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越南的口腔健康观念与行为:对西方预防性口腔保健利用情况的影响

Vietnamese Oral Health Beliefs and Practices: Impact on the Utilization of Western Preventive Oral Health Care.

作者信息

Nguyen Kim Yen T, Smallidge Dianne L, Boyd Linda D, Rainchuso Lori

出版信息

J Dent Hyg. 2017 Feb;91(1):49-56.

Abstract

Infrequent use of the Western health care by the Vietnamese may be explained by deeply-rooted traditional oral health beliefs and practices unique to the Asian culture. This study investigated Vietnamese oral health beliefs and practices and their relationship to the utilization of Western preventive oral health care services among Vietnamese-Americans. An exploratory, cross-sectional survey design with a convenience sample of 140 par-ticipants (n = 140) was used for this study. Participants were recruited on site of a Vietnamese-owned business, with questionnaires consisting of 28 questions that were distributed in hard copy by the principal investigator (PI) on multiple occasions and at various times of the day. Spearman Rank Correlations tests showed participants who agreed with the statement, "Regular dental visits will help prevent dental problems," were more likely to utilize medical health services (p< 0.05) and visit a dentist if their "gums were bleeding" (p< 0.05). However, only 22.86% of the participants would visit a dentist if experiencing a toothache. Despite results showing a strong association between the use of medical health care services and the belief that dental visits can prevent future dental health problems, participants did not believe in seeking Western oral health care for all dental health issues. No statistical significance was found between age, gender, pri-mary language, years spent in the United States, education level, religion and the Vietnamese survey participants' individual oral beliefs and practices. The results suggest that Vietnamese Americans holding the belief that dental visits help prevent oral health problems, were more likely to utilize Western health care services. The study also supports existing literature that Vietnamese oral health beliefs and practices impact the use of Western health care services.

摘要

越南人很少使用西方医疗保健服务,这可能是由于亚洲文化中根深蒂固的传统口腔健康观念和独特做法所致。本研究调查了越南人的口腔健康观念和做法,以及它们与美籍越南人使用西方预防性口腔保健服务之间的关系。本研究采用探索性横断面调查设计,以140名参与者(n = 140)的便利样本进行。参与者是在一家越南人经营的企业现场招募的,问卷由28个问题组成,由首席研究员(PI)多次在一天中的不同时间以纸质版形式分发。斯皮尔曼等级相关检验表明,同意“定期看牙医有助于预防牙齿问题”这一说法的参与者更有可能使用医疗保健服务(p<0.05),并且如果“牙龈出血”会去看牙医(p<0.05)。然而,只有22.86%的参与者在牙痛时会去看牙医。尽管结果显示使用医疗保健服务与认为看牙医可以预防未来牙齿健康问题之间存在很强的关联,但参与者并不认为所有牙齿健康问题都应寻求西方口腔保健服务。在年龄、性别、主要语言、在美国居住的年限、教育水平、宗教与越南调查参与者的个人口腔观念和做法之间未发现统计学意义。结果表明,持有看牙医有助于预防口腔健康问题这一信念的美籍越南人更有可能使用西方医疗保健服务。该研究还支持现有文献,即越南人的口腔健康观念和做法会影响西方医疗保健服务的使用。

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