The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis
Aim and background: Salutogenesis emphasizes the origin of health rather than disease. Its core concept, the sense of coherence (SOC), explains how individuals manage stressors to maintain their health. Prior studies have linked maternal SOC with children's oral health behaviors; however, evide...
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Jaypee Brothers Medical Publisher
2025-07-01
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| Series: | Journal of South Asian Association of Pediatric Dentistry |
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| Online Access: | https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3348 |
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| author | Sonali Saha Sushant Mohanty |
| author_facet | Sonali Saha Sushant Mohanty |
| author_sort | Sonali Saha |
| collection | DOAJ |
| description | Aim and background: Salutogenesis emphasizes the origin of health rather than disease. Its core concept, the sense of coherence (SOC), explains how individuals manage stressors to maintain their health. Prior studies have linked maternal SOC with children's oral health behaviors; however, evidence regarding its influence on adolescents’ oral hygiene status is inconsistent. This study explored the relationship between maternal SOC and the oral health status of 15-year-old adolescent children, addressing the gaps in existing research.
Materials and methods: This cross-sectional study was conducted from March 2023 to July 2024 among 723 mother–adolescent dyads recruited from urban to semiurban schools. Maternal SOC was assessed using the 13-item Antonovsky SOC scale, encompassing comprehensibility, manageability, and meaningfulness. Adolescents’ oral health was evaluated using the decayed, missing, and filled teeth (DMFT) scores, plaque index, caries severity index, bleeding on probing, and self-assessment of oral health and appearance. Data were collected through questionnaires administered in schools and analyzed using the Statistical Package for the Social Sciences (SPSS) software. Chi-square tests and multinomial logistic regression were used to assess the association between maternal SOC and adolescents’ oral health outcomes.
Results: Most mothers (50.48%) exhibited moderate SOC, while 26.28% had high SOC. Adolescents with mothers with high SOC had significantly better oral health outcomes, including lower DMFT scores (<i>p</i> = 0.034), reduced plaque index (<i>p</i> = 0.011), and less severe caries (<i>p</i> = 0.031). High maternal SOC was associated with better self-rated dental health (<i>p</i> = 0.041) and higher satisfaction with self-appearance (<i>p</i> = 0.001). No significant associations were found for bleeding on probing (<i>p</i> = 0.610) or caries in the second molar (<i>p</i> = 0.843).
Conclusion: Maternal SOC is a significant determinant of adolescents’ oral health, influencing both objective outcomes and subjective self-assessment. Mothers with high SOC foster healthier behaviors, improved dental health, and positive self-perception in their children. Public health strategies should focus on enhancing maternal SOC through educational initiatives, stress management, and community support. Longitudinal studies are needed to explore the causal pathways and expand the findings across diverse populations. Empowering mothers can yield lasting benefits for family health and well-being.
Clinical significance: Enhancing maternal SOC through targeted initiatives—such as community education programs, stress management strategies, and family counseling—enables dental professionals to positively impact adolescent oral health. |
| format | Article |
| id | doaj-art-8ab76a807b604dce9e18f0ea9b8aa354 |
| institution | Kabale University |
| issn | 2582-1024 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
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| series | Journal of South Asian Association of Pediatric Dentistry |
| spelling | doaj-art-8ab76a807b604dce9e18f0ea9b8aa3542025-08-20T03:40:41ZengJaypee Brothers Medical PublisherJournal of South Asian Association of Pediatric Dentistry2582-10242025-07-018210711410.5005/jp-journals-10077-33487The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional AnalysisSonali Saha0https://orcid.org/0000-0001-5361-1698Sushant Mohanty1Sonali Saha, Department of Pediatric and Preventive Dentistry, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India, Phone: +91 9889234995Department of Pediatric and Preventive Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, IndiaAim and background: Salutogenesis emphasizes the origin of health rather than disease. Its core concept, the sense of coherence (SOC), explains how individuals manage stressors to maintain their health. Prior studies have linked maternal SOC with children's oral health behaviors; however, evidence regarding its influence on adolescents’ oral hygiene status is inconsistent. This study explored the relationship between maternal SOC and the oral health status of 15-year-old adolescent children, addressing the gaps in existing research. Materials and methods: This cross-sectional study was conducted from March 2023 to July 2024 among 723 mother–adolescent dyads recruited from urban to semiurban schools. Maternal SOC was assessed using the 13-item Antonovsky SOC scale, encompassing comprehensibility, manageability, and meaningfulness. Adolescents’ oral health was evaluated using the decayed, missing, and filled teeth (DMFT) scores, plaque index, caries severity index, bleeding on probing, and self-assessment of oral health and appearance. Data were collected through questionnaires administered in schools and analyzed using the Statistical Package for the Social Sciences (SPSS) software. Chi-square tests and multinomial logistic regression were used to assess the association between maternal SOC and adolescents’ oral health outcomes. Results: Most mothers (50.48%) exhibited moderate SOC, while 26.28% had high SOC. Adolescents with mothers with high SOC had significantly better oral health outcomes, including lower DMFT scores (<i>p</i> = 0.034), reduced plaque index (<i>p</i> = 0.011), and less severe caries (<i>p</i> = 0.031). High maternal SOC was associated with better self-rated dental health (<i>p</i> = 0.041) and higher satisfaction with self-appearance (<i>p</i> = 0.001). No significant associations were found for bleeding on probing (<i>p</i> = 0.610) or caries in the second molar (<i>p</i> = 0.843). Conclusion: Maternal SOC is a significant determinant of adolescents’ oral health, influencing both objective outcomes and subjective self-assessment. Mothers with high SOC foster healthier behaviors, improved dental health, and positive self-perception in their children. Public health strategies should focus on enhancing maternal SOC through educational initiatives, stress management, and community support. Longitudinal studies are needed to explore the causal pathways and expand the findings across diverse populations. Empowering mothers can yield lasting benefits for family health and well-being. Clinical significance: Enhancing maternal SOC through targeted initiatives—such as community education programs, stress management strategies, and family counseling—enables dental professionals to positively impact adolescent oral health.https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3348adolescentsmothersoral healthsense of coherencesurvey |
| spellingShingle | Sonali Saha Sushant Mohanty The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis Journal of South Asian Association of Pediatric Dentistry adolescents mothers oral health sense of coherence survey |
| title | The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis |
| title_full | The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis |
| title_fullStr | The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis |
| title_full_unstemmed | The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis |
| title_short | The Influence of Maternal Sense of Coherence on 15-year-old Adolescent's Oral Health Outcomes: A Cross-sectional Analysis |
| title_sort | influence of maternal sense of coherence on 15 year old adolescent s oral health outcomes a cross sectional analysis |
| topic | adolescents mothers oral health sense of coherence survey |
| url | https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3348 |
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