佐治亚州亚特兰大市低收入非裔美国男性的口腔健康干预措施
Oral Health Intervention for Low-Income African American Men in Atlanta, Georgia.
作者信息
Hoffman LaShawn M, Rollins Latrice, Henry Akintobi Tabia, Erwin Katherine, Lewis Kimberly, Hernandez Natalie, Miller Assia
机构信息
LaShawn M. Hoffman, Latrice Rollins, Tabia Henry Akintobi, Katherine Erwin, and Natalie Hernandez are with the Morehouse School of Medicine, Atlanta, GA. Kimberly Lewis is with the Fulton County Department of Health and Wellness, Atlanta. Assia Miller is with McKing Consulting Corporation, Atlanta.
出版信息
Am J Public Health. 2017 May;107(S1):S104-S110. doi: 10.2105/AJPH.2017.303760.
OBJECTIVES
To describe the Minority Men's Oral Health Dental Access Program (MOHDAP) intervention and report participants' outcomes and satisfaction.
METHODS
MOHDAP was designed to increase the oral health knowledge of low-income, African American men in Atlanta, GA, in 2013. A community-based participatory approach and needs assessment guided the intervention development, which consisted of 3 educational modules delivered over a 2-day period. All participants (n = 45; mean age = 50 years) were African American men. We assessed changes in oral health knowledge and attitudes at baseline and postintervention via survey.
RESULTS
After the intervention, the percentage of correct responses to questions about gingivitis increased by 24.2% (P = .01), about use of a hard (instead of a soft) toothbrush increased by 42.2% (P < .01), and knowledge of ways to prevent gum diseases increased by 16.0% (P = .03). The percentage agreeing with erroneous statements decreased 11.3% (P = .02) regarding oral health-related fatalism and oral health self-care and 17.4% (P = .05) regarding saving front versus back teeth.
CONCLUSIONS
Community-based oral health educational interventions designed for African American men may reduce oral health disparities among this population.
目的
描述少数族裔男性口腔健康牙科服务项目（MOHDAP）干预措施，并报告参与者的结果和满意度。
方法
2013年，MOHDAP旨在提高佐治亚州亚特兰大市低收入非裔美国男性的口腔健康知识。一种基于社区的参与式方法和需求评估指导了干预措施的制定，该措施包括在两天内提供的3个教育模块。所有参与者（n = 45；平均年龄 = 50岁）均为非裔美国男性。我们通过调查评估了基线和干预后口腔健康知识和态度的变化。
结果
干预后，关于牙龈炎问题的正确回答百分比增加了24.2%（P = 0.01），关于使用硬毛（而非软毛）牙刷的回答百分比增加了42.2%（P < 0.01），预防牙龈疾病方法的知识增加了16.0%（P = 0.03）。在口腔健康相关宿命论和口腔健康自我护理方面，同意错误陈述的百分比下降了11.3%（P = 0.02），在保存前门牙与后牙方面下降了17.4%（P = 0.05）。
结论
为非裔美国男性设计的基于社区的口腔健康教育干预措施可能会减少该人群中的口腔健康差异。
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