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评估儿科牙医对儿童肥胖和含糖饮料的态度及行为。

Assessing attitudes and actions of pediatric dentists toward childhood obesity and sugar-sweetened beverages.

作者信息

Wright Robin, Casamassimo Paul S

机构信息

Pediatric Oral Health Research and Policy Center, American Academy of Pediatric Dentistry, Chicago, Illinois, United States.

出版信息

J Public Health Dent. 2017 Jun;77 Suppl 1:S79-S87. doi: 10.1111/jphd.12240. Epub 2017 Jul 15.

Abstract

OBJECTIVES

Childhood obesity is a major US health concern, and oral health professionals have opportunities to participate in an interprofessional effort to intervene owing to their access to young patients and their abilities in addressing obesity-related dietary habits like consumption of sugar-sweetened beverages (SSBs). This study determined attitudes, behaviors, future intentions, and perceived barriers of pediatric dentists regarding efforts to prevent childhood obesity and reduce children's consumption of SSBs.

METHODS

The American Academy of Pediatric Dentistry conducted an online electronic survey with a convenience sample of approximately 7,450 pediatric dentists and pediatric dental residents during spring 2016.

RESULTS

Over 17 percent of pediatric dentists offer childhood obesity interventions. Of those not providing interventions, 67 percent were interested in offering obesity-prevention services. Nearly 94 percent of pediatric dentists offer information or other interventions on consumption of SSBs. Statistically significant barriers to providing healthy weight interventions were fear of offending parents, appearing judgmental, or creating parent dissatisfaction and a lack of parental acceptance of guidance about weight management from a dentist. Significant barriers to SSB interventions were sufficient time and health professional education.

CONCLUSIONS

More pediatric dentists stated they offer childhood obesity interventions than in previous surveys reporting 6 percent, but respondents suggested that a child's weight is seen as a medical rather than dental issue. Most pediatric dentists provide interventions related to consumption of SSBs, perceiving the issue as integral to their care of children.

摘要

目的

儿童肥胖是美国主要的健康问题,口腔健康专业人员有机会参与跨专业的干预工作,因为他们能够接触到年轻患者,并且有能力解决与肥胖相关的饮食习惯问题,如饮用含糖饮料(SSB)。本研究确定了儿科牙医在预防儿童肥胖和减少儿童饮用SSB方面的态度、行为、未来意图以及感知到的障碍。

方法

2016年春季,美国儿科学会对约7450名儿科牙医和儿科牙科住院医师进行了一项在线电子便利抽样调查。

结果

超过17%的儿科牙医提供儿童肥胖干预措施。在未提供干预措施的牙医中,67%有兴趣提供肥胖预防服务。近94%的儿科牙医提供关于饮用SSB的信息或其他干预措施。提供健康体重干预措施的统计学显著障碍包括担心冒犯家长、显得爱评判或引起家长不满,以及家长不接受牙医关于体重管理的指导。SSB干预措施的显著障碍是时间不足和健康专业人员教育。

结论

与之前报告的6%相比,更多的儿科牙医表示他们提供儿童肥胖干预措施,但受访者认为儿童体重是一个医学问题而非牙科问题。大多数儿科牙医提供与饮用SSB相关的干预措施,认为该问题是他们照顾儿童不可或缺的一部分。

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