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dc.contributor.authorNermo, Hege
dc.contributor.authorWillumsen, Tiril
dc.contributor.authorJohnsen, Jan-Are Kolset
dc.date.accessioned2019-02-18T14:27:13Z
dc.date.available2019-02-18T14:27:13Z
dc.date.issued2018-11-08
dc.description.abstract<i>Objective</i>: Identify predictive variables related to the development and continuation of high dental anxiety among young people over 2 years and assess differences between youth experiencing increased, decreased or unchanged dental anxiety scores over time.<p> <p><i>Methods</i>: An observational panel study of 15‐to 21‐year‐old people in Tromsø and Balsfjord region followed students from their first to their last year of upper secondary school (2010/11‐2012/13). Logistic regression was used to estimate odds ratios and their 95% confidence intervals (CI) of possible predictive variables assessed at baseline when using dental anxiety score from the second wave as a dichotomous dependent variable. Variables measured at baseline: Sex, Dental Caries Experiences (DMFS index), Dental Anxiety (Corah's Dental Anxiety Scale/DAS), Psychological Distress (Hopkins Symptom Checklist/HSCL‐10), Avoidance of dental treatment, Pain Estimation at the dentist and motivational questions related to tooth brushing and caries (Self and Social Motivation). Wilcoxon signed‐rank tests and Kruskal‐Wallis tests were used to test whether changes in DAS score between waves were associated with changes in Pain Estimation between waves and HSCL‐10 scores at baseline.<p> <p><i>Results</i>: Hopkins Symptom Checklist, DMFS and DAS scores at baseline predicted high dental anxiety scores after 2 years. Sex, motivation related to oral hygiene and avoidance due to fear at baseline did not contribute significantly to our model. DMFS and HSCL‐10 were higher among young people who reported a substantial change in DAS score (2.0>Interquartile range/IQR), irrespective of the direction of change. Pain Estimation changed consistently with a change in DAS score.<p> <p><i>Conclusion</i>: Mental health symptoms, pre‐existing dental anxiety and dental health status are important contributors to the development of dental anxiety in youth. Estimations of pain at the dentist are central when it comes to changes in dental anxiety over time in this study.en_US
dc.description.sponsorshipThe Norwegian Directorate of Health through Tromsø County Councilen_US
dc.descriptionThis is the pre-peer reviewed version of the following article: Nermo, H., Willumsen, T. & Johnsen, J-A.K. (2018). Changes in dental anxiety among 15‐ to 21‐year‐olds. A 2‐year longitudinal analysis based on the Tromsø study: Fit futures. <i>Community Dentistry and Oral Epidemiology</i>, which has been published in final form at <a href=https://doi.org/10.1111/cdoe.12434>https://doi.org/10.1111/cdoe.12434</a>. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationNermo, H., Willumsen, T. & Johnsen, J-A.K. (2018). Changes in dental anxiety among 15‐ to 21‐year‐olds. A 2‐year longitudinal analysis based on the Tromsø study: Fit futures. <i>Community Dentistry and Oral Epidemiology</i>. https://doi.org/10.1111/cdoe.12434en_US
dc.identifier.cristinIDFRIDAID 1640430
dc.identifier.doi10.1111/cdoe.12434
dc.identifier.issn0301-5661
dc.identifier.issn1600-0528
dc.identifier.urihttps://hdl.handle.net/10037/14707
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.ispartofNermo, H. (2021). Dental anxiety in adolescents and adults. Epidemiological studies based on the Tromsø Study 7 and Fit Futures 1 & 2. (Doctoral thesis). <a href=https://hdl.handle.net/10037/22435>https://hdl.handle.net/10037/22435</a>
dc.relation.journalCommunity Dentistry and Oral Epidemiology
dc.relation.urihttps://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.12434
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical dentistry disciplines: 830::Other clinical dentistry disciplines: 849en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk odontologiske fag: 830::Andre kliniske odontologiske fag: 849en_US
dc.titleChanges in dental anxiety among 15‐ to 21‐year‐olds. A 2‐year longitudinal analysis based on the Tromsø study: Fit futuresen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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