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https://hdl.handle.net/2440/53392
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Type: | Journal article |
Title: | Are people with dental fear under-represented in oral epidemiological surveys? |
Author: | Armfield, J. Slade, G. Spencer, A. |
Citation: | Social Psychiatry and Psychiatric Epidemiology: the international journal for research in social and genetic epidemiology and mental health services, 2009; 44(6):495-500 |
Publisher: | Dr Dietrich Steinkopff Verlag |
Issue Date: | 2009 |
ISSN: | 0933-7954 1433-9285 |
Statement of Responsibility: | Jason M. Armfield, Gary D. Slade and A. John Spencer |
Abstract: | Background/: Dental phobia is associated with poorer dental attendance so epidemiological surveys requiring participants to undertake a dental examination may result in an under-representation of participants with high dental fear. Method: We compared the dental fear distribution of participants and non-participants in an oral examination component of a national epidemiological survey of oral health. Of 12,606 in-scope dentate people aged 15+ who completed a structured computer-assisted telephone interview (CATI) survey, 5,505 (43.7%) participated in the oral examination. Dental fear was assessed with a single-item measure in the CATI. Results There was a significant difference between the percentages of participants and non-participants who rated themselves as “extremely” afraid, although the absolute difference (1.9%) was small. The association between extreme dental fear and participation was significant (OR = 0.66, 95% CI = 0.56–0.77) in multivariate analyses after controlling for possible confounders. Females with extreme dental fear were also significantly less likely to undertake an oral examination. Conclusion: Even though people with dental fear and phobia may delay or avoid dental visits, they do not appear to be appreciably under-represented in oral epidemiological surveys. |
Keywords: | dental fear phobia bias participation epidemiology |
Rights: | © Springer |
DOI: | 10.1007/s00127-008-0454-6 |
Published version: | http://dx.doi.org/10.1007/s00127-008-0454-6 |
Appears in Collections: | Aurora harvest 5 Dentistry publications |
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