DuRant R H, Pierce K L, Powell B J, Sanders J M
Department of Pediatrics, School of Medicine, Medical College of Georgia, Augusta 30912.
J Adolesc Health Care. 1989 Jan;10(1):46-50. doi: 10.1016/0197-0070(89)90047-8.
This study examines dentists' perceptions of behaviors felt to interfere with providing adequate dental care to adolescents. We analyzed gender differences, and whether the dentists' perceptions of adolescent patients were associated with their professional satisfaction. A stratified random sample of 227 graduates (males = 180, females = 47) from a Southern dental school were asked to complete a questionnaire assessing professional satisfaction. Based on Kruskall-Wallis analysis of variance tests, female dentists expressed generally higher levels of satisfaction than males with adolescent dentistry, diagnosis and treatment planning, patient education, preventive procedures, and the adolescent dentistry curricula during dental school. Male dentists felt that the male adolescents' failure to keep appointments, communication problems, seeking dental care only in emergency situations, and resentment of authority interfered more with their providing adequate dental care than did female dentists. Male dentists also felt that the female patients' menstrual period, communication problems, low tolerance of pain, seeking dental care only in emergency situations, and resentment toward authority were more significant problems than did the female dentists. Communication problems with both male and female adolescents were more strongly correlated with the dentists' satisfaction with adolescent dentistry than any other variable.
本研究调查了牙医对那些被认为会干扰为青少年提供充分牙科护理的行为的看法。我们分析了性别差异，以及牙医对青少年患者的看法是否与他们的职业满意度相关。来自一所南方牙科学院的227名毕业生（男性 = 180人，女性 = 47人）组成的分层随机样本被要求填写一份评估职业满意度的问卷。基于克鲁斯卡尔 - 沃利斯方差分析测试，女牙医对青少年牙科、诊断和治疗计划、患者教育、预防程序以及牙科学校期间的青少年牙科课程的满意度总体上高于男牙医。男牙医认为，男性青少年不遵守预约、沟通问题、仅在紧急情况下寻求牙科护理以及对权威的抵触比女牙医认为的更妨碍他们提供充分的牙科护理。男牙医还认为，女性患者的月经期、沟通问题、对疼痛的低耐受性、仅在紧急情况下寻求牙科护理以及对权威的不满比女牙医认为的更是严重问题。与男性和女性青少年的沟通问题与牙医对青少年牙科的满意度的相关性比任何其他变量都更强。
