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评估牙医在预防口咽癌方面的人乳头瘤病毒相关健康素养。

Assessing dentists' human papillomavirus-related health literacy for oropharyngeal cancer prevention.

出版信息

J Am Dent Assoc. 2018 Jan;149(1):9-17. doi: 10.1016/j.adaj.2017.08.021. Epub 2017 Oct 12.

Abstract

BACKGROUND

Oropharyngeal cancers related to human papillomavirus (HPV) are on the rise. Dentists may be the next group of providers participating in the prevention of HPV. The aim of this study was to assess dentists' health literacy regarding the connection of HPV and oropharyngeal cancer.

METHODS

The authors conducted 4 focus groups with dentists (N = 33) during a regional dental conference in 2016. Guided by the health literacy competencies (that is, access, understand, appraise, and apply), the authors used constant comparison methods for data analysis.

RESULTS

Dentists mentioned a variety of informational sources (for example, dental journals and colleagues). Knowledge about the link between HPV and oropharyngeal cancer varied among participants. Participants appraised multiple patient and practice factors when deciding to have the discussion with patients. Some dentists discussed the HPV and oropharyngeal cancer connection with patients, and most conducted secondary screenings.

CONCLUSIONS

Findings indicate areas for intervention, including creating awareness of trusted informational sources, as well as increasing HPV knowledge and understanding the multiple patient (for example, age) and practice (for example, open operatories) appraisal factors. Moreover, enhancing the communication skills of dentists with patients is needed to improve HPV-related cancer prevention education.

PRACTICAL IMPLICATIONS

Addressing dentists' HPV-related health literacy has the potential to improve dentists' HPV-related prevention practices, including expanding patient education about this topic and increasing HPV vaccination knowledge, ultimately contributing to the reduction of oropharyngeal cancers.

摘要

背景

与人类乳头瘤病毒(HPV)相关的口咽癌呈上升趋势。牙医可能是下一拨参与 HPV 预防的医疗服务提供者。本研究旨在评估牙医对 HPV 和口咽癌关联的健康素养。

方法

作者于 2016 年在区域性牙科会议期间开展了 4 组有牙医参与的焦点小组(N=33)。根据健康素养能力(即获取、理解、评估和应用),作者采用恒比法进行数据分析。

结果

牙医们提到了多种信息来源(例如,牙科期刊和同事)。参与者对口咽癌与 HPV 之间关联的了解程度各不相同。参与者在决定与患者讨论时评估了多种患者和实践因素。一些牙医与患者讨论了 HPV 和口咽癌的关联,且大多数都进行了二次筛查。

结论

研究结果表明需要进行干预的领域,包括提高对可信信息来源的认识,以及增强 HPV 知识和理解多个患者(例如,年龄)和实践(例如,开放式诊室)评估因素。此外,需要提高牙医与患者的沟通技巧,以改善 HPV 相关癌症预防教育。

实用意义

解决牙医 HPV 相关健康素养问题,有可能改善牙医 HPV 相关预防实践,包括扩大患者对该主题的教育,并提高 HPV 疫苗接种知识,最终有助于减少口咽癌的发生。

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