{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T07:05:43Z","timestamp":1784099143419,"version":"3.55.0"},"reference-count":58,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the heterogeneity of oral health self-efficacy among patients undergoing maintenance hemodialysis (MHD) and its influencing factors, and to compare the discrepancies in oral health-related quality of life (OHRQoL) across different patient subgroups, thereby furnishing evidence for the formulation of targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sampling approach was adopted to recruit 352 MHD patients from three tertiary hospitals in Guangzhou from June 2023 to April 2024. Data were collected using a general information questionnaire, the Self-Efficacy Scale for Oral health (SESS), and the Oral Health Impact Profile-14 (OHIP-14). Latent profile analysis (LPA) was employed to identify latent classes of oral health self-efficacy. Univariate analysis and multivariate logistic regression analysis were performed to explore the influencing factors of class membership, and differences in OHRQoL among the classes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total score of SESS was 49.60\u202f\u00b1\u202f11.91, and that of the OHIP-14 was 12.61\u202f\u00b1\u202f9.51. LPA identified three latent classes: C1 \u201clow self-efficacy group\u201d (17.3%), C2 \u201cmoderate self-efficacy group\u201d (44.9%), and C3 \u201chigh self-efficacy group\u201d (37.8%). The three-class model demonstrated optimal comprehensive fit indices and practical interpretability (Entropy\u202f=\u202f0.966). Multivariate logistic regression analysis indicated that age, place of residence, monthly household income, number of comorbidities, daily tooth brushing frequency, and self-rated oral health status were significant influencing factors of oral health self-efficacy levels in MHD patients (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). There were statistically significant differences in OHRQoL scores among the different classes of MHD patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Improving oral health self-efficacy could effectively ameliorate patients\u2019 OHRQoL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Oral health self-efficacy in MHD patients exhibits significant heterogeneity and can be categorized into three latent classes, with notable differences in OHRQoL across classes. Healthcare providers ought to develop class-specific stratified intervention strategies: focusing on improving basic oral care skills in the low self-efficacy group, correcting cognitive biases in the moderate self-efficacy group, and facilitating dental visit behaviors in the high self-efficacy group, so as to improve patients\u2019 overall oral health-related quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1867077","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:11:12Z","timestamp":1784095872000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Latent profile analysis of oral health self-efficacy in maintenance hemodialysis patients and its impact on oral health"],"prefix":"10.3389","volume":"14","author":[{"given":"Bixia","family":"Yuan","sequence":"first","affiliation":[{"name":"Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamei","family":"Guo","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiling","family":"Yang","sequence":"additional","affiliation":[{"name":"Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine","place":["Shenzhen, Guangdong, China"]},{"name":"The Sixth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiran","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Dong","sequence":"additional","affiliation":[{"name":"Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine","place":["Shenzhen, Guangdong, China"]},{"name":"The Sixth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongrong","family":"Wang","sequence":"additional","affiliation":[{"name":"Guangdong Provincial Hospital of Traditional Chinese Medicine University City Hospital","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongmei","family":"Lu","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jieqian","family":"Wu","sequence":"additional","affiliation":[{"name":"Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinqin","family":"Zhong","sequence":"additional","affiliation":[{"name":"Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine","place":["Shenzhen, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"ref1","year":"2023"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e38685","DOI":"10.34172\/jrip.2025.38685","article-title":"Oral microbiota in hemodialysis patients; a narrative review on recent ideas","volume":"14","author":"Rashid","year":"2025","journal-title":"J Ren Inj 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