The hierarchical cluster analysis of oral health attitudes and behaviour using the Hiroshima University--Dental Behavioural Inventory (HU-DBI) among final year dental students in 17 countries

Int Dent J. 2006 Oct;56(5):310-6. doi: 10.1111/j.1875-595x.2006.tb00106.x.

Abstract

Objective: To explore and describe international oral health attitudes/ behaviours among final year dental students.

Methods: Validated translated versions of the Hiroshima University-Dental Behavioural Inventory (HU-DBI) questionnaire were administered to 1,096 final-year dental students in 17 countries. Hierarchical cluster analysis was conducted within the data to detect patterns and groupings.

Results: The overall response rate was 72%. The cluster analysis identified two main groups among the countries. Group 1 consisted of twelve countries: one Oceanic (Australia), one Middle-Eastern (Israel), seven European (Northern Ireland, England, Finland, Greece, Germany, Italy, and France) and three Asian (Korea, Thailand and Malaysia) countries. Group 2 consisted of five countries: one South American (Brazil), one European (Belgium) and three Asian (China, Indonesia and Japan) countries. The percentages of 'agree' responses in three HU-DBI questionnaire items were significantly higher in Group 2 than in Group 1. They include: "I worry about the colour of my teeth."; "I have noticed some white sticky deposits on my teeth."; and "I am bothered by the colour of my gums."

Conclusion: Grouping the countries into international clusters yielded useful information for dentistry and dental education.

MeSH terms

  • Asia
  • Attitude to Health / ethnology*
  • Brazil
  • Cluster Analysis
  • Cross-Cultural Comparison
  • Dental Care / psychology*
  • Europe
  • Health Behavior / ethnology*
  • Humans
  • Oral Health*
  • Oral Hygiene / psychology*
  • Students, Dental / psychology
  • Surveys and Questionnaires