Correlation of self-esteem with oral hygiene behaviour and oral health status among adult dental patients
Keywords:
Self-esteem, oral health, oral hygiene, adult patientsAbstract
Background. Self-esteem is a psychological construct that has been consistently linked to general and oral health. However, most studies interpolating self-esteem and oral health behaviour have been focused on children and adolescents, and there is a dearth of scientific literature on adults. Hence, this study, that is aimed to correlate self-esteem with oral hygiene behaviour and oral health status in Telugu-speaking adult dental patients.
Methods. A cross-sectional study involving adult dental patients who were 35–44 years of age and visited the Government Dental Hospital in Hyderabad city, India, was conducted. Self-esteem was assessed using the Telugu-translated version of the Rosenberg Self-esteem Scale, oral health behaviour was determined using the Oral Hygiene Behaviour Index and oral health assessment was performed using the World Health Organization Dentition status, the modified Community Periodontal Index and the Loss of Attachment. Results. A total of 456 patients were included in this study. Most of the participants reported low selfesteem, with a mean score of 11.8 ± 2.7. Patients with primary school education reported higher self-esteem scores than those with high school and university education (p = 0.0001). Furthermore, low Oral Hygiene Behaviour Index scores (64.9%) in the study population and high Decayed, Missing, Filled Teeth scores in females (5.7 ± 4.4; p = 0.09) were noted. None of the variables (Decayed, Missing, Filled Teeth scores, Oral Hygiene Behaviour, gingival bleeding and Loss of Attachment) were significantly correlated with selfesteem. Multivariable regression analysis revealed that younger age, lower educational level and presence of dental caries resulted in higher odds for high self-esteem (p < 0.01).
Conclusion. The findings indicated a significant association between self-esteem and oral health. Individuals with dental caries had significantly higher odds for high self-esteem. Thus, this study emphasises the relevance of psychosocial factors, such as self-esteem, as the mediator of oral health.
References
1. World Health Organization (WHO). Oral health fact sheet. 2012. Available on: https://www.who. int/news-room/fact-sheets/detail/oral-health [Last Accessed: 2023 February 2].
2. Kiyak HA. Age and culture. Influences on oral health behaviours. Int Dent J. 1993; 43: 9-16.
3. Huff M, Kinion E, Kendra MA, Klecan T. Self-esteem: a hidden concern in oral health. J Community Health Nurs. 2006; 23(4): 245-55. doi: 10.1207/s15327655jchn2304_5.
4. Locker D. Self-esteem and socioeconomic disparities in self-perceived oral health. J Public Health Dent. 2009; 69: 1-8. doi: 10.1111/j.17527325.2008.00087.x.
5. Pazos CTC, Austregesilo SC, Goes PSA. Selfesteem and oral health behavior in adolescents. Cien Saude Colet. 2019; 24(11): 4083-92. doi:
10.1590/1413-812320182411.02492018.
6. Armfield J, Mejia G, Jamieson L. Socioeconomic and psychosocial correlates of oral health. Int Dent J. 2013; 63(4): 202-209. doi: 10.1111/ idj.12032. Epub 2013 Apr 5.
7. Patel J, Kulkarni S, Doshi D, Reddy BS, Reddy MP, Buunk-Werkhoven YAB. Determinants of oral hygiene behaviour among patients with moderate and severe chronic periodontitis based on the theory of planned behaviour. Int Dent J. 2019; 69(1): 50-7. doi: 10.1111/idj.12413. Epub 2018 Jul 20.
8. Cottle TJ. Self-concept, ego ideal and the response to action. Sociol Soc Res. 1965; 50: 78-88.
9. Macgregor IDM, Balding JW. Self-esteem as a predictor of toothbrushing behaviour in young adolescents. J Clin Periodontol. 1991; 18: 312-6.
doi: 10.1111/j.1600-051x.1991.tb00434.x.
10. Benyamini Y, Leventhal H, Leventhal EA. Selfrated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction. Soc Sci Med. 2004; 59(5): 1109-16.
doi: 10.1016/j.socscimed.2003.12.021.
11. Dumitrescu AL, Zetu L, Teslaru S. Instability of self-esteem, self-confidence, self-liking, selfcontrol, self-competence and perfectionism: associations with oral health status and oral healthrelated behaviours. Int J Dent Hyg. 2012; 10(1): 22-9. doi: 10.1111/j.1601-5037.2011.00519.x.
