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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
Statement of
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
Attitude to Health
Stress, Psychological
Health Behavior
Social Desirability
Self Concept
Self Efficacy
Internal-External Control
Age Factors
Health Status
Quality of Life
Social Class
Social Support
Vulnerable Populations
Pregnant Women
Oral Health
Educational Status
South Australia
Young Adult
Self Report
Native Hawaiian or Other Pacific Islander
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 (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
DOI: 10.1186/1472-6831-14-29
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