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- Title
Psychosocial correlates of oral hygiene behaviour in people aged 9 to 19 - a systematic review with meta-analysis.
- Authors
Scheerman, Janneke F. M.; Loveren, Cor; Meijel, Berno; Dusseldorp, Elise; Wartewig, Eva; Verrips, Gijsbert H. W.; Ket, Johannes C. F.; Empelen, Pepijn
- Abstract
Objectives This systematic and meta-analytic review aimed to quantify the association of psychosocial correlates with oral hygiene behaviour among 9- to 19-year olds. Methods A systematic search up to August 2015 was carried out using the following databases: PubMed, PsycInfo, Embase, CINAHL and Web of Science. If necessary, authors of studies were contacted to obtain unpublished statistical information. A study was eligible for inclusion when it evaluated the association between the psychosocial correlates and oral hygiene behaviour varying from self-reports to clinical measurements, including plaque and bleeding scores . A modified New Castle Ottawa Scale was applied to examine the quality of the included studies. Results Twenty-seven data sets ( k) presented in 22 publications, addressing nine psychosocial correlates, were found to be eligible for the meta-analysis. For both tooth brushing and oral hygiene behaviour, random effect models revealed significant weighted average correlation ( r+) for the psychosocial factors: 'intention', 'self-efficacy', 'attitude' (not significant for tooth brushing), 'social influence', 'coping planning' and 'action planning' ( r+ ranging from 0.18 to 0.57). Little or no associations were found for 'locus of control', 'self-esteem' and 'sense of coherence' ( r+ ranges from 0.01 to 0.08). Conclusions The data at present indicates that 'self-efficacy', 'intention', 'social influences', 'coping planning' and 'action planning' are potential psychosocial determinants of oral health behaviour. Future studies should consider a range of psychological factors that have not been studied, but have shown to be important psychosocial determinants of health behaviours, such as 'self-determination', 'anticipated regret', 'action control' and 'self-identity'. Effectiveness of addressing these potential determinants to induce behaviour change should be further examined by intervention trials.
- Subjects
ORAL hygiene; ORAL hygiene -- Social aspects; PSYCHOLOGY; TOOTH care &; hygiene; HEALTH behavior; CINAHL database; CONFIDENCE intervals; STATISTICAL correlation; FISHER exact test; MEDICAL information storage &; retrieval systems; PSYCHOLOGY information storage &; retrieval systems; MEDLINE; META-analysis; ONLINE information services; STATISTICS; SYSTEMATIC reviews; DATA analysis; EFFECT sizes (Statistics); DATA analysis software; DESCRIPTIVE statistics
- Publication
Community Dentistry & Oral Epidemiology, 2016, Vol 44, Issue 4, p331
- ISSN
0301-5661
- Publication type
Article
- DOI
10.1111/cdoe.12224