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Published in: Human Resources for Health 1/2015

Open Access 01-12-2015 | Research

Students’ motivation to study dentistry in Malaysia: an analysis using confirmatory factor analysis

Authors: Muhd Firdaus Che Musa, Eduardo Bernabé, Jennifer E Gallagher

Published in: Human Resources for Health | Issue 1/2015

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Abstract

Introduction

Malaysia has experienced a significant expansion of dental schools over the past decade. Research into students’ motivation may inform recruitment and retention of the future dental workforce. The objectives of this study were to explore students’ motivation to study dentistry and whether that motivation varied by students’ and school characteristics.

Methods

All 530 final-year students in 11 dental schools (6 public and 5 private) in Malaysia were invited to participate at the end of 2013. The self-administered questionnaire, developed at King’s College London, collected information on students’ motivation to study dentistry and demographic background. Responses on students’ motivation were collected using five-point ordinal scales. Confirmatory factor analysis (CFA) was used to evaluate the underlying structure of students’ motivation to study dentistry. Multivariate analysis of variance (MANOVA) was used to compare factor scores for overall motivation and sub-domains by students’ and school characteristics.

Results

Three hundred and fifty-six final-year students in eight schools (all public and two private) participated in the survey, representing an 83% response rate for these schools and 67% of all final-year students nationally. The majority of participants were 24 years old (47%), female (70%), Malay (56%) and from middle-income families (41%) and public schools (78%). CFA supported a model with five first-order factors (professional job, healthcare and people, academic, careers advising and family and friends) which were linked to a single second-order factor representing overall students’ motivation. Academic factors and healthcare and people had the highest standardized factor loadings (0.90 and 0.71, respectively), suggesting they were the main motivation to study dentistry. MANOVA showed that students from private schools had higher scores for healthcare and people than those in public schools whereas Malay students had lower scores for family and friends than those from minority ethnic groups. No differences were found by age, sex, family income and school type.

