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Determinants of oral hygiene behavior: a study based on the theory of planned behavior
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Buunk-Werkhoven YAB, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory of planned behavior. Community Dent Oral Epidemiol 2011; 39: 250–259. © 2010 John Wiley & Sons A/S Abstract – Objective: The aim of this study was to develop an index for oral hygiene behavior (OHB) and to examine potential predictors of this actual behavior based on the theory of planned behavior (TPB). Measures of oral health knowledge (OHK) and the expected effect of having healthy teeth on social relationships were included too. Material and methods: Using an Internet questionnaire, 487 participants were asked about actual OHB, attitudes (ATT), social norms (SN), perceived behavioral control (PBC), OHK, and expected social outcomes (ESO). Based on a Delphi method involving oral health professionals, a new index for OHB was developed, including tooth brushing, interdental cleaning, and tongue cleaning. Results: Regression analysis revealed that the TPB variables (ATT, SN, and PBC) and OHK explained 32.3% of the variance in self-reported OHB. Conclusion: The present findings indicate that socio-psychological consequences play a role in oral health care.
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Maki, K. A., Xu, S., Wallen, G. R., Gerrard, C., Sung, C., Papneja, S., Tuason, R. T. S., Ramchandani, V. A., Diazgranados, N., & Barb, J. J. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-101197 · Cited by 2
Kabiri, B., Hidarnia, A. R., Alavijeh, M. M., et al. (2021) · BioMed Research International · doi:10.1155/2021/6626090 · Cited by 2
“In the field of oral health, several studies have shown that perceived self-efficacy was one of the strongest determinants of behavior [25, 26].”
BackgroundShitu, K., Alemayehu, M., & Handebo, S. (2023) · International Journal of Dental Hygiene · doi:10.1111/idh.12666 · Cited by 2
Assessment of tongue cleaning habit among the patients visiting a dental hospital in Kathmandu
Yadav, K., Poudyal, S., Chaulagain, R., et al. (2023) · Nepal Medical College Journal · doi:10.3126/nmcj.v25i2.56053 · Cited by 2
A Review of Interventions to Improve Oral and Dental Health in Children
Pogan, M. D., Domocoș, D., & Szilágyi, A. (2023) · Annals of dental specialty · doi:10.51847/eszrodfrtt · Cited by 2
Kango, H., Jha, N. A., Masoodi, P., Naz, A., & Chowdhury, A. (2025) · Healthcare · doi:10.3390/healthcare13050458 · Cited by 2
“However, our study population of Baramulla showed poor tongue-cleaning behavior across age groups, similar to previous studies [55,56] as well as less usage of mouthwash or any other oral aid to keep their mouth clean.”
Burrekers, S. Y. (2020) · Biomedical Journal of Scientific & Technical Research · doi:10.26717/bjstr.2020.26.004422 · Cited by 2
“, knowledge, attitudes, environment, and behavior both at individual and community level [6-8].”
BackgroundInfluence of oral health related behavior on oral health of adolescents in Belgrade
Lalić, M., Krivokapic, M., Jankovic-Bukva, B., et al. (2013) · Stomatoloski glasnik Srbije · doi:10.2298/sgs1302076l · Cited by 2
“Oral selfcare practices based on personal choice are considered an important as pect of oral health behavior [1].”
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Adawy, M., Darweesh, S. A., Alashwah, A. A., et al. (2024) · Alexandria Dental Journal · doi:10.21608/adjalexu.2023.185520.1335 · Cited by 2
“(20), did not receive any anti-osteoporotic drugs as bisphosphonates (Bps) yet (21), with missed tooth\teeth need to be restored at the posterior region of the lower arch (premolar\molar area of the mandible), and with good oral hygiene (22).”
BackgroundIllness perception in patients with dental caries: A co-relational study in Odisha
Rath, H., Panda, A., & Mahapatra, S. (2025) · Journal of Oral Biology and Craniofacial Research · doi:10.1016/j.jobcr.2025.01.003 · Cited by 1
Metadata
- Authors
- Buunk-Werkhoven, Y. A. B., Dijkstra, A., & van der Schans, C. P.
- Affiliations
- University of Groningen (NL)
- ORCID
- Dijkstra, Arie
- Venue
- Community Dentistry and Oral Epidemiology
- Publisher
- Wiley
- Published
- 2010-11-10
- Volume
- 39
- Issue
- 3
- Pages
- 250-259
- ISSN
- 0301-5661 (ISSN-L)
- OpenAlex
- W2135733723
- Semantic Scholar
- 23e9176a7ec1dae3f33edc8db40a1d60c8c2005d
- Cited by
- 144
- References
- 45
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 12 · 2023: 9 · 2022: 14 · 2021: 10 · 2020: 12 · 2019: 11 · 2018: 9 · 2017: 5 · 2016: 5 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 3
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- Locations
- Community Dentistry And Oral Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- oral hygiene habits, theory of planned behavior, oral health knowledge, attitudes, social norms, perceived behavioral control, toothbrushing, interdental cleaning, tongue cleaning, oral health index, psychosocial factors
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Health, Child, Delphi Technique, Dental Health Surveys, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Oral Hygiene, Psychology, Surveys and Questionnaires, Toothbrushing, Health Behavior, Young Adult
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