斯洛伐克成年人多维健康素养与报告的口腔健康促进行为的关联：一项横断面研究。
Associations of multidimensional health literacy with reported oral health promoting behaviour among Slovak adults: a cross-sectional study.
作者信息
Cepova Eva, Cicvakova Martina, Kolarcik Peter, Markovska Neda, Geckova Andrea Madarasova
机构信息
CoHeReNT - Community Health Reasearch Network, Faculty of Medicine, P. J. Safarik University, Kosice, Slovakia.
Department of Health Psychology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 66, Košice, Slovakia.
出版信息
BMC Oral Health. 2018 Mar 14;18(1):44. doi: 10.1186/s12903-018-0506-6.
BACKGROUND
Modification of health literacy (HL) is an important factor for improving and maintaining oral health. The aim of the study is to examine the association of HL with oral health-promoting behaviour (OHPB) and assess possible mediating effects of HL on the impact of socioeconomic status on OHPB.
METHODS
A cross-sectional questionnaire survey on the Slovak general adult population (N = 360, mean age 39) was conducted in 2014 and 2015. The association of HL (9 domains of the Health Literacy Questionnaire) and OHPB was analysed using logistic regression models adjusted for gender, age and educational level. Testing the mediating effect of HL domains between education attainment and OHPB was performed using the Sobel test.
RESULTS
Women and respondents with higher education reported better OHPB. Regular tooth-brushing is associated with better HL in five domains: Feeling understood and supported by healthcare provider, Having sufficient information to manage my health, Activelymanaging my health, Social support for health, Appraisal of health information (Odds ratios (ORs) from 1.64 to 2.33, p < 0.05). Using interdental tools is in association with better HL in two domains: Feeling understood and supported by a healthcare provider and Having sufficient information to manage my health (ORs 1.71 to 1.80, p < 0.05). Respondents who visited a dentist for prevention score higher in Social support for health (OR 1.79, p < 0.05). Using a tongue scraper and single brush and reporting gums bleeding is notstatistically significantly associated with HL. Mediation was confirmed between the effect of respondents' education on using fluoride toothpaste - mediated respondent's ability to find good health information. Frequency of tooth-brushing and using interdental hygiene aids were both mediated by patient's sufficient information to manage health.
CONCLUSIONS
Our results indicate HL to be an important factor related to good oral health, and HL should be considered when planning oral health interventions.
背景
健康素养（HL）的改善是促进和维持口腔健康的重要因素。本研究旨在探讨健康素养与口腔健康促进行为（OHPB）之间的关联，并评估健康素养在社会经济地位对口腔健康促进行为的影响中可能起到的中介作用。
方法
2014年和2015年对斯洛伐克成年普通人群（N = 360，平均年龄39岁）进行了横断面问卷调查。采用经性别、年龄和教育水平调整的逻辑回归模型分析健康素养（健康素养问卷的9个领域）与口腔健康促进行为之间的关联。使用索贝尔检验来测试健康素养领域在教育程度和口腔健康促进行为之间的中介作用。
结果
女性和受过高等教育的受访者报告的口腔健康促进行为更好。定期刷牙与五个领域的更好健康素养相关：感到被医疗服务提供者理解和支持、拥有足够的信息来管理自己的健康、积极管理自己的健康、健康方面的社会支持、对健康信息的评估（优势比（OR）从1.64到2.33，p < 0.05）。使用牙间隙清洁工具与两个领域的更好健康素养相关：感到被医疗服务提供者理解和支持、拥有足够的信息来管理自己的健康（OR为1.71至1.80，p < 0.05）。因预防目的而去看牙医的受访者在健康方面的社会支持得分更高（OR为1.79，p < 0.05）。使用舌刷和单头牙刷以及报告牙龈出血与健康素养在统计学上无显著关联。证实了受访者教育程度对使用含氟牙膏的影响存在中介作用——中介了受访者寻找良好健康信息的能力。刷牙频率和使用牙间隙卫生辅助工具均由患者拥有足够的信息来管理健康所中介。
结论
我们的结果表明健康素养是与良好口腔健康相关的重要因素，在规划口腔健康干预措施时应考虑健康素养。
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