Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/92838
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Type: Journal article
Title: Self-efficacy and self-rated oral health among pregnant aboriginal Australian women
Author: Jamieson, L.
Parker, E.
Roberts-Thomson, K.
Lawrence, H.
Broughton, J.
Citation: BMC Oral Health, 2014; 14(1):29-1-29-7
Publisher: BioMed Central
Issue Date: 2014
ISSN: 1472-6831
1472-6831
Statement of
Responsibility: 
Lisa M Jamieson, Eleanor J Parker, Kaye F Roberts-Thomson, Herenia P Lawrence and John Broughton
Abstract: BACKGROUND: Self-efficacy plays an important role in oral health-related behaviours. There is little known about associations between self-efficacy and subjective oral health among populations at heightened risk of dental disease. This study aimed to determine if low self-efficacy was associated with poor self-rated oral health after adjusting for confounding among a convenience sample of pregnant women. METHODS: We used self-reported data from 446 Australian women pregnant with an Aboriginal child (age range 14-43 years) to evaluate self-rated oral health, self-efficacy and socio-demographic, psychosocial, social cognitive and risk factors. Hierarchical entry of explanatory variables into logistic regression models estimated prevalence odds ratios (POR) and 95% confidence intervals (95% CI) for fair or poor self-rated oral health. RESULTS: In an unadjusted model, those with low self-efficacy had 2.40 times the odds of rating their oral health as 'fair' or 'poor' (95% CI 1.54-3.74). Addition of socio-demographic factors attenuated the effect of low self-efficacy on poor self-rated oral health by 10 percent (POR 2.19, 95% CI 1.37-3.51). Addition of the psychosocial factors attenuated the odds by 17 percent (POR 2.07, 95% CI 1.28-3.36), while addition of the social cognitive variable fatalism increased the odds by 1 percent (POR 2.42, 95% CI 1.55-3.78). Inclusion of the behavioural risk factor 'not brushing previous day' attenuated the odds by 15 percent (POR 2.11, 95%CI 1.32-3.36). In the final model, which included all covariates, the odds were attenuated by 32 percent (POR 1.80, 95% CI 1.05, 3.08). CONCLUSIONS: Low self-efficacy persisted as a risk indicator for poor self-rated oral health after adjusting for confounding among this vulnerable population.
Keywords: Humans; Risk Factors; Cross-Sectional Studies; Toothbrushing; Attitude to Health; Stress, Psychological; Health Behavior; Social Desirability; Self Concept; Self Efficacy; Internal-External Control; Age Factors; Health Status; Pregnancy; Quality of Life; Social Class; Social Support; Adolescent; Adult; Oceanic Ancestry Group; Vulnerable Populations; Pregnant Women; Oral Health; Educational Status; Income; South Australia; Female; Young Adult; Self Report
Description: Published: 2 April 2014
Rights: © 2014 Jamieson et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
RMID: 0030011959
DOI: 10.1186/1472-6831-14-29
Grant ID: http://purl.org/au-research/grants/nhmrc/627350
http://purl.org/au-research/grants/nhmrc/1045800
Appears in Collections:Dentistry publications

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