Leão J C, Góes P, Sobrinho C B, Porter S
Departamento de Clinica e Odontologia Preventiva, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Int J Oral Maxillofac Surg. 2005 Jun;34(4):436-9. doi: 10.1016/j.ijom.2004.10.004.
The aim of the present work was to assess the knowledge and attitudes of Brazilian General Dental Practitioners with regard to aspects of the aetiology, early diagnosis and prevention of oral cancer relevant for general dental practice. A convenience sample of 129 dentists in Brazil was randomly selected and asked to complete a questionnaire. Results of bi-variated analysis revealed that a self-perceived good knowledge regarding relevant aspects of oral cancer was statistically significantly associated with male gender (Chi square=4.59, P<0.05). Simple logistic regression revealed that male professionals were 2.9 times more knowledgeable than their female colleagues (OR=2.9, 1.1-8.1 95% CI, P=0.037), although, this association was not statistically significant when adjusted for age using multiple regression analysis (OR=2.7, 0.9-7.5 95% CI, P=0.059). There were no significant differences in relevant knowledge and attitudes of private compared with public dentists. Importantly, General Dental Practitioners who spent more than half of time of a patient's initial consultation undertaking a clinical examination were the more likely to detect oral cancer (Chi square=4.245, P=0.039) than those who set aside little time examining their patients. It is concluded that the knowledge of dentists in Brazil regarding relevant aspects of oral cancer is suboptimal, and may not be associated with any examined social-demographic variables. Further research is required to clarify the role of continuing professional education in improving the knowledge and attitudes of dentists relevant to oral cancer in Brazil.
本研究的目的是评估巴西普通牙科医生在口腔癌病因、早期诊断和预防等与普通牙科实践相关方面的知识和态度。在巴西随机抽取了129名牙医作为便利样本,并要求他们填写一份问卷。双变量分析结果显示,自我感觉对口腔癌相关方面有良好了解在统计学上与男性性别显著相关(卡方=4.59,P<0.05)。简单逻辑回归显示,男性专业人员的知识水平比女性同事高2.9倍(OR=2.9,95%CI为1.1-8.1,P=0.037),不过,在使用多元回归分析对年龄进行校正后,这种关联在统计学上并不显著(OR=2.7,95%CI为0.9-7.5,P=0.059)。私立牙医和公立牙医在相关知识和态度方面没有显著差异。重要的是,在患者初诊时花费超过一半时间进行临床检查的普通牙科医生比那些很少花时间检查患者的医生更有可能发现口腔癌(卡方=4.245,P=0.039)。研究得出结论,巴西牙医在口腔癌相关方面的知识并不理想,且可能与任何已调查的社会人口统计学变量无关。需要进一步研究以阐明继续职业教育在提高巴西牙医与口腔癌相关的知识和态度方面的作用。