Conclusion

Using CFA, this study shows that academic factors were the main motivation to study dentistry in this group of Malaysian students. There were also variations in students’ motivation by students’ ethnicity and school sector but not by other factors.
Literature
2.
go back to reference Du Toit J, Jain S, Montalli V, Govender U. Dental students’ motivations for their career choice: an international investigative report. J Dent Educ. 2014;78(4):605–13.PubMed Du Toit J, Jain S, Montalli V, Govender U. Dental students’ motivations for their career choice: an international investigative report. J Dent Educ. 2014;78(4):605–13.PubMed
3.
go back to reference Costa SD, Silveira MF, Duraes SJA, de Abreu MHNG, Bonan PRF. Perceptions of dental students regarding dentistry, the job market and the public healthcare system. Cien Saude Colet. 2012;17(5):1285–96.CrossRef Costa SD, Silveira MF, Duraes SJA, de Abreu MHNG, Bonan PRF. Perceptions of dental students regarding dentistry, the job market and the public healthcare system. Cien Saude Colet. 2012;17(5):1285–96.CrossRef
4.
go back to reference Brown D. Introduction to theories of career development and choice: origins, evolution and current efforts. In: Brown D, editor. Career choice and development. 4th ed. San Francisco, CA: Wiley; 2002. p. 3–23. Brown D. Introduction to theories of career development and choice: origins, evolution and current efforts. In: Brown D, editor. Career choice and development. 4th ed. San Francisco, CA: Wiley; 2002. p. 3–23.
5.
go back to reference Holland JL. Making vocational choices: a theory of vocational personalities and work environments. 3rd ed. Psychological Assessment Resources: Odessa, FL; 1997. Holland JL. Making vocational choices: a theory of vocational personalities and work environments. 3rd ed. Psychological Assessment Resources: Odessa, FL; 1997.
6.
go back to reference Patton W, McMahon M. Career development and systems theory: connecting theory and practice. Rotterdam, the Netherlands: Sense Publishers; 2014. Patton W, McMahon M. Career development and systems theory: connecting theory and practice. Rotterdam, the Netherlands: Sense Publishers; 2014.
7.
go back to reference Bernabe E, Icaza JL, Delgado-Angulo EK. Reasons for choosing dentistry as a career: a study involving male and female first-year students in Peru. Eur J Dent Educ. 2006;10(4):236–41.CrossRefPubMed Bernabe E, Icaza JL, Delgado-Angulo EK. Reasons for choosing dentistry as a career: a study involving male and female first-year students in Peru. Eur J Dent Educ. 2006;10(4):236–41.CrossRefPubMed
8.
go back to reference Khami MR, Murtomaa H, Jafarian M, Vehkalahti MM, Virtanen JI. Study motives and career choices of Iranian dental students. Med Princ Pract. 2008;17(3):221–6.CrossRefPubMed Khami MR, Murtomaa H, Jafarian M, Vehkalahti MM, Virtanen JI. Study motives and career choices of Iranian dental students. Med Princ Pract. 2008;17(3):221–6.CrossRefPubMed
9.
go back to reference Vahid Dastjerdi M, Mahdian M, Vahid Dastjerdi E, Namdari M. Study motives and career choices of Iranian medical and dental students. Acta Med Iran. 2012;50(6):417–24.PubMed Vahid Dastjerdi M, Mahdian M, Vahid Dastjerdi E, Namdari M. Study motives and career choices of Iranian medical and dental students. Acta Med Iran. 2012;50(6):417–24.PubMed
10.
go back to reference Gallagher JE, Patel R, Donaldson N, Wilson NH. The emerging dental workforce: why dentistry? A quantitative study of final year dental students’ views on their professional career. BMC Oral Health. 2007;7:7.CrossRefPubMedPubMedCentral Gallagher JE, Patel R, Donaldson N, Wilson NH. The emerging dental workforce: why dentistry? A quantitative study of final year dental students’ views on their professional career. BMC Oral Health. 2007;7:7.CrossRefPubMedPubMedCentral
11.
go back to reference Skelly AM, Fleming GJ. Perceptions of a dental career among successful applicants for dentistry compared with those of fifth-year dental students. Prim Dent Care. 2002;9(2):41–6.CrossRefPubMed Skelly AM, Fleming GJ. Perceptions of a dental career among successful applicants for dentistry compared with those of fifth-year dental students. Prim Dent Care. 2002;9(2):41–6.CrossRefPubMed
12.
go back to reference Gallagher J, Clarke W, Wilson N. Understanding the motivation: a qualitative study of dental students’ choice of professional career. Eur J Dent Educ. 2008;12(2):89–98.CrossRefPubMed Gallagher J, Clarke W, Wilson N. Understanding the motivation: a qualitative study of dental students’ choice of professional career. Eur J Dent Educ. 2008;12(2):89–98.CrossRefPubMed
13.
go back to reference Belsi A, Gallagher JE, Asimakopoulou K. Personality profile of students entering dentistry, hygiene/therapy and dental nursing at one London dental institute. Eur J Dent Educ. 2011;15(2):80–4.CrossRefPubMed Belsi A, Gallagher JE, Asimakopoulou K. Personality profile of students entering dentistry, hygiene/therapy and dental nursing at one London dental institute. Eur J Dent Educ. 2011;15(2):80–4.CrossRefPubMed
14.
go back to reference Karibe H, Kawakami T, Suzuki A, Warita S, Ogata K, Aoyagi K, et al. Career choice and attitudes towards dental education amongst dental students in Japan and Sweden. Eur J Dent Educ. 2009;13(2):80–6.CrossRefPubMed Karibe H, Kawakami T, Suzuki A, Warita S, Ogata K, Aoyagi K, et al. Career choice and attitudes towards dental education amongst dental students in Japan and Sweden. Eur J Dent Educ. 2009;13(2):80–6.CrossRefPubMed
