Self-efficacy and self-rated oral health among pregnant aboriginal Australian women.
Self-efficacy and self-rated oral health among pregnant aboriginal Australian women.
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DOI：
10.1186/1472-6831-14-29
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发表时间：
2014-04-02
期刊：
影响因子：
2.9
通讯作者：
Broughton J
中科院分区：
文献类型：
--
作者：
Jamieson LM;Parker EJ;Roberts-Thomson KF;Lawrence HP;Broughton J
自我效能感在口腔健康相关行为中起着重要作用。在牙病风险较高的人群中，自我效能感与主观口腔健康之间的关系知之甚少。本研究的目的是确定是否低自我效能与不良的自我评价口腔健康调整后，在一个方便的样本孕妇之间的混杂因素。我们使用了446名澳大利亚土著儿童孕妇（年龄范围14-43岁）的自我报告数据，以评估自我评价的口腔健康，自我效能和社会人口统计，社会心理，社会认知和风险因素。将解释变量分层输入逻辑回归模型，估计自我评定的口腔健康状况一般或较差的患病率比值比（POR）和95%置信区间（95%CI）。在未经调整的模型中，自我效能低的人将其口腔健康评为“一般”或“差”的几率是2.40倍（95%CI 1.54-3.74）。社会人口统计学因素的增加使自我效能感低对自评口腔健康不良的影响减弱了10%（POR 2.19，95%CI 1.37-3.51）。增加心理社会因素使几率降低了17%（POR 2.07，95%CI 1.28-3.36），而增加社会认知变量宿命论使几率增加了1%（POR 2.42，95%CI 1.55-3.78）。包括行为风险因素“前一天不刷牙”将几率降低了15%（POR 2.11，95%CI 1.32-3.36）。在包括所有协变量的最终模型中，比值降低了32%（POR 1.80，95% CI 1.05，3.08）。在调整了这一脆弱人群的混杂因素后，自我效能感低仍然是自我评价口腔健康状况不佳的风险指标。
Self-efficacy plays an important role in oral health-related behaviours. There is little known about associations between self-efficacy and subjective oral health among populations at heightened risk of dental disease. This study aimed to determine if low self-efficacy was associated with poor self-rated oral health after adjusting for confounding among a convenience sample of pregnant women. We used self-reported data from 446 Australian women pregnant with an Aboriginal child (age range 14–43 years) to evaluate self-rated oral health, self-efficacy and socio-demographic, psychosocial, social cognitive and risk factors. Hierarchical entry of explanatory variables into logistic regression models estimated prevalence odds ratios (POR) and 95% confidence intervals (95% CI) for fair or poor self-rated oral health. In an unadjusted model, those with low self-efficacy had 2.40 times the odds of rating their oral health as ‘fair’ or ‘poor’ (95% CI 1.54–3.74). Addition of socio-demographic factors attenuated the effect of low self-efficacy on poor self-rated oral health by 10 percent (POR 2.19, 95% CI 1.37–3.51). Addition of the psychosocial factors attenuated the odds by 17 percent (POR 2.07, 95% CI 1.28–3.36), while addition of the social cognitive variable fatalism increased the odds by 1 percent (POR 2.42, 95% CI 1.55–3.78). Inclusion of the behavioural risk factor ‘not brushing previous day’ attenuated the odds by 15 percent (POR 2.11, 95%CI 1.32–3.36). In the final model, which included all covariates, the odds were attenuated by 32 percent (POR 1.80, 95% CI 1.05, 3.08). Low self-efficacy persisted as a risk indicator for poor self-rated oral health after adjusting for confounding among this vulnerable population.
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影响因子：
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作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
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