Testing Dental Anxiety and Self-Care Behaviours as Mediators of the Association Between Executive Functioning and Oral Health Among Young Adults.

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Adam A Rogers, Anne E M Halvari, Anne-Kristin Solbakk, Jan-Are K Johnsen
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Abstract

Background: Increased support for oral health during young adulthood is needed to address trends in oral disease over the life course. Executive functioning (EF) may play a role in supporting oral health but has received little attention. EF represents the capacity to control cognitive information, feelings and behaviour. The current study aimed to explore the association between EF and oral health among young adults and investigate potential mediators.

Methods: Young adults aged 18-30 years were recruited from five universities within Norway to take part in a cross-sectional digital survey. Participants self-reported EF, toothbrushing, flossing, dental fear and anxiety (DFA), and provided ratings on two measures of oral health: self-rated oral health (SROH) and self-reported oral health-related quality of life (OHRQoL). Separate analyses were conducted for each outcome. Linear regression was used to test the association between EF and oral health, and whether toothbrushing, flossing, or DFA mediated this effect.

Results: Data from 344 participants were analysed. Average SROH was quite good (M = 4.13), several participants (60.5%) reported some impact on OHRQoL. In the SROH model, EF difficulties directly predicted oral health (β = -0.26), and DFA mediated the relationship (ab = -0.03, p < 0.05). In the OHRQoL model, EF difficulties again predicted performances impacted (β = 0.27), and DFA mediated the relationship (ab = 0.04, p < 0.05).

Conclusion: EF is related to oral health outcomes among young adults and the relationship is mediated by DFA. Studies are encouraged to continue exploring these relationships, with longitudinal studies needed to provide more insight into the potential role of EF as a protective factor for the development of DFA and oral health problems.

测试牙齿焦虑和自我保健行为在年轻人执行功能和口腔健康之间的中介作用。
背景:需要增加对青年期口腔健康的支持,以应对生命过程中口腔疾病的趋势。执行功能(EF)可能在支持口腔健康方面发挥作用,但很少受到关注。EF代表了控制认知信息、感觉和行为的能力。本研究旨在探讨EF与年轻人口腔健康之间的关系,并研究潜在的中介因素。方法:从挪威的五所大学招募18-30岁的年轻人参加横断面数字调查。参与者自我报告EF、刷牙、使用牙线、牙齿恐惧和焦虑(DFA),并提供两项口腔健康指标的评分:自评口腔健康(SROH)和自评口腔健康相关生活质量(OHRQoL)。对每个结果分别进行分析。线性回归用于检验EF与口腔健康之间的关系,以及刷牙、牙线或DFA是否介导了这种影响。结果:分析了344名参与者的数据。平均SROH相当好(M = 4.13),一些参与者(60.5%)报告对OHRQoL有一定影响。在SROH模型中,EF困难直接预测口腔健康(β = -0.26), DFA介导了这一关系(ab = -0.03, p)。结论:EF与青壮年口腔健康结果相关,且这种关系由DFA介导。研究鼓励继续探索这些关系,需要进行纵向研究,以更深入地了解EF作为DFA发展和口腔健康问题的保护因素的潜在作用。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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