15.
go back to reference Vigild M, Schwarz E. Characteristics and study motivation of Danish dental students in a longitudinal perspective. Eur J Dent Educ. 2001;5(3):127–33.CrossRefPubMed Vigild M, Schwarz E. Characteristics and study motivation of Danish dental students in a longitudinal perspective. Eur J Dent Educ. 2001;5(3):127–33.CrossRefPubMed
16.
go back to reference Marino RJ, Morgan MV, Winning T, Thomson WM, Marshall RI, Gotjamanos T, et al. Sociodemographic backgrounds and career decisions of Australian and New Zealand dental students. J Dent Educ. 2006;70(2):169–78.PubMed Marino RJ, Morgan MV, Winning T, Thomson WM, Marshall RI, Gotjamanos T, et al. Sociodemographic backgrounds and career decisions of Australian and New Zealand dental students. J Dent Educ. 2006;70(2):169–78.PubMed
17.
go back to reference Brand AA, Chikte UM, Thomas CJ. Choosing dentistry as a career–a profile of entering students (1992) to the University of Sydney, Australia. Aust Dent J. 1996;41(3):198–205.CrossRefPubMed Brand AA, Chikte UM, Thomas CJ. Choosing dentistry as a career–a profile of entering students (1992) to the University of Sydney, Australia. Aust Dent J. 1996;41(3):198–205.CrossRefPubMed
18.
go back to reference Scarbecz M, Ross JA. Gender differences in first-year dental students’ motivation to attend dental school. J Dent Educ. 2002;66(8):952–61.PubMed Scarbecz M, Ross JA. Gender differences in first-year dental students’ motivation to attend dental school. J Dent Educ. 2002;66(8):952–61.PubMed
19.
go back to reference Cohen R, Coburn D. Motivations for studying dentistry among first-year dental students. Med Educ. 1977;11(2):139–50.CrossRefPubMed Cohen R, Coburn D. Motivations for studying dentistry among first-year dental students. Med Educ. 1977;11(2):139–50.CrossRefPubMed
20.
go back to reference Karibe H, Suzuki A, Sekimoto T, Srithavaj ML, Iamaroon A, Warita S, et al. Cross-cultural comparison of the attitudes of dental students in three countries. J Dent Educ. 2007;71(11):1457–66.PubMed Karibe H, Suzuki A, Sekimoto T, Srithavaj ML, Iamaroon A, Warita S, et al. Cross-cultural comparison of the attitudes of dental students in three countries. J Dent Educ. 2007;71(11):1457–66.PubMed
21.
go back to reference Rashid H, Manoharan A, Abufanas S, Gallagher J. Motivation for a career in dentistry: the views of dental students in the United Arab Emirates. Int Dent J. 2013;63(5):259–65.PubMed Rashid H, Manoharan A, Abufanas S, Gallagher J. Motivation for a career in dentistry: the views of dental students in the United Arab Emirates. Int Dent J. 2013;63(5):259–65.PubMed
22.
go back to reference Stewart FM, Drummond JR, Carson L, Hoad RG. The future of the profession–a survey of dental school applicants. Br Dent J. 2004;197(9):569–73. quiz 577.CrossRefPubMed Stewart FM, Drummond JR, Carson L, Hoad RG. The future of the profession–a survey of dental school applicants. Br Dent J. 2004;197(9):569–73. quiz 577.CrossRefPubMed
23.
go back to reference Bedi R, Gilthorpe MS. Ethnic and gender variations in university applicants to United Kingdom medical and dental schools. Br Dent J. 2000;189(4):212–5.PubMed Bedi R, Gilthorpe MS. Ethnic and gender variations in university applicants to United Kingdom medical and dental schools. Br Dent J. 2000;189(4):212–5.PubMed
24.
go back to reference Halawany HS. Career motivations, perceptions of the future of dentistry and preferred dental specialties among saudi dental students. Open Dent J. 2014;8:129–35.CrossRefPubMedPubMedCentral Halawany HS. Career motivations, perceptions of the future of dentistry and preferred dental specialties among saudi dental students. Open Dent J. 2014;8:129–35.CrossRefPubMedPubMedCentral
25.
go back to reference Al Jazairy YH, Halawany HS, Hussainan NA, Maflehi NA, Abraham NB, Jacob V. Factors affecting job satisfaction and their correlation with educational standards among dental assistants. Ind Health. 2014;52(4):324–33.CrossRefPubMed Al Jazairy YH, Halawany HS, Hussainan NA, Maflehi NA, Abraham NB, Jacob V. Factors affecting job satisfaction and their correlation with educational standards among dental assistants. Ind Health. 2014;52(4):324–33.CrossRefPubMed
26.
go back to reference Aggarwal A, Mehta S, Gupta D, Sheikh S, Pallagatti S, Singh R, et al. Dental students’ motivations and perceptions of dental professional career in India. J Dent Educ. 2012;76(11):1532–9.PubMed Aggarwal A, Mehta S, Gupta D, Sheikh S, Pallagatti S, Singh R, et al. Dental students’ motivations and perceptions of dental professional career in India. J Dent Educ. 2012;76(11):1532–9.PubMed
27.
go back to reference Oral Health Division Ministry of Health Malaysia. National Oral Health Survey of School Children 6 Year Olds. Putrajaya: OHD, Ministry of Health Malaysia; 2009. Oral Health Division Ministry of Health Malaysia. National Oral Health Survey of School Children 6 Year Olds. Putrajaya: OHD, Ministry of Health Malaysia; 2009.
28.
go back to reference Oral Health Division of Health Malaysia: National Oral Health Survey of School Children. 12 year olds. Putrajaya: OHD, Ministry of Health Malaysia; 2007. p. 2010. Oral Health Division of Health Malaysia: National Oral Health Survey of School Children. 12 year olds. Putrajaya: OHD, Ministry of Health Malaysia; 2007. p. 2010.
