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牙医和口腔保健员对人乳头瘤病毒相关知识的了解情况

HPV-Related Knowledge Among Dentists and Dental Hygienists.

作者信息

Daley Ellen M, Thompson Erika L, Vamos Cheryl A, Griner Stacey B, Vazquez-Otero Coralia, Best Alicia L, Kline Nolan S, Merrell Laura K

机构信息

Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.

The Chiles Center, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.

出版信息

J Cancer Educ. 2018 Aug;33(4):901-906. doi: 10.1007/s13187-016-1156-5.

Abstract

Dental providers, such as dentists and dental hygienists, play an important role in HPV-related oropharyngeal cancer prevention. Dental professional organizations recommend dental providers educate patients about HPV and oral cancers. The objective of this study was to assess HPV knowledge among dental providers. Dentists (n = 36) and dental hygienists (n = 146) attending a professional conference completed a continuing education post-test survey, which included socio-demographics, an HPV knowledge scale, and measure of HPV discussion with patients ("no," "yes," and "yes, but only with some patients"). Chi-square tests, t tests, and ANOVA tests were used for this analysis. Although dental hygienists (35.4%) reported less discussion with patients about HPV than dentists (52.8%), these differences were not significant. The mean knowledge score was 24.7 (SD = 3.8) with no significant differences by profession. Among dentists, knowledge did not significantly differ by discussion category (p = 0.28). In contrast, dental hygienists who did not discuss HPV with patients had significantly lower mean knowledge scores (mean = 23.4) than those who discussed with patients (mean = 26.5, p < 0.01) or discussed only with some patients (mean = 26.0, p = 0.01). Knowledge deficits included outcomes associated with HPV, HPV in men, and curability. Specifically, participants incorrectly answered that HPV can affect a women's ability to get pregnant (81.9%), that one can never get rid of HPV once they have it (69.2%), and that HPV can cause herpes (43.4%). This study identified HPV knowledge deficits among dental providers. Given the recommendation for dental providers to discuss HPV prevention with their patients, additional education and training on this emerging topic may benefit these professionals.

摘要

牙科医疗服务提供者,如牙医和口腔卫生员,在人乳头瘤病毒(HPV)相关的口咽癌预防中发挥着重要作用。牙科专业组织建议牙科医疗服务提供者向患者普及HPV和口腔癌的知识。本研究的目的是评估牙科医疗服务提供者对HPV的了解程度。参加专业会议的牙医(n = 36)和口腔卫生员(n = 146)完成了一项继续教育后的测试调查,其中包括社会人口统计学信息、HPV知识量表,以及与患者讨论HPV情况的衡量指标(“否”、“是”和“是,但仅与部分患者讨论”)。本分析采用卡方检验、t检验和方差分析。尽管口腔卫生员(35.4%)报告与患者讨论HPV的情况少于牙医(52.8%),但这些差异并不显著。平均知识得分是24.7(标准差 = 3.8),不同专业之间没有显著差异。在牙医中,不同讨论类别之间的知识得分没有显著差异(p = 0.28)。相比之下,未与患者讨论HPV的口腔卫生员的平均知识得分(平均 = 23.4)显著低于与患者讨论过的(平均 = 26.5,p < 0.01)或仅与部分患者讨论过的(平均 = 26.0,p = 0.01)。知识缺陷包括与HPV相关的结果、男性感染HPV以及可治愈性。具体而言,参与者错误地回答HPV会影响女性怀孕能力(81.9%)、感染HPV后就永远无法清除(69.2%)以及HPV会引起疱疹(43.4%)。本研究发现了牙科医疗服务提供者在HPV知识方面的缺陷。鉴于建议牙科医疗服务提供者与患者讨论HPV预防问题,针对这个新出现的主题进行额外的教育和培训可能会使这些专业人员受益。

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