{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:41:45Z","timestamp":1791416505138,"version":"4.3.3"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T00:00:00Z","timestamp":1712880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the association between the individuals' level of sense of coherence (SOC) and periodontal disease severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study populations originated from two stratified cross\u2010sectional random samples of residents in a medium\u2010sized Swedish city in 2003 and 2013, respectively. The final samples constituted 491 individuals in 2003 and 538 individuals in 2013. The samples were classified into three groups according to the severity of periodontitis (no\/minor, moderate and severe). The 13\u2010item Swedish version of Antonovsky's \u201cOrientation to life\u201d questionnaire, measuring the individual's SOC, was filled out. Descriptive statistics were performed as well as multinomial logistic regression analysis. Dependent variable was the severity of periodontal disease and independent variables, age in years, presently smoking and education at university level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the multinomial regression analysis, smoking, age, and total SOC score were significantly associated with severe periodontitis at both examinations. The strongest predictor of severe periodontal disease was smoking. The total SOC score did not differ between the examinations, but there was a statistically significant difference in two of the SOC dimensions, manageability (lower), and comprehensibility (higher), over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Individuals with severe periodontitis had significantly lower SOC compared to subjects periodontally having no\/minor periodontal disease. Smoking was the strongest overall predictor of having severe periodontitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12806","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T10:08:53Z","timestamp":1712916533000},"page":"897-904","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Association of sense of coherence and periodontal disease severity, in two cross\u2010sectional studies"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3631-8136","authenticated-orcid":false,"given":"\u00c5sa","family":"Wahlin","sequence":"first","affiliation":[{"name":"Department of Periodontology, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2786-707X","authenticated-orcid":false,"given":"Ulrika","family":"Lindmark","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Karlstad University  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola","family":"Norderyd","sequence":"additional","affiliation":[{"name":"School of Health and Welfare J\u00f6nk\u00f6ping University and The Institute for Postgraduate Dental Education, Region J\u00f6nk\u00f6ping County  J\u00f6nk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.it.2013.09.001"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1998.tb02419.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13245"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13290"},{"key":"e_1_2_11_6_1","volume-title":"Unraveling the Mystery of Health: how People Manage Stress and Stay Well","author":"Antonovsky A","year":"1987"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2010.01604.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2011.00633.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2010.517553"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2009.00655.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2009.00483.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2011.00627.x"},{"issue":"4","key":"e_1_2_11_13_1","first-page":"271","article-title":"A strong sense of coherence promotes regular dental attendance in adults","volume":"21","author":"Savolainen J","year":"2004","journal-title":"Community Dent Health"},{"issue":"4","key":"e_1_2_11_14_1","first-page":"197","article-title":"Sense of coherence associates with oral and general health behaviours","volume":"26","author":"Savolainen J","year":"2009","journal-title":"Community Dent Health"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0133918"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/FCH.0000000000000277"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2016.1154601"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12272"},{"issue":"2","key":"e_1_2_11_19_1","first-page":"57","article-title":"Oral health of individuals aged 3\u201380\u2009years in J\u00f6nk\u00f6ping, Sweden, during 40\u2009years (1973\u20132013). 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