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Adolescents' sense of coherence and smoking as longitudinal predictors of self-reported gingivitis

Objective: This study sought to determine the influence of sense of coherence (SOC), a personal stress‐coping resource, and smoking on the self‐reported gingival health of a cohort of rural black South African adolescents. Methods: This 18‐month study involved a three‐wave survey of a representative...

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Published in:Journal of clinical periodontology 2008-11, Vol.35 (11), p.931-937
Main Authors: Ayo-Yusuf, Olalekan A., Reddy, Priscilla S., Van Den Borne, Bart W.
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creator Ayo-Yusuf, Olalekan A.
Reddy, Priscilla S.
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description Objective: This study sought to determine the influence of sense of coherence (SOC), a personal stress‐coping resource, and smoking on the self‐reported gingival health of a cohort of rural black South African adolescents. Methods: This 18‐month study involved a three‐wave survey of a representative sample of eighth graders from 11 randomly selected high schools in the Limpopo province, South Africa (n=970). Using a generalized estimating equation model, we examined the correlates of recent gingivitis, defined as self‐reporting frequent gingival bleeding (GB). Explanatory variables included baseline socio‐economic status, age, gender, plaque levels, toothbrushing frequency, tobacco use status and SOC levels. Results: Among our sample, 74.6% reported experiencing gingivitis at some point during follow‐up, while 41.9% reported frequent GB at the last survey. Factors that were positively associated with recent gingivitis include living in poor households [odds ratio (OR)=1.49; p
doi_str_mv 10.1111/j.1600-051X.2008.01319.x
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Methods: This 18‐month study involved a three‐wave survey of a representative sample of eighth graders from 11 randomly selected high schools in the Limpopo province, South Africa (n=970). Using a generalized estimating equation model, we examined the correlates of recent gingivitis, defined as self‐reporting frequent gingival bleeding (GB). Explanatory variables included baseline socio‐economic status, age, gender, plaque levels, toothbrushing frequency, tobacco use status and SOC levels. Results: Among our sample, 74.6% reported experiencing gingivitis at some point during follow‐up, while 41.9% reported frequent GB at the last survey. Factors that were positively associated with recent gingivitis include living in poor households [odds ratio (OR)=1.49; p&lt;0.01], having higher plaque levels (OR=1.18; p=0.04) and smoking regularly (OR=1.57; p=0.04). Self‐reporting gingivitis was negatively associated with being female (OR=0.76; p=0.02) and having a higher SOC (OR=0.96; p&lt;0.001). Conclusions: Adolescent smoking and SOC levels are independent predictors of self‐reported gingivitis. Therefore, in addition to plaque control, smoking prevention and the teaching of stress‐coping skills may be important interventions for promoting adolescents' gingival health.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/j.1600-051X.2008.01319.x</identifier><identifier>PMID: 18823345</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; Adolescent Behavior ; adolescents ; Biological and medical sciences ; Child ; Dentistry ; Female ; Forecasting ; gingivitis ; Gingivitis - psychology ; Humans ; Internal-External Control ; Male ; Medical sciences ; Oral Hygiene ; Regression Analysis ; Risk Factors ; Self Disclosure ; self-reporting ; sense of coherence ; Smoking ; Socioeconomic Factors ; South Africa ; Stress, Psychological ; stress-coping ; Tobacco, tobacco smoking ; Toothbrushing - utilization ; Toxicology ; Young Adult</subject><ispartof>Journal of clinical periodontology, 2008-11, Vol.35 (11), p.931-937</ispartof><rights>2008 The Authors. 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Methods: This 18‐month study involved a three‐wave survey of a representative sample of eighth graders from 11 randomly selected high schools in the Limpopo province, South Africa (n=970). Using a generalized estimating equation model, we examined the correlates of recent gingivitis, defined as self‐reporting frequent gingival bleeding (GB). Explanatory variables included baseline socio‐economic status, age, gender, plaque levels, toothbrushing frequency, tobacco use status and SOC levels. Results: Among our sample, 74.6% reported experiencing gingivitis at some point during follow‐up, while 41.9% reported frequent GB at the last survey. Factors that were positively associated with recent gingivitis include living in poor households [odds ratio (OR)=1.49; p&lt;0.01], having higher plaque levels (OR=1.18; p=0.04) and smoking regularly (OR=1.57; p=0.04). Self‐reporting gingivitis was negatively associated with being female (OR=0.76; p=0.02) and having a higher SOC (OR=0.96; p&lt;0.001). Conclusions: Adolescent smoking and SOC levels are independent predictors of self‐reported gingivitis. Therefore, in addition to plaque control, smoking prevention and the teaching of stress‐coping skills may be important interventions for promoting adolescents' gingival health.