Shick Elizabeth A, Lee Jessica Y, Rozier R Gary
University of North Carolina School of Dentistry, Department of Pediatric Dentistry, School of Dentistry CB# 7450, Chapel Hill, NC 27599, USA.
J Public Health Dent. 2005 Fall;65(4):196-202. doi: 10.1111/j.1752-7325.2005.tb03018.x.
To examine the effects of knowledge and confidence on dental referral practices among WIC nutritionists in North Carolina.
A questionnaire consisting of 118 Likert scale-type questions was administered to 92% of all WIC nutritionists in North Carolina (n = 324). The relationship of knowledge and confidence with frequent dental referrals was tested using logistic regression.
Regression results found that confidence in performing oral health risk assessments (OR = 2.12; 95% CI = 1.13, 3.96), confidence in making dental referrals (OR = 3.02; 95% CI = 1.45-6.29), and confidence in expected outcomes that parents would seek dental care when advised to do so (OR = 3.11; 95% CI = 1.62, 5.97) were associated with more frequent dental referrals.
The more confident WIC nutritionists feel about oral health, the more likely they are to make dental referrals. Screening and referral by WIC workers may benefit children by improving access to dental care, as the WIC clinic is frequently the first point of contact with a health professional.
研究知识和信心对北卡罗来纳州妇女、婴儿和儿童营养补充计划（WIC）营养师牙科转诊行为的影响。
对北卡罗来纳州92%的WIC营养师（n = 324）进行了一项包含118个李克特量表式问题的问卷调查。使用逻辑回归分析知识和信心与频繁牙科转诊之间的关系。
回归结果发现，进行口腔健康风险评估的信心（比值比[OR]=2.12；95%置信区间[CI]=1.13，3.96）、进行牙科转诊的信心（OR = 3.02；95% CI = 1.45 - 6.29）以及对家长在得到建议后会寻求牙科护理的预期结果的信心（OR = 3.11；95% CI = 1.62，5.97）与更频繁的牙科转诊相关。
WIC营养师对口腔健康越有信心，就越有可能进行牙科转诊。WIC工作人员的筛查和转诊可能会通过改善儿童获得牙科护理的机会而使他们受益，因为WIC诊所通常是与健康专业人员的首个接触点。