29.
go back to reference Oral Health Division MoH Malaysia. National Oral Health Survey of Adults 2010 (NOHSA 2010). Putrajaya: Ministry of Health Malaysia; 2013. Oral Health Division MoH Malaysia. National Oral Health Survey of Adults 2010 (NOHSA 2010). Putrajaya: Ministry of Health Malaysia; 2013.
30.
go back to reference Ministry of Health Malaysia. Health Facts 2012. Health Informatics Centre, Planning and Development Division. Malaysia: Ministry of Health; 2013. Ministry of Health Malaysia. Health Facts 2012. Health Informatics Centre, Planning and Development Division. Malaysia: Ministry of Health; 2013.
31.
go back to reference Malaysian Dental Council. Annual Report 2011. Cyberjaya: Malaysian Dental Council; 2012. Malaysian Dental Council. Annual Report 2011. Cyberjaya: Malaysian Dental Council; 2012.
32.
go back to reference Ministry of Health Malaysia. Annual Report 2010. Putrajaya: Ministry of Health Malaysia; 2011. Ministry of Health Malaysia. Annual Report 2010. Putrajaya: Ministry of Health Malaysia; 2011.
33.
go back to reference Malaysian Dental Council. Annual Report 2013. Cyberjaya: Malaysian Dental Council; 2014. Malaysian Dental Council. Annual Report 2013. Cyberjaya: Malaysian Dental Council; 2014.
34.
go back to reference Ministry of Health Malaysia. Country Health Plan-10th Malaysia Plan 2011-2015. Putrajaya: Ministry of Health Malaysia; 2010. Ministry of Health Malaysia. Country Health Plan-10th Malaysia Plan 2011-2015. Putrajaya: Ministry of Health Malaysia; 2010.
35.
go back to reference Gallagher JE, Clarke W, Eaton KA, Wilson NH. Dentistry - a professional contained career in healthcare. A qualitative study of vocational dental practitioners’ professional expectations. BMC Oral Health. 2007;7:16.CrossRefPubMedPubMedCentral Gallagher JE, Clarke W, Eaton KA, Wilson NH. Dentistry - a professional contained career in healthcare. A qualitative study of vocational dental practitioners’ professional expectations. BMC Oral Health. 2007;7:16.CrossRefPubMedPubMedCentral
36.
go back to reference Kevin KE. Using Mplus for structural equation modeling. Saint Mary’s University. Canada: SAGE Publications; 2014. Kevin KE. Using Mplus for structural equation modeling. Saint Mary’s University. Canada: SAGE Publications; 2014.
37.
go back to reference Byrne BM. Factor analytic models: viewing the structure of an assessment instrument from three perspectives. J Pers Assess. 2005;85(1):17–32.CrossRefPubMed Byrne BM. Factor analytic models: viewing the structure of an assessment instrument from three perspectives. J Pers Assess. 2005;85(1):17–32.CrossRefPubMed
38.
go back to reference Kline R. Principle and practice of structural equation modelling. 2nd ed. New York: The Guilford Press; 2005. Kline R. Principle and practice of structural equation modelling. 2nd ed. New York: The Guilford Press; 2005.
39.
go back to reference Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assessment. 1995;7(3):286–99.CrossRef Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assessment. 1995;7(3):286–99.CrossRef
40.
go back to reference Alatas SH. The grading of occupational prestige amongst the Malays in Malaysia. J Malays Branch R Asiat Soc. 1968;41(1):146–56. Alatas SH. The grading of occupational prestige amongst the Malays in Malaysia. J Malays Branch R Asiat Soc. 1968;41(1):146–56.
41.
go back to reference Gallagher J. Specialties in transition: the case of oral and maxillofacial surgery. In: The future health workforce. Basingstoke & New York: Palgrave Macmillan; 2003. p. 104–23. Gallagher J. Specialties in transition: the case of oral and maxillofacial surgery. In: The future health workforce. Basingstoke & New York: Palgrave Macmillan; 2003. p. 104–23.
42.
go back to reference Hassler D, Stage FK. Family and high school experience influences on the postsecondary educational plans of ninth-grade students. Am Educ Res J. 1992;29(425). Hassler D, Stage FK. Family and high school experience influences on the postsecondary educational plans of ninth-grade students. Am Educ Res J. 1992;29(425).
43.
go back to reference Connor HC, Tyers T, Mdoood T, Hillage J. Why the difference? A closer look at higher education minority ethnic students and graduates. London: Department for Education and Skills; 2004. Connor HC, Tyers T, Mdoood T, Hillage J. Why the difference? A closer look at higher education minority ethnic students and graduates. London: Department for Education and Skills; 2004.
44.
go back to reference Embong A. State-led modernization and the new middle class in Malaysia. New York: Palgrave Macmillan; 2002.CrossRef Embong A. State-led modernization and the new middle class in Malaysia. New York: Palgrave Macmillan; 2002.CrossRef
45.
go back to reference Veal K, Perry M, Stavisky J, Herbert KD. The pathway to dentistry for minority students: from their perspective. J Dent Educ. 2004;68(9):938–46.PubMed Veal K, Perry M, Stavisky J, Herbert KD. The pathway to dentistry for minority students: from their perspective. J Dent Educ. 2004;68(9):938–46.PubMed
Metadata
Title
Students’ motivation to study dentistry in Malaysia: an analysis using confirmatory factor analysis
Authors
Muhd Firdaus Che Musa
Eduardo Bernabé
Jennifer E Gallagher
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2015
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-015-0040-4

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