Tseveenjav Battsetseg, Vehkalahti Miira M, Murtomaa Heikki
Department of Oral Public Health, Institute of Dentistry, University of Helsinki, Finland.
Oral Health Prev Dent. 2005;3(3):183-8.
To study barriers to providing oral health education (OHE) to their patients among Mongolian dentists.
A questionnaire survey was carried out in 2000 among practising dentists (n = 250) in the capital city of Mongolia. The response rate was 98%. Barriers to OHE were measured by six statements describing problems that might interfere with dentists' OHE activities and attitudes towards it by a statement about its importance; all answers were rated on a 5-point Likert scale (strongly agree-strongly disagree). Self-perceived competency in providing OHE was measured by means of a 4-point scale of competency (very to not at all competent) and preventive knowledge by 14 statements related to preventive dentistry. Dentists' work-related backgrounds were work experience in years, type of practice (state or private) and field of practice (general practice or speciality field). Statistical evaluation was carried out by chi-square test and logistic regression analysis.
Poor appreciation of OHE by patients (85%) followed by insufficient teaching materials (73%) and time constraint due to the huge demand for curative care (59%) were the most commonly agreed-upon barriers. Concerning their attitudes towards and competency in providing OHE, 88% of the dentists agreed that OHE should be statutory, and 85% perceived themselves at least quite competent. Dentists' years of work experience were positively, but preventive knowledge score negatively associated with their agreeing about barriers to OHE activities.
Despite appreciation of OHE, Mongolian dentists seem to face practical barriers to providing OHE activities.
研究蒙古牙医在为患者提供口腔健康教育（OHE）时所面临的障碍。
2000年对蒙古首都的执业牙医（n = 250）进行了问卷调查。回复率为98%。通过6条描述可能干扰牙医开展OHE活动的问题的陈述以及1条关于其重要性的陈述来衡量OHE的障碍；所有答案采用5级李克特量表（强烈同意 - 强烈不同意）评分。通过4级能力量表（非常有能力到完全没有能力）衡量牙医自我感知的提供OHE的能力，通过14条与预防牙科相关的陈述衡量预防知识。牙医的工作相关背景包括工作年限、执业类型（公立或私立）和执业领域（全科或专科领域）。采用卡方检验和逻辑回归分析进行统计评估。
患者对OHE的重视不足（85%），其次是教材不足（73%）以及由于对治疗护理的巨大需求导致时间受限（59%），这些是最普遍认同的障碍。关于他们对提供OHE的态度和能力，88%的牙医认为OHE应该是法定的，85%认为自己至少相当有能力。牙医的工作年限与他们认同OHE活动障碍呈正相关，而预防知识得分与认同障碍呈负相关。
尽管认识到OHE的重要性，但蒙古牙医在开展OHE活动时似乎面临实际障碍。
