Shin William K, Braun Thomas M, Inglehart Marita R
Department of Periodontics & Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
J Public Health Dent. 2014 Summer;74(3):195-201. doi: 10.1111/jphd.12046. Epub 2013 Dec 11.
To explore a) the relationship between parents'/guardians' dental anxiety and oral health literacy and b) those between these variables and background and oral health-related characteristics.
Survey data were collected from 187 parents/guardians (81% female; average age 37 years). Dental anxiety was measured with the Dental Anxiety Scale - Revised (DAS-R) and oral health literacy with the Rapid Estimate of Adult Literacy in Dentistry (REALD-30). Children's dental charts were reviewed to collect information about their dental treatment.
DAS-R and REALD-30 scores were correlated (r = -0.22; P = 0.003). A multivariate regression model with DAS-R score as the dependent variable showed that the DAS-R score has a significant multivariate association with REALD-30, oral health, income, and presence of fillings.
Dental anxiety and oral health literacy are related. However, DAS score has a significant multivariate association with the four variables REALD-30 score, oral health, income, and presence of fillings. These findings show that among socioeconomically disadvantaged patients, the contributors to poor oral health are interrelated and multidetermined and include poor oral health literacy and dental anxiety. The public health message is that in order to improve the overall oral health of socioeconomically disadvantaged patients, public health stakeholders need to consider how to communicate with these patients effectively and how to reduce dental anxiety. Gaining a better understanding of how to communicate with parents a) at an appropriate literacy level and b) in a way that it reduces dental anxiety is therefore crucial.
a）探讨父母/监护人的牙科焦虑与口腔健康素养之间的关系，以及b）这些变量与背景和口腔健康相关特征之间的关系。
收集了187名父母/监护人（81%为女性；平均年龄37岁）的调查数据。使用修订后的牙科焦虑量表（DAS-R）测量牙科焦虑，使用牙科成人识字快速评估量表（REALD-30）测量口腔健康素养。查阅儿童牙科图表以收集有关其牙科治疗的信息。
DAS-R和REALD-30得分具有相关性（r = -0.22；P = 0.003）。以DAS-R得分为因变量的多元回归模型显示，DAS-R得分与REALD-30、口腔健康、收入和补牙情况存在显著的多元关联。
牙科焦虑与口腔健康素养相关。然而，DAS得分与REALD-30得分、口腔健康、收入和补牙情况这四个变量存在显著的多元关联。这些发现表明，在社会经济地位不利的患者中，口腔健康不佳的影响因素相互关联且是多因素决定的，包括口腔健康素养低和牙科焦虑。公共卫生信息是，为了改善社会经济地位不利患者的整体口腔健康，公共卫生利益相关者需要考虑如何与这些患者有效沟通以及如何减少牙科焦虑。因此，更好地理解如何a）以适当的识字水平与父母沟通，以及b）以减少牙科焦虑的方式与父母沟通至关重要。
