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Year : 2020  |  Volume : 18  |  Issue : 2  |  Page : 124-133

Association between health locus of control and oral health status in type 2 diabetics - A cross sectional comparative study

Department of Public Health Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India

Correspondence Address:
Dr. B Santhiya
Room No: 9, First Floor, Department of Public Health Dentistry, Government Dental College and Research Institute, Fort, Bengaluru - 560 002, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaphd.jiaphd_48_20

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Background: Diabetes mellitus (DM) is a highly prevalent metabolic disorder which has life-long acute and chronic complications, constituting a huge global public health burden. The influence of diabetes on oral health is established. However, literature assessing psychosocial aspects that are necessary for managing metabolic control and oral health in diabetics is scarce. Aim: To determine the association between health locus of control and oral health among patients with Type 2 DM in Bengaluru City. Materials and Methods: A cross-sectional conducted among 300 participants with and without type 2 DM visiting government hospitals in Bengaluru City from November 2017 to September 2019. The Multidimensional Health Locus of Control (MHLC) Scale (Internal [IHLC], Powerful Others [PHLC], and Chance [CHLC]) and the WHO pro forma 2013 were used to assess health locus of control and oral health, respectively. Chi-square, Spearman's correlation, and multivariate hierarchical linear regression were applied. The statistical significance was considered at P < 0.05. Results: Diabetic participants were equivocal in their perceptions on IHLC, whereas nondiabetic participants were in agreement. Majority of diabetic and nondiabetic participants were in disagreement on PHLC. Nondiabetics were in disagreement on CHLC, whereas diabetics had elusive perception. Significantly higher proportion of diabetics had caries experience, deep pockets, and loss of attachment (LOA) than nondiabetic participants. Statistically significant association was found between health locus of control and dental caries experience, periodontitis, and denture use. Glycemic control, IHLC, and PHLC were found to be significant predictors of LOA. Conclusion: Oral health status was significantly poorer and associated with health locus of control. Glycemic control and health locus of control influenced oral health in diabetic participants.

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