Sense of Coherence and Four-Year Caries Incidence in Finnish Adults

Bernabé, Eduardo; Newton, Tim; Uutela, Antti; Aromaa, Arpo; Suominen, Anna Liisa

doi:10.1159/000341219

Cited by 22 publications

(29 citation statements)

References 51 publications

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“…As expected, less frequent toothbrushing and more sugary soda drink consumption were associated with decayed teeth. Furthermore, there seemed not only to be a direct relationship between SOC and number of decayed teeth, SOC also appeared to be linked to oral health‐related behaviour, which in turn predicted dental caries, as has been suggested in previous studies …”

Section: Discussionsupporting

confidence: 72%

“…Sense of coherence (SOC) is a salutogenic construct relating to the way an individual makes sense of the world (comprehensibility), has the required resources to respond to life events (manageability) and feels that these responses are meaningful and make sense (meaningfulness) . A stronger SOC has been associated with greater dental attendance, more frequent toothbrushing and fewer oral health‐related impacts . The research to date would suggest that salutogenic factors—such as SOC—could play an important role in improving dental access and oral health‐related behaviours and outcomes in adults.…”

Section: Introductionmentioning

confidence: 99%

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The role of psychosocial factors and treatment need in dental service use and oral health among adults in Norway

Jönsson

Holde

Baker

2020

Comm Dent Oral Epid

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Objectives:This study aimed to explore whether population characteristics were associated with the use of dental services, individual's personal oral health practices, dental caries and oral health-related impacts using the revised Andersen's behavioural model as the theoretical framework. Methods:This cross-sectional study included participants from a Norwegian general population (N = 1840; 20-79 years) included in the Tromstannen-Oral Health in Northern Norway (TOHNN) study. The variables included in the model were social structure (income, education, urbanization), sense of coherence (SOC), enabling resources (difficulties accessing the dentist, declined treatment, dental anxiety), treatment need, use of dental services, toothbrushing frequency, sugary soda drink consumption, decayed teeth and oral health-related impacts (OHIP-14). Structural equation modelling was used to test the direct and indirect effects within Andersen's behavioural model of access and health outcomes. Results:Andersen's behavioural model fit the data well and explained a large part of the variance in use of dental services (58%), oral health-related impacts (48%) and, to a lesser extent, decayed teeth (12%). More social structures and a stronger SOC was associated with more enabling resources, which in turn, was associated with more use of dental services. Social structures were not directly associated with use of dental services or decayed teeth but were predictive of oral health-related impacts. A stronger SOC was associated with more frequent toothbrushing, less soda drink consumptions, fewer decayed teeth and less oral health-related impacts. Self-perceived need did not predict dental attendance but was associated with decayed teeth. A less frequent use of dental services, less frequent toothbrushing and more frequent sugary soda drink consumption were associated with more decayed teeth. Decayed teeth were not associated with oral health-related impacts. Conclusion:The findings suggests that, in addition to focusing on reducing socioeconomic inequalities in relation to oral health in the Norwegian population, it is also important to consider how people perceive their own resources (eg financial, psychological, social) as well as their access to dental care in order to support regular dental attendance and potentially, in turn, enhance oral health.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

The role of psychosocial factors and treatment need in dental service use and oral health among adults in Norway

Jönsson

Holde

Baker

2020

Comm Dent Oral Epid

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“…The results elucidate that healthy choices for young adults are based on the amount and the content of the internal and external resources in the individual's life context and, more importantly, the individual's ability to use such recourses in a healthy direction, beneficial for general and oral health. The present results complement with new perspectives and understanding to the salutogenic concept of a sense of coherence (SOC) and could be discussed in relation to the results of previous studies using the SOC questionnaire in association with oral health in young adults/adolescents and adults . Associations between a high SOC and general health behaviour, better social competence, dealing with everyday matters and greater independence have recently been found in adolescents .…”

Section: Discussionmentioning

confidence: 80%

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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“…In elderly and adult populations, SOC was identified as a psychosocial determinant of oral health-related quality of life [Savolainen et al, 2005a;Boman et al, 2012;Machado et al, 2017], oral health-related behaviors, attitudes towards oral health, knowledge of dental caries [Savolainen et al, 2005b;Bernabé et al, 2009;Lindmark et al, 2011;Elyasi et al, 2015], and dental clinical status [Bernabé et al, 2010[Bernabé et al, , 2012Gupta et al, 2015;Davoglio et al, 2016;Possebon et al, 2017]. Other studies have shown a positive prospective relationship between strong SOC and better oral health-related quality of life among adolescents [Baker et al, 2010;Pakpour et al, 2018].…”

Section: Introductionmentioning

confidence: 99%

The Association between Sense of Coherence and Dental Caries in Low Social Status Schoolchildren

et al. 2018

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The relationship between dental caries and sense of coherence (SOC) has not been substantiated in children and adolescents, particularly among those with a low socioeconomic status. The aim of this study was to investigate the association between SOC and dental caries in schoolchildren from a low socioeconomic background. A random sample of 356 8- to 14-year-old schoolchildren enrolled in public schools from the poorest region of Santa Maria, a southern city in Brazil, was selected. Dental examinations were performed to assess dental plaque and dental caries (DMF-S and dmf-s indexes). The children’s SOC was assessed using a validated Brazilian version of the SOC-13 scale. Socioeconomic, demographic, and behavioral data were collected from parents using a questionnaire. Multilevel Poisson regression analysis was used following a hierarchical approach to investigate the association between the SOC and DMF-T + dmf-t mean. Children whose mothers had studied for 8 years or less (RR 1.30; 95% CI 1.08–1.57) and children with dental plaque (RR 1.29; 95% CI 1.06–1.58) presented with higher DMF-T scores than their counterparts (p < 0.05). A higher household income (RR 0.66; 95% CI 0.51–0.84) and greater SOC scores (RR 0.71, 95% CI 0.56–0.90) were associated with lower DMF-T in children (p < 0.05). Children’s SOC seems to be a relevant protective psychosocial factor for dental caries experience in socially vulnerable children.

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Sense of Coherence and Four-Year Caries Incidence in Finnish Adults

Cited by 22 publications

References 51 publications

The role of psychosocial factors and treatment need in dental service use and oral health among adults in Norway

The role of psychosocial factors and treatment need in dental service use and oral health among adults in Norway

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

The Association between Sense of Coherence and Dental Caries in Low Social Status Schoolchildren

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