Dental aesthetic related popularity and peer pressure, a survey of adolescents in Pakistan
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Hazik B. Shahzad
, Faiza Awais
Abstract
Objectives
Most research has focused on determining how popularity and peer pressure impact behaviours, rather than identifying a key feature such as dental aesthetics and studying its impacts in relation to popularity and peer pressure.
Methods
A cross sectional study was conducted on a sample of 527 children from four schools located in Lahore, Pakistan. A 14-point questionnaire was developed, using existing measures of peer pressure, and popularity. The selected questions were modified to investigate the issues of dental aesthetics and integrated into the WHO oral health questionnaire for children.
Results
More than 50 % of the participants indicated popularity issues regarding dental aesthetics. 63.5 % of the responses indicated an influence of relatives and friends, whereas 38 % responses reported of harassment and bullying at schools. Regression analysis shows that the females were 1.99 times more likely to get comments from relative or friends about their teeth and 2.17 times more likely to be bullied or harassed at school due to their teeth when compared to the males. Fathers with a higher education brought about higher popularity and peer pressure issues. Mothers with a higher education were less likely to cause popularity and peer pressure issues than mothers with a lower education. Popularity and peer pressure were both significantly related to higher dental visitation.
Conclusions
Popularity and peer pressure have a direct link to dental aesthetics in an individual and are impacted by gender, family relatives and parental influences. The area of popularity and peer pressure related to dental aesthetics can be targeted in health education programs to empower children to adopt better oral health behaviours.
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Research funding: Not applicable.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission. Hazik Bin Shahzad: conception and design, acquisition of data, analysis, and interpretation of data, drafting the manuscript and revising the manuscript. Faiza Awais: drafting the manuscript and revising the manuscript. Farhat Kazmi: design, drafting the manuscript and revising the manuscript. Saadia Manzar: design and drafting the manuscript. Anas Imran Arshad: acquisition of data and revising the manuscript. Shahrayne Rashid: design, drafting the manuscript and revising the manuscript. Sakeena Zahra: design, acquisition of data and drafting the manuscript. Mohammad Khan Ghafoor: design, acquisition of data and drafting the manuscript. Baneen Zahra: design, acquisition of data and drafting the manuscript. Shaleezay Rashid Khan: design, acquisition of data and drafting the manuscript. Wan Muhammad Amir W Ahmad: design, analysis, interpretation of data and revising the manuscript.
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Competing interests: Authors state no conflict of interest.
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Informed consent: An informed consent was signed by parent or guardian of the school children. Voluntary participation information was given at the beginning of the online questionnaire. The authors confirm that all methods were performed in accordance with the relevant guidelines and regulations and were performed in line with the Declaration of Helsinki.
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Ethical approval: This study received ethical approval from the “Ethical Review Committee” via letter number “RLDC/002176/21” of Rashid Latif Dental College, Lahore.
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Availability of data and materials: Data is available on request from corresponding author.
