Association Between Self-Reported Oral Health and Dental Fear Among Illicit Drug Users in Northern Finland

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Raija Vainionpää, Antti Tiisanoja, Outi Kokkola, Pirkko Riipinen, Vuokko Anttonen
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Abstract

Objectives

About 10% of adults in northern Finland have severe dental fear, but there is a lack of detailed knowledge about dental fear among illicit drug users. The aim of the study was to evaluate the prevalence of dental fear and its association with self-reported oral health and health behavior as well as background factors of the customers of substance abuse services living in the region of Oulu, Northern Ostrobothnia, Finland.

Materials and Methods

One hundred seventeen volunteers, either active or former illicit drug users, were interviewed face-to-face about their background factors, health and health behaviors, and use of illicit drugs. The Modified Dental Anxiety Scale (MDAS) was used to assess a situation-specific level of dental anxiety. For analyses, Pearson's χ2 test, Fisher's exact test, ANOVA, and logistic regression analysis were performed.

Results

Three out of four participants had at least moderate dental fear (MDAS ≥ 10) and 24% had severe dental fear (MDAS ≥ 19), with the average MDAS being 14.0 (SD 5.7). Participants in drug rehabilitation reported significantly more dental fear than the rest of the participants. Severe dental fear was associated (adjusted) with previous painful experiences OR 10.8 (2.3–52.0) and poor behavior by dental personnel OR 4.1 (1.2–13.9).

Conclusions

Dental fear is common among illicit drug users, and it is, particularly, associated with previous painful experiences and poor behavior by dental personnel.

Abstract Image

芬兰北部非法吸毒者自我报告的口腔健康与牙科恐惧之间的关系
目的:芬兰北部约10%的成年人有严重的牙科恐惧,但缺乏有关非法吸毒者牙科恐惧的详细知识。本研究的目的是评估居住在芬兰北部奥卢地区的药物滥用服务客户的牙科恐惧的流行程度及其与自我报告的口腔健康和健康行为的关系,以及背景因素。材料和方法:对117名志愿者进行了面对面访谈,了解他们的背景因素、健康和健康行为以及非法药物的使用情况。使用改良牙科焦虑量表(MDAS)评估特定情况的牙科焦虑水平。分析采用Pearson χ2检验、Fisher精确检验、方差分析和logistic回归分析。结果:3 / 4的受试者至少有中度牙科恐惧(MDAS≥10),24%的受试者有严重牙科恐惧(MDAS≥19),平均MDAS为14.0 (SD 5.7)。戒毒康复组的参与者报告的牙齿恐惧明显多于其他参与者。严重的牙科恐惧与先前的痛苦经历(OR 10.8(2.3-52.0))和牙科人员的不良行为(OR 4.1(1.2-13.9))相关(调整后)。结论:牙科恐惧在非法药物使用者中很常见,特别是与以前的痛苦经历和牙科人员的不良行为有关。
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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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