khi-deux</term>
<term>Mastication</term>
<term>Modèles logistiques</term>
<term>Restaurations dentaires permanentes</term>
<term>Santé en zone urbaine</term>
<term>Santé buccodentaire</term>
<term>Santé mentale</term>
<term>Satisfaction personnelle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Suède</term>
<term>État de santé</term>
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<front><div type="abstract" xml:lang="en">The aim of this study was to analyze the association between dental anxiety, dental attendance, health status and social factors. Our previous studies have shown that dental anxiety declines with age and is associated with poor oral health. In addition, correlations between dental anxiety, dental utilization and dental status have been revealed. However, the association of these factors with general health and social factors has not been analyzed in our previous studies. In a study of women's health in Göteborg, Sweden in 1992, 1.017 urban women aged 38 to 84 years took part in a series of investigations including clinical examinations, interviews and questionnaires. In addition to descriptive and simple inference statistics, a two-part multiple logistic regression model was utilized to investigate dental anxiety and dental utilization. Dental fear was less prevalent among older women, dentate or not, although 10% of females 62 years of age and older still reported high dental anxiety (DAS > or = 12). 94% of the younger (< or = 62 yr) and 76% of the older (> or = 70 yr) women reported regular dental attendance. When separating all women into dentate and edentulous groups, 94% of the dentate and 11% of the edentulous respondents reported regular dental care. Due to the large difference in dental attendance between dentate and edentulous women, these groups were analyzed separately. Multiple logistic regression analyses showed that the following factors were associated with irregular dental utilization among dentate women: high dental anxiety, fewer teeth and restorations, more caries, poorer chewing ability and dissatisfaction with dental esthetics. In the multiple regression for dental anxiety, high fear was shown to be associated with irregular dental care, age (younger), fewer teeth, dissatisfaction with dental esthetics and lower scores on the SF-36 mental health scale. A separate analysis showed that individuals with high fear and regular, as opposed to irregular, dental attendance had more teeth at a statistically significant level, which were less often decayed and more often restored. In spite of the group with high fear and irregular attendance having fewer teeth, their level of decay was seven times higher. Overall, the results indicate a strong association between dental fear and dental attendance. Weak associations were found among socio-economic, dental health and general health factors.</div>
</front>
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