UK population norms for the modified dental anxiety scale with percentile calculator: adult dental health survey 2009 results

BMC Oral Health. 2013 Jun 24:13:29. doi: 10.1186/1472-6831-13-29.

Abstract

Background: A recent UK population survey of oral health included questions to assess dental anxiety to provide mean and prevalence estimates of this important psychological construct.

Methods: A two-stage cluster sample was used for the survey across England, Wales, and Northern Ireland. The survey took place between October-December 2009, and January-April 2010. All interviewers were trained on survey procedures. Within the 7,233 households sampled there were 13,509 adults who were asked to participate in the survey and 11,382 participated (84%).

Results: The scale was reliable and showed some evidence of unidimensionality. Estimated proportion of participants with high dental anxiety (cut-off score = 19) was 11.6%. Percentiles and confidence intervals were presented and can be estimated for individual patients across various age ranges and gender using an on-line tool.

Conclusions: The largest reported data set on the MDAS from a representative UK sample was presented. The scale's psychometrics is supportive for the routine assessment of patient dental anxiety to compare against a number of major demographic groups categorised by age and sex. Practitioners within the UK have a resource to estimate the rarity of a particular patient's level of dental anxiety, with confidence intervals, when using the on-line percentile calculator.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Age Factors
  • Analysis of Variance
  • Bayes Theorem
  • Chi-Square Distribution
  • Cluster Analysis
  • Confidence Intervals
  • Data Interpretation, Statistical
  • Dental Anxiety / diagnosis
  • Dental Anxiety / epidemiology*
  • Dental Anxiety / psychology*
  • Dental Health Surveys / standards
  • Dental Health Surveys / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Manifest Anxiety Scale / standards*
  • Online Systems
  • Prevalence
  • Psychometrics
  • Reference Values
  • Sex Factors
  • Social Class
  • United Kingdom / epidemiology