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首页> 外文期刊>Patient Preference and Adherence >Complex interrelations between self-reported oral health attitudes and behaviors, the oral health status, and oral health-related quality of life
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Complex interrelations between self-reported oral health attitudes and behaviors, the oral health status, and oral health-related quality of life

机译：自我报告的口腔健康态度和行为，口腔健康状况以及与口腔健康相关的生活质量之间的复杂相互关系

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Purpose: The purpose of this study was to develop and test a moderated mediation model that was able to describe the relationships between oral health-related attitudes and behaviors, oral health status (OHS), and oral health-related quality of life. The hypothesized relations corresponded to research questions such as “is a person’s oral health predicted by the actions that person takes in order to prevent oral health conditions?” and “do individuals with better oral health also have higher levels of oral health-related quality of life?”. Materials and methods: A cross-sectional correlational study with selected predictor variables was conducted in Cluj-Napoca, Romania, among 191 participants, enrolled in the fourth and sixth years of study at the Dentistry School of the Medicine and Pharmacology, University of Cluj-Napoca. Participants completed the Hiroshima University Dental Behavior Inventory (HUDBI) questionnaire targeting specific behavior and attitude with respect to their dental self-care, Oral Health Impact Profile (OHIP) short questionnaire for measuring oral health-related quality of life, and the current OHS was assessed objectively using Decayed, Missing, Filled Teeth/Surfaces (DMFT) index. Statistical analyses were done using structural equation modeling software. Results: Our research showed relevant associations between HUDBI, DMFT, and OHIP. The relationship between HUDBI and OHIP was mediated by DMFT. Furthermore, HUDBI worked as a moderator between DMFT and OHIP. Thus, our study revealed a case for moderated mediation, which is usually ignored in similar research. Conclusion: The “straightforward” causality between oral health-related behavior and the actual OHS must be considered with caution, as well as their impact on the oral health-related quality of life. Further research is needed to investigate the interaction between variables, the strength of the interrelations and the magnitude of their interactions, and the confidence that can be placed in these measurements, with respect to the general population and/or those lacking domain-specific education.
机译：目的：本研究的目的是开发和测试一个适度的调解模型，该模型能够描述与口腔健康相关的态度和行为，口腔健康状况（OHS）和与口腔健康相关的生活质量之间的关系。假设的关系与研究问题相对应，例如“一个人的口腔健康是否由该人为预防口腔健康状况所采取的行动来预测？”和“口腔健康状况更好的人是否也有较高水平的口腔健康相关生活质量？”。材料和方法：在罗马尼亚的克卢日-纳波卡进行了横断面相关性研究，该变量具有选定的预测变量，在191名参与者中进行了研究，这些参与者参加了克卢日大学齿医学院的第四和第六年研究。纳波卡。参与者完成了针对他们的牙科自我护理特定行为和态度的广岛大学牙科行为调查表（HUDBI），口腔健康影响概况（OHIP）简短问卷以测量与口腔健康相关的生活质量，目前的OHS为使用“蛀牙，缺失，实心牙齿/表面（DMFT）”指数进行客观评估。使用结构方程建模软件进行统计分析。结果：我们的研究表明HUDBI，DMFT和OHIP之间存在相关性。 HUDBI与OHIP之间的关系由DMFT介导。此外，HUDBI还担任DMFT和OHIP之间的主持人。因此，我们的研究揭示了一个适度调解的案例，在类似研究中通常被忽略。结论：必须谨慎考虑与口腔健康相关的行为与实际OHS之间的“直接”因果关系，以及它们对与口腔健康相关的生活质量的影响。对于一般人群和/或缺乏特定领域教育的人群，还需要进一步研究以调查变量之间的相互作用，相互关系的强度及其相互作用的大小以及可以置于这些度量中的置信度。

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