References
1. Bos, A, Hoogstraten, J, Prahl-Andersen, B. Expectations of treatment and satisfaction with dentofacial appearance in orthodontic patients. Am J Orthod Dentofacial Orthop 2003;123:127–132. https://doi.org/10.1067/mod.2003.84.Suche in Google Scholar PubMed
2. Shahzad, HB, Iftikhar, D, Enver, N, Awais, F, Hussain, S. Psychosocial impacts of fixed orthodontic treatment in Lahore, Pakistan. Makara J Health Res 2020;24:187–92.Suche in Google Scholar
3. Seehra, J, Fleming, PS, Newton, T, DiBiase, AT. Bullying in orthodontic patients and its relationship to malocclusion, self-esteem and oral health-related quality of life. J Orthod 2011;38:247–56. https://doi.org/10.1179/14653121141641.Suche in Google Scholar PubMed
4. Nazir, R, Mahmood, A, Anwar, A. Assessment of psychosocial impact of dental aesthetics and self perceived orthodontic treatment need in young adults. J Pak Dent Assoc 2014;34:312–6.Suche in Google Scholar
5. AlSagob, EI, Alkeait, F, Alhaimy, L, Alqahtani, M, Hebbal, M, Gassem, AAB. Impact of self-perceived dental esthetic on psycho-social well-being and dental self confidence: a cross-sectional study among female students in riyadh city. Patient Prefer Adherence 2021;15:919–26. https://doi.org/10.2147/ppa.s308141.Suche in Google Scholar
6. Deng, X, Wang, Y-J, Deng, F, Liu, P-L, Wu, Y. Psychological well-being, dental esthetics, and psychosocial impacts in adolescent orthodontic patients: a prospective longitudinal study. Am J Orthod Dentofacial Orthop 2018;153:87–96. https://doi.org/10.1016/j.ajodo.2017.05.028.Suche in Google Scholar PubMed
7. Newman, PR, Newman, BM. Early adolescence and its conflict: group identity versus alienation. Adolescence 1976;11:261.Suche in Google Scholar
8. Ravindran, N, Hu, Y, McElwain, NL, Telzer, EH. Dynamics of mother–adolescent and father–adolescent autonomy and control during a conflict discussion task. J Fam Psychol 2020;34:312–21. https://doi.org/10.1037/fam0000588.Suche in Google Scholar PubMed
9. Choi, Y-J, Choi, J-O. The effects of the oral care behaviors of adolescents on self-perceived oral health. Curr Pediatr Res 2017;21:553–8.Suche in Google Scholar
10. Brown, BB, Clasen, DR, Eicher, SA. Perceptions of peer pressure, peer conformity dispositions, and self-reported behavior among adolescents. Dev Psychol 1986;22:521–30. https://doi.org/10.1037/0012-1649.22.4.521.Suche in Google Scholar
11. Dictionary, M-W. Merriam-webster; 2002. Available from: http://www mwcom/home htm 2.Suche in Google Scholar
12. Santor, DA, Messervey, D, Kusumakar, V. Measuring peer pressure, popularity, and conformity in adolescent boys and girls: predicting school performance, sexual attitudes, and substance abuse. J Youth Adolesc 2000;29:163–82. https://doi.org/10.1023/a:1005152515264.10.1023/A:1005152515264Suche in Google Scholar
13. Organization WH. Oral health surveys: basic methods. Lyon: World Health Organization; 2013.Suche in Google Scholar
14. Leghari, MA. Association of dental caries and parents knowledge of oral health, A cross-sectional survey of schools of karachi, Pakistan. JPDA 2014;23:19.Suche in Google Scholar
15. Tin-Oo, MM, Saddki, N, Hassan, N. Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics. BMC Oral Health 2011;11:1–8. https://doi.org/10.1186/1472-6831-11-6.Suche in Google Scholar PubMed PubMed Central
16. McNay, L. Foucault and feminism: Power, gender and the self. Boston: John Wiley & Sons; 2013.Suche in Google Scholar
17. Bem, SL, Lenney, E. Bem sex role inventory. J Pers Soc Psychol 1981;33:48–54. https://doi.org/10.1037/h0078640.Suche in Google Scholar PubMed
18. LaFontana, KM, Cillessen, AH. Children’s perceptions of popular and unpopular peers: a multimethod assessment. Dev Psychol 2002;38:635–47. https://doi.org/10.1037/0012-1649.38.5.635.Suche in Google Scholar
19. Vaillancourt, T, Hymel, S. Aggression and social status: the moderating roles of sex and peer‐valued characteristics. Aggress Behav: Official Journal of the International Society for Research on Aggression 2006;32:396–408. https://doi.org/10.1002/ab.20138.Suche in Google Scholar
