Abstract：Objective To explore the mediating effect of self-efficacy on self-care behavior and oral health of adolescent orthodontic patients so as to provide a theoretical basis for establishing reasonable prevention and control measures, improving the oral health level of orthodontic patients and promoting the physical and mental health development of adolescents. Methods Four hundred and thirty-six adolescents who received orthodontic treatment in Department of Orthodontics, Stomatological Hospital of Lanzhou University from January to December, 2022 were selected as the study subjects. The general information questionnaire, Self-efficacy Scale for Oral Health (SEOH) and oral self-care behavior questionnaire were used to collect their general information, oral health self-efficacy and self-care behavior, and the oral health levels were assessed through oral health self-efficacy. Pearson’s correlation analysis was employed to verify the correlations of oral health self-efficacy and oral self-care behavior with oral health level. The AMOS structural equation model hypothesis was applied to verifying the pathway relationship between oral self-care behavior and oral health level in the orthodontic adolescents. Results The total scores of SEOH scale, oral self-care behavior questionnaire and oral health level in the 436 adolescent orthodontic patients were (85.63±9.35), (80.53±6.74) and (3.37±0.86) respectively. Pearson’s correlation analysis showed that the score of oral health self-efficacy was positively correlated with the score of oral self-care behavior (r=0.515, P<0.05), while the scores of oral health self-efficacy and oral self-care behavior were negatively correlated with the score of oral health (r1=-0.436, r2=-0.462, P<0.05). Oral self-care behavior had a significant positive effect on oral health (β=0.430, P<0.05), and could indirectly affect oral health through the partial mediating effect of oral health self-efficacy (β=0.227, P<0.05), with the mediating effect being 34.55% of the total effect. Conclusion Oral self-care behavior can directly predict the adolescent orthodontic patients’ oral health levels, and oral health self-efficacy plays a partial mediating role between oral self-care behavior and oral health level.
韦钰. 青少年正畸治疗人群自理行为对口腔健康的影响:自我效能的中介作用[J]. 实用预防医学, 2023, 30(11): 1343-1347.
WEI Yu. Effect of self-care behavior on oral health in adolescents undergoing orthodontic treatment: the mediating role of self-efficacy. , 2023, 30(11): 1343-1347.
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