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dc.contributor.authorYuan, Siyang
dc.contributor.authorZheng, Yuanna
dc.contributor.authorSun, Zhe
dc.contributor.authorHumphris, Gerry
dc.date.accessioned2023-11-08T11:30:07Z
dc.date.available2023-11-08T11:30:07Z
dc.date.issued2023-10-09
dc.identifier295973666
dc.identifier0d8441c0-13fe-4e57-ada5-210f229f88e1
dc.identifier85174847442
dc.identifier.citationYuan , S , Zheng , Y , Sun , Z & Humphris , G 2023 , ' Does fear of infection affect people’s dental attendance during COVID-19? A Chinese example to examine the association between COVID anxiety and dental anxiety ' , Frontiers in Oral Health , vol. 4 , 1236387 . https://doi.org/10.3389/froh.2023.1236387en
dc.identifier.issn2673-4842
dc.identifier.otherJisc: 1417687
dc.identifier.otherORCID: /0000-0002-4601-8834/work/146464239
dc.identifier.urihttps://hdl.handle.net/10023/28639
dc.description.abstractIntroduction: Little is known about the psychological and behavioural effect of COVID-19 pandemic on patients and their reaction to dental visiting. Patients may delay attendance due to fears of contracting the corona virus at the dentist. The study aims to confirm the psychometric properties of the two COVID-19 scales and then use dental patient responses to assess the associations between the COVID-19 Anxiety Scale (CAS), dental anxiety (MDAS) and the clinical care COVID-19 Anxiety (CCAS). Methods: A cross-sectional study was conducted among 503 patients visiting a polyclinic of a stomatological hospital in East China in 2020. Patients completed a survey consisting of demographical information, dental attendance, COVID-19 Anxiety Scale, Clinical Care COVID-19 Anxiety Scale and Modified Dental Anxiety Scale. Confirmatory factor analysis was conducted to determine the psychometric characteristics. A further structural model was tested with the combined measurement model and a path analysis was calculated. Results: The sample (n = 503) consisted of more women than men (63% vs. 37%). A fifth of the sample (21%) claimed regular dental attendance and just over a third (35%) reported delaying their dental visit due to the pandemic. Our analysis showed that both CAS and CCAS possessed a unidimensional structure. The MDAS was divided into anticipatory and treatment components as separate latent variables. The anticipatory component (MDAS_A) had some association to CCAS through its expression on treatment dental anxiety (MDAS_T). General anxiety about COVID (CAS) had a direct effect on CCAS. The fit statistics were acceptable [Chi-square = 183.27, df = 68, p < .001; CFI = 0.973; RMSEA = 0.058 (95%CIs: 0.048–0.068)] and the Standardised Root Mean Square Residuals (SRMR) index was 0.041. Discussion: The Clinical Care COVID-19 Anxiety has shown satisfactory psychometric properties. Both dental anxiety and general anxiety about the pandemic have strong associations to patients’ fear of contracting corona virus when using dental facilities. Our study has practical implications to help healthcare providers better understand how environmental stressors influence patients’ overall concerns on infection risks and appropriate dental treatments during the pandemic.
dc.format.extent7
dc.format.extent626436
dc.language.isoeng
dc.relation.ispartofFrontiers in Oral Healthen
dc.subjectDental visiten
dc.subjectDental anxietyen
dc.subjectCOVID-19en
dc.subjectDental careen
dc.subjectPatienten
dc.subjectFear of infectionen
dc.subjectRK Dentistryen
dc.subjectRR-NDASen
dc.subject.lccRKen
dc.titleDoes fear of infection affect people’s dental attendance during COVID-19? A Chinese example to examine the association between COVID anxiety and dental anxietyen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. University of St Andrewsen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doi10.3389/froh.2023.1236387
dc.description.statusPeer revieweden


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