Oral Health-related Beliefs, Behaviors, and Outcomes through the Life Course
Oral Health-related Beliefs, Behaviors, and Outcomes through the Life Course
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DOI：
10.1177/0022034516634663
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发表时间：
2016-07-01
影响因子：
7.6
通讯作者：
Thomson, W. M.
中科院分区：
文献类型：
--
作者：
Broadbent, J. M.;Zeng, J.;Thomson, W. M.
复杂的协会之间存在的社会经济地位（SES）在早期的生活，口腔保健的信念（由个人和他们的父母），口腔健康相关的行为。成人口腔健康状况不佳的途径很难建模和描述，特别是由于缺乏纵向数据。本研究的目的是探索从出生到成年（38岁）口腔健康的可能途径。我们假设，儿童时期较高的社会经济地位将预测青少年和成年早期良好的口腔健康信念，这反过来又将预测良好的自我保健和牙科护理行为;这些将导致较低的龋齿经验和更好的自我报告的口腔健康到38岁。采用广义结构方程模型方法，以基于人群的出生队列纵向数据为基础，研究口腔健康相关信念、成年早期行为与成年期（年龄，38岁）牙齿健康结果和生活质量之间的关系。目前的调查利用了前瞻性收集的早期（15岁以下）和成人（26岁和32岁）SES、口腔健康相关信念（15岁、26岁和32岁）、自我护理行为（15岁、28岁和32岁）、口腔健康结果（例如，龋齿和缺失牙面的数量）和口腔健康相关的生活质量（38岁）。早期SES和父母的口腔健康相关的信念与研究成员的口腔健康相关的信念，这反过来预测刷牙和牙科服务的使用。刷牙和牙科服务的使用与成年期未经治疗的龋齿和缺失牙齿表面的数量有关。未治疗的龋损和缺失牙面的数量与口腔健康相关的生活质量相关。到生命的第四个十年结束时的口腔健康与代际因素和人们的信仰，SES，牙科护理和自童年以来的自我护理的各个方面有关。
Complex associations exist among socioeconomic status (SES) in early life, beliefs about oral health care (held by individuals and their parents), and oral health-related behaviors. The pathways to poor adult oral health are difficult to model and describe, especially due to a lack of longitudinal data. The study aim was to explore possible pathways of oral health from birth to adulthood (age 38 y). We hypothesized that higher socioeconomic position in childhood would predict favorable oral health beliefs in adolescence and early adulthood, which in turn would predict favorable self-care and dental attendance behaviors; those would lead to lower dental caries experience and better self-reported oral health by age 38 y. A generalized structural equation modeling approach was used to investigate the relationship among oral health-related beliefs, behaviors in early adulthood, and dental health outcomes and quality of life in adulthood (age, 38 y), based on longitudinal data from a population-based birth cohort. The current investigation utilized prospectively collected data on early (up to 15 y) and adult (26 and 32 y) SES, oral health-related beliefs (15, 26, and 32 y), self-care behaviors (15, 28, and 32 y), oral health outcomes (e.g., number of carious and missing tooth surfaces), and oral health-related quality of life (38 y). Early SES and parental oral health-related beliefs were associated with the study members' oral health-related beliefs, which in turn predicted toothbrushing and dental service use. Toothbrushing and dental service use were associated with the number of untreated carious and missing tooth surfaces in adulthood. The number of untreated carious and missing tooth surfaces were associated with oral health-related quality of life. Oral health toward the end of the fourth decade of life is associated with intergenerational factors and various aspects of people's beliefs, SES, dental attendance, and self-care operating since the childhood years.