Is religiosity related to periodontal health among the adult Jewish population in Jerusalem?

Zini, Avi; Sgan‐Cohen, Harold D.; Marcenes, Wagner

doi:10.1111/j.1600-0765.2011.01447.x

Cited by 22 publications

(31 citation statements)

References 33 publications

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“…The findings of this study are consistent with other studies demonstrating that religion is related to general health [McFadden, 1995;Cohen and Koenig, 2003] and to periodontal health [Zini et al, 2011]. Religiosity may be considered as a belief in a higher power combined with regular daily practices, activities and institutions.…”

Section: Discussionsupporting

confidence: 83%

Religiosity, Spirituality, Social Support, Health Behaviour and Dental Caries among 35- to 44-Year-Old Jerusalem Adults: A Proposed Conceptual Model

2012

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The aim of this study was to assess the relationship between religiosity and dental caries, and whether oral health-related behaviours, spirituality and social support are included in the potential pathways which explain the association between religiosity and dental caries. The present cross-sectional study employed a stratified sample, according to religiosity level (33.1% secular, 33.1% religious and 33.9% orthodox), of 254 Jewish adults in Jerusalem. The objective was to examine the pathway between religiosity, spirituality and social support and its effect on oral health outcomes by DMFT, controlling for socio-economic position and health behaviour determinants. Religiosity was determined and validated by self-definition. Social support was assessed by the Multidimensional Scale of Perceived Social Support. Spirituality was estimated by the Hebrew version of the SpREUK Questionnaire for Religiosity, Spirituality and Health. The mean caries experience (DMFT) was 10.75. Secular people revealed significantly higher DMFT than their religious and orthodox counterparts (78.0 vs. 43.9 and 39.3%, respectively, p < 0.01). A conceptual logistic regression model revealed a possible pathway, wherein a higher level of religiosity was distally associated with superior dental health outcomes, mediated by high spirituality, strong social support and positive oral health behaviours. The present study identified a strong statistical association between caries experience and religiosity. The direction of the association suggested that being religious had a protective effect on caries experience. Our conceptual hierarchical approach suggests a pathway to explain the association between the level of religiosity and dental caries experience. In this study this association was mediated by extrinsic (i.e. social support) and intrinsic (i.e. spirituality) pathways.

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Section: Discussionsupporting

confidence: 83%

Religiosity, Spirituality, Social Support, Health Behaviour and Dental Caries among 35- to 44-Year-Old Jerusalem Adults: A Proposed Conceptual Model

2012

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“…Religiosity as psychosocial pathway had a small direct effect (SC = −0.10) on changes on gingival bleeding in our analysis, as nonpractice or lower levels of religiosity of the parents produced higher levels of gingival bleeding in adolescents. Previous studies have associated religiosity with health outcomes . Pitel et al showed that religiosity was associated with healthier and fewer risk behaviours in drug use and smoking.…”

Section: Discussionmentioning

confidence: 99%

“…Li et al demonstrated that attending religious service more than once per week was associated with 33% lower all‐cause mortality. Religiosity has also been associated with preventive pattern of dental attendance and the adoption of oral health‐related behaviour . Religious practice as social network at individual level can explain two domains associated to the concept of social capital: cognitive (perceived interpersonal trust, norms, and reciprocity) and structural (civic participation, socializing, and networking) .…”

