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Published in: Social Psychiatry and Psychiatric Epidemiology 6/2009

01-06-2009 | ORIGINAL PAPER

Are people with dental fear under-represented in oral epidemiological surveys?

Authors: Jason M. Armfield, BA(Hons), PhD, Gary D. Slade, BDSc, PhD, A. John Spencer, MDS, MPH, PhD

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2009

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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.
Literature
1.
go back to reference Armfield JM, Slade GD, Spencer AJ (2008) Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol (in press) Armfield JM, Slade GD, Spencer AJ (2008) Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol (in press)
2.
go back to reference Armfield JM, Spencer AJ, Stewart JF (2006) Dental fear in Australia: who’s afraid of the dentist? Aust Dent J 51:78–85PubMedCrossRef Armfield JM, Spencer AJ, Stewart JF (2006) Dental fear in Australia: who’s afraid of the dentist? Aust Dent J 51:78–85PubMedCrossRef
3.
go back to reference Armfield JM, Stewart JF, Spencer AJ (2007) The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 7:1PubMedCrossRef Armfield JM, Stewart JF, Spencer AJ (2007) The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 7:1PubMedCrossRef
4.
go back to reference Australian Bureau of Statistics (2001) Australian social trends, 2001. ABS, Canberra Australian Bureau of Statistics (2001) Australian social trends, 2001. ABS, Canberra
5.
go back to reference Bassani DG, Padoin CV, Veldhuizen S (2008) Counting children at risk: exploring a method to estimate the number of children exposed to parental mental illness using adult health survey data. Soc Psychiatry Psychiatr Epidemiol (in press) Bassani DG, Padoin CV, Veldhuizen S (2008) Counting children at risk: exploring a method to estimate the number of children exposed to parental mental illness using adult health survey data. Soc Psychiatry Psychiatr Epidemiol (in press)
6.
go back to reference Beltran-Aguilar ED, Barker LK, Canto MT, Dye BA, Gooch BF, Griffin SO, Hyman J, Jaramillo F, Kingman A, Nowjack-Raymer R, Selwitz RH, Wu T (2005) Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis–United States, 1988–1994 and 1999–2002. MMWR Surveill Summ 54:1–43PubMed Beltran-Aguilar ED, Barker LK, Canto MT, Dye BA, Gooch BF, Griffin SO, Hyman J, Jaramillo F, Kingman A, Nowjack-Raymer R, Selwitz RH, Wu T (2005) Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis–United States, 1988–1994 and 1999–2002. MMWR Surveill Summ 54:1–43PubMed
7.
go back to reference Carter KD (1995) National dental telephone interview survey 1995. AIHW Dental Statistics and Research Unit, The University of Adelaide, Adelaide Carter KD (1995) National dental telephone interview survey 1995. AIHW Dental Statistics and Research Unit, The University of Adelaide, Adelaide
8.
go back to reference Carter KD, Stewart JF (2002) National dental telephone interview survey 1999. AIHW cat. no. DEN 109. AIHW Dental Statistics and Research Unit, The University of Adelaide, Adelaide Carter KD, Stewart JF (2002) National dental telephone interview survey 1999. AIHW cat. no. DEN 109. AIHW Dental Statistics and Research Unit, The University of Adelaide, Adelaide
9.
go back to reference Carter KD, Stewart JF (2003) National dental telephone interview survey 2002. AIHW cat. no. DEN 128. AIHW Dental Statistics and Research Unit, The University of Adelaide, Adelaide Carter KD, Stewart JF (2003) National dental telephone interview survey 2002. AIHW cat. no. DEN 128. AIHW Dental Statistics and Research Unit, The University of Adelaide, Adelaide
10.
go back to reference Corah NL (1969) Development of a dental anxiety scale. J Dent Res 48:596PubMed Corah NL (1969) Development of a dental anxiety scale. J Dent Res 48:596PubMed
11.
go back to reference Domoto PK, Weinstein P, Melnick S, Ohmura M, Uchida H, Ohmachi K, Hori M, Okazaki Y, Shimamoto T, Matsumura S et al (1988) Results of a dental fear survey in Japan: implications for dental public health in Asia. Community Dent Oral Epidemiol 16:199–201PubMedCrossRef Domoto PK, Weinstein P, Melnick S, Ohmura M, Uchida H, Ohmachi K, Hori M, Okazaki Y, Shimamoto T, Matsumura S et al (1988) Results of a dental fear survey in Japan: implications for dental public health in Asia. Community Dent Oral Epidemiol 16:199–201PubMedCrossRef
12.
