School of Dentistry, College of Oral Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei 110, Taiwan.
Department of Dentistry, Shuang Ho Hospital, New Taipei 235, Taiwan.
Int J Environ Res Public Health. 2018 May 24;15(6):1067. doi: 10.3390/ijerph15061067.
The aim of this study was to assess the knowledge, attitude, and practice regarding early childhood caries (ECC) prevention and implementation of medical setting-based caries prevention among pediatricians and dentists in Taiwan. Data were collected from currently practicing pediatricians and general and pediatric dentists using self-administered questionnaires. A total of 301 questionnaires were completed by the pediatricians ( = 105), general dentists ( = 117), and pediatric dentists ( = 79). The pediatric dentists obtained significantly higher knowledge and practice scores than the general dentists and pediatricians ( < 0.0001). The pediatricians' attitude score related to engaging physicians in medical office-based caries prevention was significantly higher than the attitude scores of the general and pediatric dentists ( < 0.05). A Spearman rank correlation analysis indicated a significant positive correlation between knowledge and practice among the general dentists (r = 0.271, < 0.01) and pediatricians (r = 0.262, < 0.01). The correlation between knowledge and attitude among the pediatricians was significantly positive (r = 0.242, < 0.05). Attitude and practice among the pediatricians were significantly positively correlated (r = 0.271, < 0.01). Pediatricians lacked ECC-related knowledge; however, they had a more positive attitude toward medical office-based prevention when they had a higher level of knowledge. Oral health-related education for pediatricians is necessary if such medical office-based caries prevention programs are to be implemented in Taiwan.
本研究旨在评估台湾地区儿科医生和牙医对儿童龋病（ECC）预防的知识、态度和实践，以及在医疗环境中实施龋病预防的情况。通过自我管理问卷收集了目前从事儿科医生和普通及儿科牙医的数据。共有 301 名儿科医生（=105）、普通牙医（=117）和儿科牙医（=79）完成了问卷。与普通牙医和儿科医生相比，儿科牙医的知识和实践得分明显更高（<0.0001）。儿科医生在让医生参与医疗办公室龋病预防方面的态度得分明显高于普通和儿科牙医的态度得分（<0.05）。Spearman 等级相关分析表明，普通牙医（r=0.271，<0.01）和儿科医生（r=0.262，<0.01）之间的知识和实践呈显著正相关。儿科医生的知识和态度之间呈显著正相关（r=0.242，<0.05）。儿科医生的态度和实践之间呈显著正相关（r=0.271，<0.01）。儿科医生缺乏 ECC 相关知识，但当他们的知识水平较高时，他们对基于医疗办公室的预防更有积极的态度。如果要在台湾实施基于医疗办公室的龋病预防计划，需要对儿科医生进行口腔健康相关教育。