20. Postigo Zegarra, S, González Barrón, R, Mateu Marqués, C, Ferrero Berlanga, J, Martorell Payas, C. Diferencias conductuales según género en convivencia escolar. Psicothema 2009;21:453–8.Suche in Google Scholar
21. Schwartz, D, Gorman, AH. The high price of high status. Popularity in the peer system 2011;245–70.Suche in Google Scholar
22. Saied-Moallemi, Z, Virtanen, J, Ghofranipour, F, Murtomaa, H. Influence of mothers’ oral health knowledge and attitudes on their children’s dental health. Eur Arch Paediatr Dent 2008;9:79–83. https://doi.org/10.1007/bf03262614.Suche in Google Scholar PubMed
23. Ellakany, P, Fouda, SM, Alghamdi, M, Bakhurji, E. Factors affecting dental self-confidence and satisfaction with dental appearance among adolescents in Saudi Arabia: a cross sectional study. BMC Oral Health 2021;21:1–8. https://doi.org/10.1186/s12903-021-01509-z.Suche in Google Scholar PubMed PubMed Central
24. Milevsky, A. Brief psychodynamic interventions for adult sibling issues. Springer: Sibling Issues in Therapy; 2016:160–79 pp.10.1057/9781137528476_10Suche in Google Scholar
25. Puri, S, Vasthare, R, Munoli, R. The impact of sibling behavior on oral health: a narrative review. J Int Soc Prev Community Dent 2019;9:106–11. https://doi.org/10.4103/jispcd.jispcd_349_18.Suche in Google Scholar
26. Sadeghipour, M, Khoshnevisan, MH, Jafari, A, Shariatpanahi, SP. Friendship network and dental brushing behavior among middle school students: an agent based modeling approach. PLoS One 2017;12:e0169236. https://doi.org/10.1371/journal.pone.0169236.Suche in Google Scholar PubMed PubMed Central
27. Aldhuwayhi, S. Perceptions of dental aesthetics among future Arabian oral health care professions: a cross-sectional study. Rev Argent Clin Psicol 2021;2:948–54.Suche in Google Scholar
28. Ao, H, Deng, X, She, Y, Wen, X, Wu, Q, Chen, F, et al.. A biopsychosocial-cultural model for understanding oral-health-related quality of life among adolescent orthodontic patients. Health Qual Life Outcome 2020;18:1–8. https://doi.org/10.1186/s12955-020-01334-y.Suche in Google Scholar PubMed PubMed Central
29. Al Khayyal, M, Al Halabi, M, Hussein, I, Salami, A, Rodd, H, Hassan, A, et al.. How do schoolchildren view other children who have discolored teeth? J Int Soc Prev Community Dent 2021;11:340–7. https://doi.org/10.4103/jispcd.JISPCD_46_21.Suche in Google Scholar PubMed PubMed Central
30. Hafidh, H. How dental aesthetics affects self-confidence and its impact on psychosocial behaviour: a clinical study within the university of leeds ages 18–25. Lietuvos sveikatos mokslų universitetas; 2019.Suche in Google Scholar
31. Wan Hassan, WN, Makhbul, MZM, Othman, SA. Age and gender are associated with the component of psychosocial impact of dental aesthetics questionnaire in young people: a cross-sectional study. Children 2022;9:496. https://doi.org/10.3390/children9040496.Suche in Google Scholar PubMed PubMed Central
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Artikel in diesem Heft
- Frontmatter
- Reviews
- Depression and anxiety in adolescents and young women with polycystic ovary syndrome: a systematic review and meta-analysis
- The role of psychiatry in diagnosis and treatment of paediatric chronic fatigue syndrome – a scoping literature review
- Original Articles
- Predictors of sexual and reproductive health self-care based on demographic factors in adolescent girls
- Intimate partner violence among unmarried young women (18–24 years) in urban communities, Ibadan, Nigeria
- Suicidal ideation, plan and attempt among adolescents in Houston Texas: a trend and cross-sectional analysis of the youth risk behavior survey 2011–2019 in the United States
- The prevalence of smoking cigarettes among HIV-infected patients after a decade. Single-center analysis
- Dental aesthetic related popularity and peer pressure, a survey of adolescents in Pakistan