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Variations in dental anxiety among middle-aged and elderly women in Sweden: a longitudinal study between 1968 and 1996.

Artikel i vetenskaplig tidskrift
Författare Catharina Hägglin
Ulf Berggren
Magnus Hakeberg
Tore Hällström
Calle Bengtsson
Publicerad i Journal of dental research
Volym 78
Nummer/häfte 10
Sidor 1655-61
ISSN 0022-0345
Publiceringsår 1999
Publicerad vid Institutionen för samhällsmedicin, Avdelningen för allmänmedicin
Odontologiska institutionen, Avdelningen för endodonti med oral diagnostik
Sidor 1655-61
Språk en
Länkar dx.doi.org/10.1177/0022034599078010...
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Age Distribution, Aged, Aged, 80 and over, Analysis of Variance, Chi-Square Distribution, Dental Anxiety, epidemiology, psychology, Female, Humans, Longitudinal Studies, Middle Aged, Patient Dropouts, psychology, statistics & numerical data, Statistics, Nonparametric, Surveys and Questionnaires, Sweden, epidemiology, Urban Population, statistics & numerical data
Ämneskategorier Annan medicin och hälsovetenskap

Sammanfattning

Cross-sectional studies have shown that older individuals are significantly less dentally anxious than younger ones. However, research has not been able to show if this is a cohort effect or an effect of fear declining with age. If it is a cohort effect, dental anxiety among the elderly may pose a greater-than-expected problem for the providers of dental services. With the exception of longitudinal studies in children and a three-year follow-up on adults, no truly longitudinal epidemiological studies concerning dental anxiety have been performed. The aim of this project was to investigate how dental anxiety changes with aging. In a longitudinal population study of women in Göteborg, Sweden, starting in 1968, 1462 women aged 38 to 54 participated. A representative subsample of 778 women took part in a psychiatric examination where an investigation of dental anxiety was included. The same questions were also included when these women were re-examined in 1974, 1992, and 1996. Three hundred seventy-five women were still eligible for investigation in 1996. In 1968-69, 48 (12.8%) of the participating women assessed themselves as "very afraid" or "terrified" when visiting the dentist, and in 1996 the frequency was 21 (5.6%) among the same women. In 1968-69, 180 women (48%) reported no dental anxiety when visiting the dentist, and 28 years later the frequency was 230 (61%). In the three youngest age groups, dental anxiety decreased significantly (p < 0.001) over the 28-year period. Older compared with younger women reported significantly less dental anxiety, and this was an age effect rather than a cohort effect. Thus, this longitudinal study supported the hypothesis that dental fear, like many other general and specific phobias, declines with age.

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