Fried J L, Rubinstein L
Department of Dental Hygiene, University of Maryland Dental School, Baltimore 21201.
J Dent Educ. 1989 Dec;53(12):712-7.
Dental hygienists need to assume a proactive health education role concerning tobacco use. To help measure, define, and broaden this role, a study was conducted to assess dental hygienists' current clinical practice behaviors, attitudes, and perceived curriculum adequacy concerning anti-tobacco efforts. The relationships among these variables and respondents' academic degree and year of graduation were analyzed. The study population consisted of a proportionate random sample of 500 dental hygienists in five states and the District of Columbia. A self-administered questionnaire yielded a response rate of 79.4 percent. Based on chi-square analyses of individual items, it was found that, when controlling for degree held, year of graduation was not significantly related to clinical practice behaviors or attitudes, but was significantly related to the majority of curriculum adequacy items. Academic degree, when controlled for year of graduation, was not significantly related to clinical practice behaviors, but was related to one attitude and two curriculum adequacy items. Analysis of variance and Duncan's multiple range test revealed the following significant relationships for aggregate data: year of graduation and degree held appeared to have no relationship to aggregate clinical practice behaviors or attitudes, M.S. degree respondents assigned higher curriculum adequacy ratings than did other subjects, and respondents who graduated prior to 1972 assigned their curricula more negative adequacy ratings than did all other graduates. The most recent graduates rated their curricula the most positively. The study's overall findings suggest that a fairly well-developed role for dental hygienists in anti-tobacco efforts exists. Given the current emphasis on health promotion, prevention, and holism in the provision of oral health care, it is commendable, but not surprising, that dental hygiene programs appear to have made positive modifications over time in tobacco-related content.
牙科保健员需要在烟草使用方面承担积极主动的健康教育角色。为了帮助衡量、界定并拓展这一角色，开展了一项研究，以评估牙科保健员目前在反烟草工作方面的临床实践行为、态度以及对课程设置充足性的认知。分析了这些变量与受访者的学术学位和毕业年份之间的关系。研究对象包括从五个州和哥伦比亚特区按比例随机抽取的500名牙科保健员。一份自填式问卷的回复率为79.4%。基于对各个项目的卡方分析发现，在控制学位因素后，毕业年份与临床实践行为或态度无显著关联，但与大多数课程设置充足性项目显著相关。在控制毕业年份后，学术学位与临床实践行为无显著关联，但与一种态度及两个课程设置充足性项目相关。方差分析和邓肯多重极差检验揭示了汇总数据的以下显著关系：毕业年份和学位似乎与汇总临床实践行为或态度无关，拥有硕士学位的受访者对课程设置充足性的评分高于其他受试者，1972年之前毕业的受访者对其课程设置充足性的评分比所有其他毕业生更为负面。最新毕业的受访者对其课程设置的评价最为积极。该研究的总体结果表明，牙科保健员在反烟草工作中已存在一个相当完善的角色。鉴于目前在提供口腔保健时对健康促进、预防和整体观念的重视，牙科保健课程随着时间推移在与烟草相关的内容上似乎做出了积极调整，这值得称赞，但并不令人意外。
