Sezer Rabia Gonul, Paketci Cem, Bozaykut Abdulkadir
Department of Pediatrics, Zeynep Kamil Maternity and Children's Diseases Training and Research State Hospital, Istanbul, Turkey.
Paediatr Child Health. 2013 Apr;18(4):e15-9. doi: 10.1093/pch/18.4.e15.
In Turkey, 74.1% of children between three and six years of age develop dental caries.
To assess the depth of oral health and dental knowledge among paediatricians in Turkey, to determine their level of oral health education and to determine factors that were associated with higher knowledge scores.
A cross-sectional survey of demographics that assessed the participants' knowledge of oral and dental health, attitudes regarding oral health during well-child visits and opinions regarding infant oral health care visits was conducted. The outcome variables were the proportions of paediatricians who adhered to good clinical practice guidelines, recommended dental visits for children younger than one year of age, and having a knowledge score >50%.
The participant characteristics that were significantly associated with a greater mean number of correct answers were female sex, good clinical practice, confidence in detecting dental caries and the presence of a dentistry department in their hospital (P=0.001, P<0.001, P<0.001 and P=0.02, respectively). Only 13.9% of paediatricians referred children younger than one year of age to a dentist. After adjusting for the level of oral health education received during residency training, sex and having children, only the knowledge score was significantly associated with referring patients younger than one year of age to a dentist (P=0.01).
Some paediatricians' knowledge was found to be associated with practices that were in accordance with professional society recommendations. The lack of dental knowledge and training in residency limits the paediatricians' role in promoting children's oral health in daily practice.
在土耳其,3至6岁的儿童中有74.1%患有龋齿。
评估土耳其儿科医生的口腔健康深度和牙科知识,确定他们的口腔健康教育水平,并确定与较高知识得分相关的因素。
进行了一项横断面人口统计学调查,评估参与者对口腔和牙齿健康的知识、在儿童健康检查期间对口腔健康的态度以及对婴儿口腔保健检查的看法。结果变量是遵守良好临床实践指南、建议一岁以下儿童进行牙科检查以及知识得分>50%的儿科医生比例。
与正确答案平均数量较多显著相关的参与者特征为女性、良好的临床实践、对检测龋齿有信心以及其医院设有牙科科室(分别为P=0.001、P<0.001、P<0.001和P=0.02)。只有13.9%的儿科医生将一岁以下儿童转诊至牙医处。在对住院医师培训期间接受的口腔健康教育水平、性别和是否有孩子进行调整后,只有知识得分与将一岁以下患者转诊至牙医处显著相关(P=0.01)。
发现一些儿科医生的知识与符合专业协会建议的做法相关。住院医师培训中牙科知识和培训的缺乏限制了儿科医生在日常实践中促进儿童口腔健康的作用。