title: Stress and health-promoting attributes in Australian, New Zealand, and Chilean dental students.
abstract: This study investigated stress levels and health-promoting attributes (sense of coherence, social support, and coping strategies) in dental students using a Salutogenic approach. All dental students (n=2,049) from two Australian universities, two Chilean universities, and one New Zealand university were invited to participate in this cross-sectional study. The questionnaire covered sociodemographic and career choice questions, Perceived Stress Scale, Orientation to Life Questionnaire, Multidimensional Scale of Perceived Social Support, and Brief COPE scale. A total of 897 students participated, for a 44 percent response rate. Students' mean age was 22.1 (SD=2.7). The majority were females (59.3 percent). Students reported moderate stress, moderate sense of coherence (SOC), and high levels of social support. Significant differences in the SOC scores by country were reported. The linear regression model for stress explained 44 percent of the variance, in which SOC and social support are negatively associated with stress and the use of maladaptive coping strategies positively predicts high stress. These findings confirm that health-promoting attributes were negatively related to stress in these dental students. This is an initial approach to guide academics in the creation of Salutogenic programs that optimize students' chances to successfully cope with stress.
authors.affiliation: Department of Population Oral Health and Periodontics, Melbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia. karlag@student.unimelb.edu.au
authors.forename: Karla
authors.initials: K
authors.lastname: Gambetta-Tessini
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Mariño
authors.forename: Mike
authors.initials: M
authors.lastname: Morgan
authors.forename: Wendell
authors.initials: W
authors.lastname: Evans
authors.forename: Vivienne
authors.initials: V
authors.lastname: Anderson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001290:Attitude; D001315:Australia; D002321:Career Choice; D002677:Chile; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D009042:Motivation; D009520:New Zealand; D060685:Sense of Coherence; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000503:physiopathology*; D013335:Students, Dental / Q000523:psychology*; D055815:Young Adult
keywords: Australia; Chile; New Zealand; dental students; sense of coherence; social support; stress