go back to reference Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, Eke PI, Beltran-Aguilar ED, Horowitz AM, Li CH (2007) Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11:1–92 Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, Eke PI, Beltran-Aguilar ED, Horowitz AM, Li CH (2007) Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11:1–92
13.
go back to reference Francis RD, Stanley GV (1990) Estimating the prevalence of dental phobias. Aust Dent J 35:449–453PubMedCrossRef Francis RD, Stanley GV (1990) Estimating the prevalence of dental phobias. Aust Dent J 35:449–453PubMedCrossRef
14.
go back to reference Frankl MR (2004) RDD surveys: past and future. In: Cohen SB, Lepkowski JM (eds) Eighth conference on health survey research methods. National Centre for Health Statistics, Hyattsville Frankl MR (2004) RDD surveys: past and future. In: Cohen SB, Lepkowski JM (eds) Eighth conference on health survey research methods. National Centre for Health Statistics, Hyattsville
15.
go back to reference Haugejorden O, Klock KS (2000) Avoidance of dental visits: the predictive validity of three dental anxiety scales. Acta Odontol Scand 58:255–259PubMedCrossRef Haugejorden O, Klock KS (2000) Avoidance of dental visits: the predictive validity of three dental anxiety scales. Acta Odontol Scand 58:255–259PubMedCrossRef
16.
go back to reference Humphris GM, Clarke HM, Freeman R (2006) Does completing a dental anxiety questionnaire increase anxiety? A randomised controlled trial with adults in general dental practice. Br Dent J 201:33–35PubMedCrossRef Humphris GM, Clarke HM, Freeman R (2006) Does completing a dental anxiety questionnaire increase anxiety? A randomised controlled trial with adults in general dental practice. Br Dent J 201:33–35PubMedCrossRef
17.
go back to reference Humphris GM, Morrison T, Lindsay SJ (1995) The modified dental anxiety scale: validation and United Kingdom norms. Community Dent Health 12:143–150PubMed Humphris GM, Morrison T, Lindsay SJ (1995) The modified dental anxiety scale: validation and United Kingdom norms. Community Dent Health 12:143–150PubMed
18.
go back to reference Kleinknecht RA, Klepac RK, Alexander LD (1973) Origins and characteristics of fear of dentistry. J Am Dent Assoc 86:842–848PubMed Kleinknecht RA, Klepac RK, Alexander LD (1973) Origins and characteristics of fear of dentistry. J Am Dent Assoc 86:842–848PubMed
19.
go back to reference Locker D, Shapiro D, Liddell A (1996) Who is dentally anxious? Concordance between measures of dental anxiety. Community Dent Oral Epidemiol 24:346–350PubMedCrossRef Locker D, Shapiro D, Liddell A (1996) Who is dentally anxious? Concordance between measures of dental anxiety. Community Dent Oral Epidemiol 24:346–350PubMedCrossRef
20.
go back to reference Mejia G, Slade G, Spencer AJ (2007) Participation in the survey. In: Slade GD, Spencer AJ, Roberts-Thomson KF (eds) Australia’s dental generations: the national survey of adult oral health 2004-06. AIHW cat no DEN 165. Australian Institute of Health and Welfare, Canberra Mejia G, Slade G, Spencer AJ (2007) Participation in the survey. In: Slade GD, Spencer AJ, Roberts-Thomson KF (eds) Australia’s dental generations: the national survey of adult oral health 2004-06. AIHW cat no DEN 165. Australian Institute of Health and Welfare, Canberra
21.
go back to reference Meng X, Heft MW, Bradley MM, Lang PJ (2007) Effect of fear on dental utilization behaviors and oral health outcome. Community Dent Oral Epidemiol 35:292–301PubMedCrossRef Meng X, Heft MW, Bradley MM, Lang PJ (2007) Effect of fear on dental utilization behaviors and oral health outcome. Community Dent Oral Epidemiol 35:292–301PubMedCrossRef
22.
go back to reference Milgrom P, Coldwell SE, Getz T, Weinstein P, Ramsay DS (1997) Four dimensions of fear of dental injections. J Am Dent Assoc 128:756–766PubMed Milgrom P, Coldwell SE, Getz T, Weinstein P, Ramsay DS (1997) Four dimensions of fear of dental injections. J Am Dent Assoc 128:756–766PubMed
23.
go back to reference Neverlien PO (1990) Assessment of a single-item dental anxiety question. Acta Odontol Scand 48:365–369PubMedCrossRef Neverlien PO (1990) Assessment of a single-item dental anxiety question. Acta Odontol Scand 48:365–369PubMedCrossRef
24.
go back to reference Neverlien PO, Backer Johnsen T (1991) Optimism-pessimism dimension and dental anxiety in children aged 10–12 years. Community Dent Oral Epidemiol 19:342–346PubMedCrossRef Neverlien PO, Backer Johnsen T (1991) Optimism-pessimism dimension and dental anxiety in children aged 10–12 years. Community Dent Oral Epidemiol 19:342–346PubMedCrossRef
25.
