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  • Psychosocial correlates of ...
    Scheerman, Janneke F. M.; van Loveren, Cor; van Meijel, Berno; Dusseldorp, Elise; Wartewig, Eva; Verrips, Gijsbert H. W.; Ket, Johannes C. F.; van Empelen, Pepijn

    Community dentistry and oral epidemiology, August 2016, Letnik: 44, Številka: 4
    Journal Article

    Objectives This systematic and meta‐analytic review aimed to quantify the association of psychosocial correlates with oral hygiene behaviour among 9‐ to 19‐year olds. Methods A systematic search up to August 2015 was carried out using the following databases: PubMed, PsycInfo, Embase, CINAHL and Web of Science. If necessary, authors of studies were contacted to obtain unpublished statistical information. A study was eligible for inclusion when it evaluated the association between the psychosocial correlates and oral hygiene behaviour varying from self‐reports to clinical measurements, including plaque and bleeding scores. A modified New Castle Ottawa Scale was applied to examine the quality of the included studies. Results Twenty‐seven data sets (k) presented in 22 publications, addressing nine psychosocial correlates, were found to be eligible for the meta‐analysis. For both tooth brushing and oral hygiene behaviour, random effect models revealed significant weighted average correlation (r+) for the psychosocial factors: ‘intention’, ‘self‐efficacy’, ‘attitude’ (not significant for tooth brushing), ‘social influence’, ‘coping planning’ and ‘action planning’ (r+ ranging from 0.18 to 0.57). Little or no associations were found for ‘locus of control’, ‘self‐esteem’ and ‘sense of coherence’ (r+ ranges from 0.01 to 0.08). Conclusions The data at present indicates that ‘self‐efficacy’, ‘intention’, ‘social influences’, ‘coping planning’ and ‘action planning’ are potential psychosocial determinants of oral health behaviour. Future studies should consider a range of psychological factors that have not been studied, but have shown to be important psychosocial determinants of health behaviours, such as ‘self‐determination’, ‘anticipated regret’, ‘action control’ and ‘self‐identity’. Effectiveness of addressing these potential determinants to induce behaviour change should be further examined by intervention trials.