Social Support, Oral Health Knowledge, Attitudes, Practice, Self-efficacy and Oral Health-related Quality of Life in Chinese College Students

Overview

Journal Sci Rep

Specialty Science

Date 2023 Jul 29

PMID 37516775

Authors

Jie Zhu

Zeling Xu

Xinyi Dai

Keda Chen

Ying Wang

Affiliations

Soon will be listed here.

Abstract

Oral health is crucial for health-related quality of life. However, the research on the factors affecting oral health status is not comprehensive enough. This investigation aimed to evaluate the multifaceted determinants of college students' oral health status and explore the impact of social support, oral health literacy, attitudes, behaviors, and self-efficacy on OHRQoL. By surveying 822 students from a university. Baseline data included sociodemographics (gender, age), social support (MSPSS scale), oral health self-efficacy (SESS scale), oral health knowledge, attitudes, and practices (KAP questionnaire), and OHRQoL (OHIP-14 scale). Based on social cognitive theory, partial least squares structural equation modeling (PLS-SEM) and fuzzy set qualitative comparative analysis (fsQCA) were used to examine the relationship between the study variables. PLS-SEM results showed that knowledge, attitude, and practice predicted OHRQoL through self-efficacy. FsQCA results showed that the combination of different variables was sufficient to explain OHRQoL. The conclusion was that self-efficacy plays an important role and the combination of high-level knowledge, positive attitudes, and strong self-efficacy was important in improving OHRQoL. The results of this study provided a reference for the oral health strategy planning of college students in China.

Citing Articles

The relationship between dental anxiety and oral health literacy with oral health-related quality of life.

Samami M, Farrahi H, Alinia M BMC Oral Health. 2024; 24(1):567.

PMID: 38745147 PMC: 11094898. DOI: 10.1186/s12903-024-04359-7.

Translation and validation into Spanish of the oral health self-efficacy scale in Chilean older adults.

Munoz-Sepulveda F, Acevedo C, Marino R, Sanzana-Luengo C, Navarro P, Beltran V BMC Oral Health. 2024; 24(1):118.

PMID: 38245718 PMC: 10799359. DOI: 10.1186/s12903-024-03889-4.

Relationship between risk of oral frailty and awareness of oral frailty among community-dwelling adults: a cross-sectional study.

Irie K, Mochida Y, Altanbagana N, Fuchida S, Yamamoto T Sci Rep. 2024; 14(1):433.

PMID: 38172224 PMC: 10764834. DOI: 10.1038/s41598-023-50818-6.

References

Andiappan M, Gao W, Bernabe E, Kandala N, Donaldson A . Malocclusion, orthodontic treatment, and the Oral Health Impact Profile (OHIP-14): Systematic review and meta-analysis. Angle Orthod. 2014; 85(3):493-500. PMC: 8612413. DOI: 10.2319/051414-348.1. View

Guilbert J . The world health report 2002 - reducing risks, promoting healthy life. Educ Health (Abingdon). 2004; 16(2):230. DOI: 10.1080/1357628031000116808. View

Vettore M, Ahmad S, Machuca C, Fontanini H . Socio-economic status, social support, social network, dental status, and oral health reported outcomes in adolescents. Eur J Oral Sci. 2019; 127(2):139-146. DOI: 10.1111/eos.12605. View

Gao J, Ruan J, Zhao L, Zhou H, Huang R, Tian J . Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey. BMC Oral Health. 2014; 14:144. PMC: 4349707. DOI: 10.1186/1472-6831-14-144. View

Lin H, Wong M, Wang Z, Lo E . Oral health knowledge, attitudes, and practices of Chinese adults. J Dent Res. 2001; 80(5):1466-70. DOI: 10.1177/00220345010800051601. View

Zimet G, Powell S, Farley G, WERKMAN S, Berkoff K . Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990; 55(3-4):610-7. DOI: 10.1080/00223891.1990.9674095. View

Malele-Kolisa Y, Yengopal V, Igumbor J, Nqcobo C, Ralephenya T . Systematic review of factors influencing oral health-related quality of life in children in Africa. Afr J Prim Health Care Fam Med. 2019; 11(1):e1-e12. PMC: 6676933. DOI: 10.4102/phcfm.v11i1.1943. View

Bahari G, Scafide K, Krall J, Mallinson R, Weinstein A . Mediating role of self-efficacy in the relationship between family social support and hypertension self-care behaviours: A cross-sectional study of Saudi men with hypertension. Int J Nurs Pract. 2019; 25(6):e12785. DOI: 10.1111/ijn.12785. View

Sawyer S, Afifi R, Bearinger L, Blakemore S, Dick B, Ezeh A . Adolescence: a foundation for future health. Lancet. 2012; 379(9826):1630-40. DOI: 10.1016/S0140-6736(12)60072-5. View

10.

Beaglehole R, Ebrahim S, Reddy S, Voute J, Leeder S . Prevention of chronic diseases: a call to action. Lancet. 2007; 370(9605):2152-7. DOI: 10.1016/S0140-6736(07)61700-0. View

11.

Young C . Are young people leaving home earlier or later?. J Aust Popul Assoc. 1996; 13(2):125-52. DOI: 10.1007/BF03029491. View

12.

Wang Y, Yao L, Liu L, Yang X, Wu H, Wang J . The mediating role of self-efficacy in the relationship between Big five personality and depressive symptoms among Chinese unemployed population: a cross-sectional study. BMC Psychiatry. 2014; 14:61. PMC: 3976156. DOI: 10.1186/1471-244X-14-61. View

13.

de Silva-Sanigorski A, Ashbolt R, Green J, Calache H, Keith B, Riggs E . Parental self-efficacy and oral health-related knowledge are associated with parent and child oral health behaviors and self-reported oral health status. Community Dent Oral Epidemiol. 2012; 41(4):345-52. DOI: 10.1111/cdoe.12019. View

14.

Xiang B, Wong H, Perfecto A, McGrath C . The association of socio-economic status, dental anxiety, and behavioral and clinical variables with adolescents' oral health-related quality of life. Qual Life Res. 2020; 29(9):2455-2464. DOI: 10.1007/s11136-020-02504-7. View

15.

Saied-Moallemi Z, Virtanen J, Ghofranipour F, Murtomaa H . Influence of mothers' oral health knowledge and attitudes on their children's dental health. Eur Arch Paediatr Dent. 2008; 9(2):79-83. DOI: 10.1007/BF03262614. View

16.

Zhu L, Petersen P, Wang H, Bian J, Zhang B . Oral health knowledge, attitudes and behaviour of adults in China. Int Dent J. 2005; 55(4):231-41. DOI: 10.1111/j.1875-595x.2005.tb00321.x. View

17.

Bandura A . Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191-215. DOI: 10.1037//0033-295x.84.2.191. View

18.

Zhang S, Edwards H, Yates P, Li C, Guo Q . Self-efficacy partially mediates between social support and health-related quality of life in family caregivers for dementia patients in Shanghai. Dement Geriatr Cogn Disord. 2013; 37(1-2):34-44. DOI: 10.1159/000351865. View

19.

Wang C, Lang J, Xuan L, Li X, Zhang L . The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study. Int J Equity Health. 2017; 16(1):58. PMC: 5493849. DOI: 10.1186/s12939-017-0551-9. View

20.

Benghasheer H, Saub R . Relationships of Acculturative Stress, Perceived Stress, and Social Support with Oral Health-related Quality of Life among International Students in Malaysia: A Structural Equation Modelling. J Int Soc Prev Community Dent. 2020; 10(4):520-531. PMC: 7523941. DOI: 10.4103/jispcd.JISPCD_192_20. View