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Psychosocial factors, dentist-patient relationships, and oral health-related quality of life: a structural equation modelling

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dc.contributor.authorSong, Youngha-
dc.contributor.authorLuzzi, Liana-
dc.contributor.authorBrennan, David-
dc.date.accessioned2023-12-12T01:56:31Z-
dc.date.available2023-12-12T10:58:26Z-
dc.date.issued2023-12-04-
dc.identifier.citationHealth and Quality of Life Outcomes, Vol.21(1):130ko_KR
dc.identifier.issn1477-7525-
dc.identifier.urihttps://hdl.handle.net/10371/198701-
dc.description.abstractBackground
Psychosocial factors and dentist-patient relationships (DPR) have been suggested to be associated with oral health outcomes. This study aimed to test a conceptual model which hypothesised relationships among psychosocial factors, DPR variables, and oral health-related quality of life (OHRQoL) in the distal-to-proximal framework.

Methods
A total of 12,245 adults aged 18 years or over living in South Australia were randomly sampled for the study. Data were collected from self-complete questionnaires in 2015–2016. The outcome variable of Oral Health Impact Profile was used to measure OHRQoL. Psychosocial domain consisted of psychological well-being, social support, and health self-efficacy. DPR domain included trust in dentists, satisfaction with dental care, and dental fear. The hypothesised model was tested using the two-step approach in structural equation modelling.

Results
Data were analysed from 3767 respondents after the screening/preparing process (adjusted valid response rate 37.4%). In the first step of the analysis, confirmatory factor analyses produced acceptable measurement models for each of the six latent variables (GFI = 0.95, CFI = 0.98, RMSEA = 0.04). The final structural model indicated that better well-being, higher self-efficacy, and more satisfaction were associated with lower oral health impact (β = − 0.12, − 0.07, − 0.14, respectively) whereas fear was positively associated (β = 0.19). Among intermediates, support was positively associated with satisfaction within a small effect size (β = 0.06) as compared to self-efficacy with trust (β = 0.22). The invariance of the final model was also confirmed on participants SES and dental service characteristics except the variable of last dental visit.

Conclusions
Psychosocial factors and DPR variables were associated with oral health impact in both direct and indirect paths. The framework of distal-to-proximal actions is empirically supported from psychosocial factors via DPR variables to OHRQoL.
ko_KR
dc.description.sponsorshipThe research was funded by a National Health and Medical Research Council project grant (1049943). The contents are solely the responsibility of the administering institution and authors and do not reflect the views of NHMRC.ko_KR
dc.language.isoenko_KR
dc.publisherBMCko_KR
dc.subjectOral health-
dc.subjectPsychosocial-
dc.subjectDentist-patient relations-
dc.subjectHealth-related quality of life-
dc.subjectSouth Australia-
dc.titlePsychosocial factors, dentist-patient relationships, and oral health-related quality of life: a structural equation modellingko_KR
dc.typeArticleko_KR
dc.identifier.doi10.1186/s12955-023-02214-xko_KR
dc.citation.journaltitleHealth and Quality of Life Outcomesko_KR
dc.language.rfc3066en-
dc.rights.holderThe Author(s)-
dc.date.updated2023-12-10T04:07:42Z-
dc.citation.endpage8ko_KR
dc.citation.number1ko_KR
dc.citation.startpage1ko_KR
dc.citation.volume21ko_KR
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