Evidence map›Paper›PMID 42116054›Full record

ArticleBMC oral health2026

Dental fear and anxiety and its sociodemographic associations among public and private schoolchildren aged 8 to 12 years in Depok, Indonesia: a cross-sectional study.

Wisnu Fadila, Mugia Bayu Rahardja, Anne Agustina Suwargiani, Yanu Endar Prasetyo, Eriska Riyanti

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Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Wisnu FadilaDoctoral Programme, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia. wisnu22005@mail.unpad.ac.id.
Mugia Bayu RahardjaResearch Centre for Population, National Research and Innovation Agency (BRIN), Jakarta Selatan, Indonesia.
Anne Agustina SuwargianiDoctoral Programme, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.
Yanu Endar PrasetyoResearch Centre for Population, National Research and Innovation Agency (BRIN), Jakarta Selatan, Indonesia.
Eriska RiyantiDoctoral Programme, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental fear and anxiety (DFA) affect dental visits and oral health outcomes in children. Sociodemographic factors linked to DFA are understudied in Indonesia.

objectivesThis study examined the prevalence, triggers, and sociodemographic factors associated with DFA among schoolchildren aged 8-12 years in Depok City, Indonesia. The goal is to inform targeted interventions in school-based settings.

methodsA total of 460 schoolchildren aged 8-12 years were recruited from five elementary schools in Depok City by using randomised multistage cluster sampling. The participant's parents also participated in the study. The questionnaires were adapted from the Indonesian Modified Dental Anxiety Scale with Facial Image Scale pictorial response aids (MDAS + FIS), Riskesdas, and Susenas and were administered by trained enumerators. The DFA scores were analysed as continuous and categorical data: no DFA (score 5), mild (6-11), and high (> 11). The covariates included age, sex, birth order, school grade, and school type. The statistical methods employed included descriptive statistics, linear regression, ordered logit regression, and generalised ordered logit regression. Sensitivity analyses for alternatives outcomes were conducted.

resultsThe mean DFA score was 11.1 (SD: 3.46), median 11 (IQR 9-13). In total, 53.2% of children had mild DFA, and 43.6% had high DFA. Injections (mean 3.13) and tooth drilling (mean 2.79) were the most common triggers. Older age (11-12 vs. 8-10 years), attending private schools, and higher birth order were consistently associated with lower DFA. Sex had weaker associations. Multivariate analysis confirmed these associations, with private schools and older age being the strongest predictors of reduced DFA. Sensitivity analyses affirmed robustness.

conclusionsThere is a high prevalence of mild to high DFA. Early DFA strategies are needed to improve dental attendance and cooperation among Depok City schoolchildren. Lower DFA is associated with older age, later birth order, higher grades, and private schools. The major triggers were dental injections and drilling. These findings provide locally relevant evidence to tailor long-term oral health strategies.

Indexed as

Dental AnxietyChildCross-Sectional StudiesFemaleHumansIndonesiaMalePrevalencePrivate SectorPublic SectorSociodemographic FactorsChildrenDental anxietyDental fearIndonesiaSociodemographic factors

Identifiers

PMID42116054
PMCPMC13343720

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