March 2016

Volume 33, Issue 1

Are oral health-related self-efficacy, knowledge and fatalism indicators for non-toothbrush ownership in a homeless population?

Authors: L. Jamieson M. Steffens E. Parker D. Brennan K. Jones
doi: 10.1922/CDH_3823Jones06


Aim: To determine if the social cognitive theory (SCT)-constructs of oral health-related efficacy, knowledge and fatalism were indicators of non-toothbrush ownership in a metropolitan-based homeless population in Australia. Methods: Self-report data were collected from a convenience sample of 248 homeless participants located in Adelaide, Australia. Log binomial regression was used to estimate the strength of the association of the SCT constructs efficacy, knowledge and fatalism with the frequency of non-ownership of a toothbrush before and after adjusting for selected characteristics and associated factors. Results: Of the study population (aged 17–78 years, 79% male) just over one-fifth (21%) did not own a toothbrush. In an unadjusted model, low self-efficacy (PR=1.18) and low knowledge (1.27) were indicators for non-toothbrush ownership. These relationships were attenuated by 5.2% and 3.2% respectively after adjusting for social determinants, health factors, substance use and dental service utilisation-related factors, but remained statistically significant in the final model. Conclusions: Poor oral health-related self-efficacy and knowledge were both indicators for non-ownership of a toothbrush among a homeless population. This relationship held even after adjustment for relevant social and behavioural factors. Fatalism was not an indicator for non-toothbrush ownership in this population. Key words: self-efficacy, toothbrushing, homeless, knowledge, fatalism, oral health, Australia


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Editorial: An invitation to the European Association of Dental Public Health 21st birthday! 4-5 Download
A review of daycase GA services for Special Care patients at University Hospital, Bristol 6-8 Download
Evaluation of the telephone and clinical NHS urgent dental service in Sheffield 9-14 Download
Dental service provision by oral health therapists, dental hygienists and dental therapists in Australia: implications for workforce modelling 15-22 Download
Fluoride varnish or fluoride mouth rinse? A comparative study of two school-based programs 23-26 Download
A randomized controlled trial of cluster audit and feedback on the quality of dental sealant for rural schoolchildren 27-32 Download
Identifying and prioritising areas of child dental service need: a GIS-based approach 33-38 Download
Areca chewing among Sri Lankan adolescents 39-43 Download
Identification of barriers and beliefs influencing engagement by adult and teen Mexican-Americans in oral health behaviors 44-47 Download
Are oral health-related self-efficacy, knowledge and fatalism indicators for non-toothbrush ownership in a homeless population? 48-53 Download
Sense of coherence modifies the association between untreated dental caries and dental pain in low-social status women 54-59 Download
Oral cancer awareness in young South-Asian communities in London 60-65 Download


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