Effects of oral health-related self-efficacy on oral health-related quality of life in male high school students

Abstract

Objectives: To evaluate the association between oral health-related quality of life and oral healthrelated self-efficacy in high school students. Methods: A questionnaire-based survey was conducted among high school students in Daegu, South Korea from November to December 2015, and the final data of 432 students were analyzed. Results: Analysis of oral health-related self-efficacy in terms of general characteristics showed that both grade and income were significant factors (P<0.01). Furthermore, analysis of oral health-related quality of life in terms of general characteristics showed that academic achievement, father's educational level, and academic stress were significant factors (P<0.05). Correlation analyses of oral health-related quality of life with oral health-related self-efficacy revealed positive correlations with tooth brushing and ordinary oral health behavior. Regression analysis of oral health-related quality of life showed that father's educational level, oral health-related self-efficacy, academic stress, and academic achievement were influencing factors. Conclusions: These results indicate that oral health-related self-efficacy may play a significant role in oral health-related quality of life.

Association of oral health knowledge, self-efficacy and behaviours with oral health-related quality of life in Chinese primary school children: a cross-sectional study

“…Although the design of a prospective study has the advantage of indicating the direction of a relationship over time, it nevertheless may also fail to draw a definitive conclusion of causality 71. In this study, the directions of causality between oral health-related knowledge, self-efficacy and behaviours and OHRQOL were supported by the existing literature,29–38 and the impacts of some possible confounding factors were also analysed and excluded to ensure rigour in drawing causal conclusions. Based on these considerations, this study would give some clues for possible causal relations and provide ideas for intervention studies which are needed to further draw firmer causal conclusions.…”

“…Based on a review of the literature,29–37 an appropriate hypothetical model is constructed, namely model 1 in figure 1. The literature suggests that oral health knowledge may be directly associated with OHRQOL,38 and there is some doubt as to whether self-efficacy was directly related to OHRQOL 35–37. Therefore, three alternative models, models 2–4 in figure 1, were also applied.…”

“…For example, studies showed that independently of students' caries experience, gingival bleeding scores and sociodemographic status, higher self-efficacy was consistently associated with better OHRQOL across time, suggesting that school students with higher self-efficacy levels were more emotionally resilient to challenges caused by their oral symptoms. [35][36][37] Oral health knowledge is also considered to be crucial for developing oral health behaviours, and it has been shown that increased knowledge is associated with better OHRQOL. 21 38 However, the relationship between oral health knowledge, oral health-related selfefficacy and OHRQOL among children's groups is still unclear.…”

“…The literature suggests that oral health knowledge may be directly associated with OHRQOL, 38 and there is some doubt as to whether self-efficacy was directly related to OHRQOL. [35][36][37] Therefore, three alternative models, models 2-4 in figure 1, were also…”

“…Therefore, oral health self-efficacy may have a direct psychological impact on OHRQOL, and people with a higher sense of self-efficacy will be more likely to have more positive senses of OHRQOL. For example, studies showed that independently of students’ caries experience, gingival bleeding scores and sociodemographic status, higher self-efficacy was consistently associated with better OHRQOL across time, suggesting that school students with higher self-efficacy levels were more emotionally resilient to challenges caused by their oral symptoms 35–37. Oral health knowledge is also considered to be crucial for developing oral health behaviours, and it has been shown that increased knowledge is associated with better OHRQOL 21 38.…”