基于人群的成年人样本中牙科焦虑和恐惧指数的表现。
Performance of the Index of Dental Anxiety and Fear in a population-based sample of adults.
机构信息
Sir John Walsh Research Institute, Faculty of Dentistry, The University of Otago, Dunedin, New Zealand.
Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, South Australia, Australia.
出版信息
Aust Dent J. 2017 Dec;62(4):478-484. doi: 10.1111/adj.12541. Epub 2017 Jul 24.
BACKGROUND
The Index of Dental Anxiety and Fear (IDAF-4C) was introduced to overcome the theoretical and practical shortcomings of previously developed dental fear measures. This new scale has not been tested on population samples other than in its country of origin, Australia. The aim of this study was to validate the IDAF-4C in a different cultural setting and to determine the prevalence and sociodemographic associations of dental anxiety.
METHODS
A cross sectional study of a representative New Zealand adult population sample was undertaken. The questionnaire was mailed to 523 randomly-selected participants. Data were collected on sociodemographic characteristics, oral and general health care, and dental anxiety using both the IDAF-4C and the Dental Anxiety Scale (DAS).
RESULTS
The response rate was 51.8%. The factor structure of the IDAF-4C was confirmed. The prevalence estimates for high dental anxiety and fear were 18.6% using the DAS and 13.0% using the IDAF-4C. Mean scores for the IDAF-4C and DAS were higher among episodic dental visitors and those without a recent dental visit.
CONCLUSIONS
The performance of the IDAF-4C in this New Zealand community sample supports its use for dental anxiety measurement.
背景
牙科焦虑和恐惧指数（IDAF-4C）的引入是为了克服以前开发的牙科恐惧测量方法在理论和实践上的不足。这个新的量表除了在其起源国澳大利亚之外，尚未在其他人群样本中进行过测试。本研究的目的是在不同的文化背景下验证 IDAF-4C，并确定牙科焦虑的流行程度和社会人口统计学相关性。
方法
对新西兰代表性成年人群体样本进行横断面研究。问卷以随机方式邮寄给 523 名参与者。使用 IDAF-4C 和牙科焦虑量表（DAS）收集社会人口统计学特征、口腔和一般保健以及牙科焦虑的数据。
结果
回复率为 51.8%。IDAF-4C 的因子结构得到了确认。使用 DAS 时，高度牙科焦虑和恐惧的患病率估计为 18.6%，使用 IDAF-4C 时为 13.0%。IDAF-4C 和 DAS 的平均得分在偶发性牙科就诊者和最近没有牙科就诊者中较高。
结论
IDAF-4C 在新西兰社区样本中的表现支持其用于牙科焦虑测量。
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