Section: Discussionmentioning

confidence: 99%

Pathways of socioeconomic inequalities in gingival bleeding among adolescents

Sfreddo

Moreira

Celeste

et al. 2018

Comm Dent Oral Epid

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Objectives To explore the pathways through which the socioeconomic inequalities may influence gingival bleeding in adolescents, assessing the direct and indirect effects of material and psychosocial variables. Methods This cohort study followed a multistage, random sample of 1134 12‐year‐old adolescents from 20 public schools of Santa Maria, a city in southern Brazil. The percentage of teeth with gingival bleeding was recorded according to the Community Periodontal Index criteria (scored as healthy or bleeding) at baseline and at 2‐year follow‐up. Biological (dental plaque, caries, and dental crowding), material (socioeconomic position [SEP] operationalized as family income and parents’ education), psychosocial (parents’ religiosity, self‐rated health, and happiness) and behavioural (use of dental service by adolescents) factors were collected at baseline. Structural equation modelling (SEM) was guided by the adapted Commission on the Social Determinants of Health model linking material, psychosocial, biological, and behaviour variables to health. The SEM was employed to estimate standardized direct, indirect, and total effects of material and psychosocial factors on gingival bleeding at follow‐up. Results A total of 770 14‐year‐old adolescents were reassessed (follow‐up rate of 68%). The lower SEP at baseline had a higher direct effect (standard coefficient [SC] = −0.17, P < 0.01) than a mediated effect on percentage of teeth with gingival bleeding at 2‐year follow‐up. The lower indirect effect (SC = −0.06, P < 0.01) from SEP to gingival bleeding at follow‐up ran through biological factors—dental plaque (baseline and follow‐up) and gingival bleeding at baseline. The lower religiosity of the parents as a psychosocial aspect had only a small direct effect (SC = −0.10, P = 0.03) on gingival bleeding at follow‐up. Conclusions Material factors such as SEP contributed most to explanations on inequalities in adolescents’ periodontal health because of their higher direct effect and additional shared (indirect) effect (through biological factors) on gingival bleeding. Religious practice as a psychosocial factor only explained part of percentage of teeth with gingival bleeding at follow‐up.

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“…In the current study, religious belief was expressed as a resource for dealing with an unhealthy situation. This is in line with previous studies showing a positive relationship between religiousness and oral health, resulting in more favourable oral health behaviour and better oral health conditions (less periodontal disease and less dental caries).…”

Section: Discussionmentioning

confidence: 99%

Oral health‐related resources ‐ a salutogenic perspective on Swedish 19‐year‐olds

Lindmark

Abrahamsson

2014

Int J Dental Hygiene

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The aim was to explore health-oriented resources among 19-year-olds and, specifically, how these resources interact with oral health-related attitudes and behavior. The participants were selected to represent individuals from various psychosocial environments, based on the geographical location of the Public Dental Service clinic at they were listed as patients in the county of Jönköping, Sweden. A structured questionnaire was distributed, including the instrument 'Sense of coherence', for description of the study group, followed by a semi-structured thematized interview. The qualitative method used for sampling and analyses was inspired by Grounded Theory. Data sampling and analysis were performed in parallel procedures and ended up in a sample of ten informants (five women). In the analysis of interview data a core category was identified, 'Resources of Wealth and Balance in Life Principal findingsThe results elucidate various internal and external recourses of importance for wealth and balance in life, fundamental for health oriented choices and with positive influence on attitudes and behaviors towards oral health. Practical implicationsThe findings contribute with a deeper understanding about personal and environmental health oriented resources interacting with oral health related attitudes and behaviors among adolescents and could thus be useful in clinical practice in order to promote oral health.4

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Is religiosity related to periodontal health among the adult Jewish population in Jerusalem?

Abstract: Religiosity had a protective effect against periodontitis through extrinsic and intrinsic pathways. This should be considered as part of aetiology and prognosis, in potential prevention and care of periodontitis.

Cited by 22 publications

References 33 publications

Religiosity, Spirituality, Social Support, Health Behaviour and Dental Caries among 35- to 44-Year-Old Jerusalem Adults: A Proposed Conceptual Model

Religiosity, Spirituality, Social Support, Health Behaviour and Dental Caries among 35- to 44-Year-Old Jerusalem Adults: A Proposed Conceptual Model

Pathways of socioeconomic inequalities in gingival bleeding among adolescents

Oral health‐related resources ‐ a salutogenic perspective on Swedish 19‐year‐olds

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