12. Flinck A, Kallestal C, Holm AK, Allebeck P, Wall S. Distribution of caries in 12-year-old children in Sweden. Social and oral health-related behavioural patterns. Community Dent Health. 1999; 16(3): 160-5.
13. Dumitrescu A, Zetu L, Teslaru S, Dogaru B, Dogaru C. Is it an association between body appreciation, self-criticism, oral health status and oral health-related behaviors? Rom J Intern Med. 2008; 6(4): 343-50.
14. Kneckt MC, Keinanen-Kiukaanniemi SM, Knuuttila MLE, Syrjala A-MH. Self-esteem as a characteristic of adherence to diabetes and dental self-care regimens. J Clin Periodontol. 2001; 28: 175-80. doi: 10.1034/j.1600-051-
x.2001.028002175.x.
15. Regis D, Macgregor IDM, Balding JW. Differential prediction of dental health behaviour by self-esteem and health locus of control in young adolescents. J Clin Periodontol. 1994; 21: 7-12.
doi: 10.1111/j.1600-051x.1994.tb00281.x.
16. Honkala S, Honkala E, Al-Sahli N. Do life- or school-satisfaction and self-esteem indicators explain the oral hygiene habits of schoolchildren? Community Dent Oral Epidemiol. 2007; 35: 337–47. doi: 10.1111/j.1600-0528 .2006.00326.x.
17. Kaur P, Singh S, Mathur A, et al. Impact of Dental Disorders and its Influence on Self Esteem Levels among Adolescents. J Clin Diagn Res. 2017; 11(4): ZC05-ZC08. doi: 10.7860/ JCDR/2017/23362.9515.
18. Grecu AG, Balazsi R, Dudea D, Mesaros AS, Strimbu M, Dumitrascu DL. Oral health related quality of life and self-esteem in a general population. Med Pharm Rep. 2019; 92(3): S65-S72. doi: 10.15386/mpr-1520.
19. Macgregor IDM, Regis D, Balding J. Selfconcept and dental health behaviours in adolescents. J Clin Periodontol. 1997; 24: 335-9. doi: 10.1111/j.1600-051x.1997.tb00766.x.
20. Von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). PLoS Med. 2007; 4(10): e296. doi: 10.1371/journal. pmed.0040296.
21. Chin LS-H, Chan JC-Y. Self-esteem, oral health behaviours, and clinical oral health status in Chinese adults: An exploratory study. Health Educ J. 2013; 72(6): 684-94. doi: 10.1177/0017896912460928.
22. Billa AL, Sukhabogi JR, Doshi D, Jummala S. Psychometric properties of the Telugu version of Rosenberg Self-Esteem Scale (RSES-T).
Ann Ig. 2023 Sep-Oct; 35(5): AGGIUNGERE PAGINE. doi: 10.7416/ai.2023.2564.
23. Buunk-Werkhoven YA, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory of planned behavior. Community Dent Oral Epidemiol. 2011; 39(3): 250-9. doi: 10.1111/j.1600-0528 .2010.00589.x.
24. World Health Organization (WHO). Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization; 2013.
25. Schmitt DP, Allik J. Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culturespecific features of global self-esteem. J Pers Soc Psychol. 2005; 89: 623-42. doi: 10.1037/00223514.89.4.623.
26. Giriraju A. Relationship of self-esteem with selfreported oral health status among 35-44 year old residents at Davangere city – A Cross-sectional Survey. Int J Contemp Med Res. 2016; 3(11): 3205-9.
27. Trzesniewski KH, Donnellan MB, Robins RW. Stability of self-esteem across the life span. . J Pers Soc Psychol. 2003; 84: 205-20. doi: 10.1037/0022-3514.84.1.205.
28. Kallestal C, Dahlgren L, Stenlund H. Oral health behaviour and self-esteem in Swedish children. Soc Sci Med. 2000; 1841-9. doi: 10.1016/s02779536(00)00115-5.
2. Shamim R, Nayak R, Satpathy A, Mohanty R, Pattnaik N. Self-esteem and oral health-related quality of life of women with periodontal disease - A cross-sectional study. J Indian Soc Periodontol. 2022; 26(4): 390-6. doi: 10.4103/ jisp.jisp_263_21.
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