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>adolescents</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dentistry</subject><subject>Female</subject><subject>Forecasting</subject><subject>gingivitis</subject><subject>Gingivitis - psychology</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Oral Hygiene</subject><subject>Regression Analysis</subject><subject>Risk Factors</subject><subject>Self Disclosure</subject><subject>self-reporting</subject><subject>sense of coherence</subject><subject>Smoking</subject><subject>Socioeconomic Factors</subject><subject>South Africa</subject><subject>Stress, Psychological</subject><subject>stress-coping</subject><subject>Tobacco, tobacco smoking</subject><subject>Toothbrushing - utilization</subject><subject>Toxicology</subject><subject>Young Adult</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqNkE9vFCEYh4nR2LX6FQwX9TQjf2Zg5mLSrrXV1OpBozfCwsvKdhZWmG23317G3axXubwkPL8f8CCEKalpWW9XNRWEVKSlP2tGSFcTymlf7x6h2fHgMZoRTngletmfoGc5rwihknP-FJ3QrmOcN-0MLc5sHCAbCGN-gzOEDDg6bOIvSBAMYB0szut468MS64yHGJZ-3Fof9IA3Caw3Y0x5ymQYXJVgE9MIFi9LwN_50efn6InTQ4YXh3mKvn-4-Da_qq6_XH6cn11Xpm1ZX3VauJ4tyrC0bcBYB5RQQxvXWC6avnGCWN1yxjg4KbQxtBeOccn6Tiys4Kfo9b53k-LvLeRRrX352DDoAHGbVRHRkK7rCtjtQZNizgmc2iS_1ulBUaImv2qlJo1q0qgmv-qvX7Ur0ZeHO7aLNdh_wYPQArw6ADobPbikg_H5yDEihZSSFe7dnrv3Azz89wPUp_nXi2lbCqp9gc8j7I4FOt0qIbls1Y-bSyU-z8_Z-dWNes__AH_vpuo</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>Ayo-Yusuf, Olalekan A.</creator><creator>Reddy, Priscilla S.</creator><creator>Van Den Borne, Bart W.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>Adolescents' sense of coherence and smoking as longitudinal predictors of self-reported gingivitis</title><author>Ayo-Yusuf, Olalekan A. ; Reddy, Priscilla S. ; Van Den Borne, Bart W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5529-8a6f92b8a6d154ecdfe101c14f4d36494f60da53223ef76acc196f2372986bd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adolescent Behavior</topic><topic>adolescents</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dentistry</topic><topic>Female</topic><topic>Forecasting</topic><topic>gingivitis</topic><topic>Gingivitis - psychology</topic><topic>Humans</topic><topic>Internal-External Control</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Oral Hygiene</topic><topic>Regression Analysis</topic><topic>Risk Factors</topic><topic>Self Disclosure</topic><topic>self-reporting</topic><topic>sense of coherence</topic><topic>Smoking</topic><topic>Socioeconomic Factors</topic><topic>South Africa</topic><topic>Stress, Psychological</topic><topic>stress-coping</topic><topic>Tobacco, tobacco smoking</topic><topic>Toothbrushing - utilization</topic><topic>Toxicology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ayo-Yusuf, Olalekan A.</creatorcontrib><creatorcontrib>Reddy, Priscilla S.</creatorcontrib><creatorcontrib>Van Den Borne, Bart W.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ayo-Yusuf, Olalekan A.</au><au>Reddy, Priscilla S.</au><au>Van Den Borne, Bart W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adolescents' sense of coherence and smoking as longitudinal predictors of self-reported gingivitis</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2008-11</date><risdate>2008</risdate><volume>35</volume><issue>11</issue><spage>931</spage><epage>937</epage><pages>931-937</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Objective: This study sought to determine the influence of sense of coherence (SOC), a personal stress‐coping resource, and smoking on the self‐reported gingival health of a cohort of rural black South African adolescents. 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subjects Adaptation, Psychological
Adolescent
Adolescent Behavior
adolescents
Biological and medical sciences
Child
Dentistry
Female
Forecasting
gingivitis
Gingivitis - psychology
Humans
Internal-External Control
Male
Medical sciences
Oral Hygiene
Regression Analysis
Risk Factors
Self Disclosure
self-reporting
sense of coherence
Smoking
Socioeconomic Factors
South Africa
Stress, Psychological
stress-coping
Tobacco, tobacco smoking
Toothbrushing - utilization
Toxicology
Young Adult
title Adolescents' sense of coherence and smoking as longitudinal predictors of self-reported gingivitis
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