title: Oral health: locus of control, health behavior, self-rated oral health and socio-demographic factors in Istanbul adults.
abstract: OBJECTIVE
  To determine oral health control beliefs of Istanbul adults using the Multidimensional Oral Health Locus of Control Scale (MOHLCS) after confirming its factorial validity and to examine the relationships between these beliefs, self-rated oral health, oral health behaviors and socio-demographic factors.
  
  
  METHODS
  The MOHLCS was administered to a sample of 1200 subjects aged ≥18 years in Istanbul chosen using a quota-sampling method (response 88%). The relationship between the MOHLCS and oral health behaviors, self-rated oral health and socio-demographic factors was assessed after confirming the factorial validity of the MOHLCS.
  
  
  RESULTS
  The MOHLCS demonstrated satisfactory internal reliability. Factor analysis results showed a new four-factor solution, namely Internal, Dentist, Chance, and Socialization agents. Multivariate analysis showed that female gender, younger age, higher socioeconomic status, more frequent daily toothbrushing, and regular dental check-ups were associated with higher Internal beliefs, while older age, lower educational level, lower socioeconomic status, low toothbrushing frequency, and symptom-orientated dental attendance were associated with higher Chance beliefs. Being unmarried and low toothbrushing frequency were associated with lower Dentist beliefs. Males and older subjects had lower Socialization agents beliefs. Internal, Dentist and Chance beliefs were significantly associated with self-rated oral health.
  
  
  CONCLUSIONS
  Compared with the original factor structure, the new factor structure had better goodness of fit for this sample. Self-rated oral health, socio-demographic factors, and oral health behaviors were significantly associated with oral health control beliefs. These beliefs may be useful for planning oral health promotion programs and for formulating advice given by oral health professionals about their patients' oral health behaviors.
authors.affiliation: Department of Dental Public Health, Istanbul University, Turkey. kpeker@istanbul.edu.tr
authors.forename: Kadriye
authors.initials: K
authors.lastname: Peker
authors.forename: Gulcin
authors.initials: G
authors.lastname: Bermek
mesh_terms: D000328:Adult; D000367:Age Factors; D003729:Dental Care / Q000706:statistics & numerical data; D005260:Female; D006126:Group Processes; D015438:Health Behavior; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009909:Oral Health; D012309:Risk-Taking; D012647:Self-Assessment; D012737:Sex Factors; D012923:Social Class; D011795:Surveys and Questionnaires; D014099:Toothbrushing / Q000706:statistics & numerical data; D014421:Turkey