Division of Oral Epidemiology and Dental Public Health, University of California at San Francisco, USA.
J Public Health Dent. 2010 Spring;70(2):108-14. doi: 10.1111/j.1752-7325.2009.00150.x.
The objective of this study was to determine general dentists' attitudes and practices related to patients with diabetes, a major public health issue with oral complications.
This study was a cross-sectional survey of 265 randomly selected general dentists who were Delta Dental providers in California, West Virginia, and Pennsylvania.
Sixty-one percent of respondents believed that addressing diabetes was important to their role as a dentist, 86 percent advised patients with diabetes about periodontal risks, 18 percent provided diabetic-related services, 47 percent reported they knew how to assess for diabetes, and 42 percent felt well prepared to intervene with patients with diabetes. Adjusting for number of patients with diabetes and adult patients seen in the past month, dentists' formal training in diabetes assessment and management [odds ratio (OR) = 4.0, P = 0.000, confidence interval (CI) = 1.9, 8.5], and belief in the importance of their role as a dentist to intervene with patients with diabetes (OR = 1.6, P = 0.011, CI = 1.1,2.3) were both significant factors in providing services for patients with diabetes. Similarly, dentists' formal training (OR = 3.0, P = 0.02, CI = 1.2, 7.3) and belief in the importance of their role (OR = 1.9, P = 0.00, CI = 1.3, 2.6) were both significant factors in advising patients with diabetes about periodontal risk associated with diabetes.
Formal training and personal beliefs are important factors related to dentists' behavior toward patients with diabetes in the dental setting.
本研究旨在确定普通牙医对糖尿病患者的态度和实践，糖尿病是一个具有口腔并发症的重大公共卫生问题。
本研究是对加利福尼亚州、西弗吉尼亚州和宾夕法尼亚州的 265 名随机选择的接受牙医疗保险的普通牙医进行的横断面调查。
61%的受访者认为，作为牙医，解决糖尿病问题对他们的角色很重要，86%的人告知糖尿病患者牙周病的风险，18%提供与糖尿病相关的服务，47%的人报告他们知道如何评估糖尿病，42%的人认为自己有能力很好地干预糖尿病患者。调整糖尿病患者人数和过去一个月内看诊的成年患者人数后，牙医接受过糖尿病评估和管理方面的正规培训（比值比（OR）=4.0，P=0.000，置信区间（CI）=1.9，8.5），以及认为他们作为牙医干预糖尿病患者的角色很重要（OR=1.6，P=0.011，CI=1.1，2.3），这两个因素均与为糖尿病患者提供服务有关。同样，牙医接受过正规培训（OR=3.0，P=0.02，CI=1.2，7.3）和认为他们作为牙医的角色很重要（OR=1.9，P=0.00，CI=1.3，2.6），这两个因素均与告知糖尿病患者与糖尿病相关的牙周病风险有关。
正规培训和个人信念是与牙医在牙科环境中对待糖尿病患者行为相关的重要因素。