go back to reference Nuttall NM, Steele JG, Pine CM, White D, Pitts NB (2001) The impact of oral health on people in the UK in 1998. Br Dent J 190:121–126PubMedCrossRef Nuttall NM, Steele JG, Pine CM, White D, Pitts NB (2001) The impact of oral health on people in the UK in 1998. Br Dent J 190:121–126PubMedCrossRef
26.
go back to reference Pirkola SP, Isometsä E, Suvisaari J, Aro H, Joukamaa M, Poikolainen K, Koskinen S, Aromaa A, Lönnqvist JK (2005) DSM-IV mood-, anxiety- and alcohol use disorders and their comorbidity in the Finnish general population: results from the Health 2000 study. Soc Psychiatry Psychiatr Epidemiol 40:1–10PubMedCrossRef Pirkola SP, Isometsä E, Suvisaari J, Aro H, Joukamaa M, Poikolainen K, Koskinen S, Aromaa A, Lönnqvist JK (2005) DSM-IV mood-, anxiety- and alcohol use disorders and their comorbidity in the Finnish general population: results from the Health 2000 study. Soc Psychiatry Psychiatr Epidemiol 40:1–10PubMedCrossRef
27.
go back to reference Pohjola V, Lahti S, Tolvanen M, Hausen H (2008) Dental fear and oral health habits among adults in Finland. Acta Odontol Scand 66:148–153PubMedCrossRef Pohjola V, Lahti S, Tolvanen M, Hausen H (2008) Dental fear and oral health habits among adults in Finland. Acta Odontol Scand 66:148–153PubMedCrossRef
28.
go back to reference Ragnarsson E (1998) Dental fear and anxiety in an adult Icelandic population. Acta Odontol Scand 56:100–104PubMedCrossRef Ragnarsson E (1998) Dental fear and anxiety in an adult Icelandic population. Acta Odontol Scand 56:100–104PubMedCrossRef
29.
go back to reference Samorodnitzky GR, Levin L (2005) Self-assessed dental status, oral behavior, DMF, and dental anxiety. J Dent Educ 69:1385–1389PubMed Samorodnitzky GR, Levin L (2005) Self-assessed dental status, oral behavior, DMF, and dental anxiety. J Dent Educ 69:1385–1389PubMed
30.
go back to reference Schuller AA, Willumsen T, Holst D (2003) Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol 31:116–121PubMedCrossRef Schuller AA, Willumsen T, Holst D (2003) Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol 31:116–121PubMedCrossRef
31.
go back to reference Skaret E, Raadal M, Kvale G, Berg E (2000) Factors related to missed and cancelled dental appointments among adolescents in Norway. Eur J Oral Sci 108:175–183PubMedCrossRef Skaret E, Raadal M, Kvale G, Berg E (2000) Factors related to missed and cancelled dental appointments among adolescents in Norway. Eur J Oral Sci 108:175–183PubMedCrossRef
32.
go back to reference Slade GD, Spencer AJ, Roberts-Thomson KF (2007) Australia’s dental generations: the national survey of adult oral health 2004–06. AIHW cat. no. DEN 165. Australian Institute of Health and Welfare, Canberra Slade GD, Spencer AJ, Roberts-Thomson KF (2007) Australia’s dental generations: the national survey of adult oral health 2004–06. AIHW cat. no. DEN 165. Australian Institute of Health and Welfare, Canberra
33.
go back to reference Sohn W, Ismail AI (2005) Regular dental visits and dental anxiety in an adult dentate population. J Am Dent Assoc 136:58–66 quiz 90–51PubMed Sohn W, Ismail AI (2005) Regular dental visits and dental anxiety in an adult dentate population. J Am Dent Assoc 136:58–66 quiz 90–51PubMed
34.
go back to reference Thomson WM, Stewart JF, Carter KD, Spencer AJ (1996) Dental anxiety among Australians. Int Dent J 46:320–324PubMed Thomson WM, Stewart JF, Carter KD, Spencer AJ (1996) Dental anxiety among Australians. Int Dent J 46:320–324PubMed
35.
go back to reference Viinikangas A, Lahti S, Yuan S, Pietilä I, Freeman R, Humphris G (2007) Evaluating a single dental anxiety question in Finnish adults. Acta Odontol Scand 65:236–240PubMedCrossRef Viinikangas A, Lahti S, Yuan S, Pietilä I, Freeman R, Humphris G (2007) Evaluating a single dental anxiety question in Finnish adults. Acta Odontol Scand 65:236–240PubMedCrossRef
36.
go back to reference Wang HY, Petersen PE, Bian JY, Zhang BX (2002) The second national survey of oral health status of children and adults in China. Int Dent J 52:283–290PubMed Wang HY, Petersen PE, Bian JY, Zhang BX (2002) The second national survey of oral health status of children and adults in China. Int Dent J 52:283–290PubMed
Metadata
Title
Are people with dental fear under-represented in oral epidemiological surveys?
Authors
Jason M. Armfield, BA(Hons), PhD
Gary D. Slade, BDSc, PhD
A. John Spencer, MDS, MPH, PhD
Publication date
01-06-2009
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2009
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0454-6

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