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爱荷华州西班牙裔的口腔健康知识水平。

Oral health knowledge levels of Hispanics in Iowa.

出版信息

J Am Dent Assoc. 2018 Dec;149(12):1038-1048. doi: 10.1016/j.adaj.2018.07.023. Epub 2018 Oct 12.

Abstract

BACKGROUND

Hispanics disproportionately experience preventable oral health conditions in the United States. This study aimed to determine the oral health knowledge (OHK) of Hispanic adults in Iowa to identify potential gaps in knowledge.

METHODS

This cross-sectional study included a convenience sample of self-identifying Hispanic adults. Data pertaining to oral health literacy and demographic, cultural, and dental characteristics were collected. OHK was assessed with the Conceptual Measure of Oral Health Knowledge, and it was categorized as low or high. Bivariate analyses and multiple logistic regression models were conducted to identify the variables related to OHK (P < .05). Institutional review board approval was obtained.

RESULTS

Three hundred thirty-eight participants completed the questionnaire, 68% of participants completed the questionnaire in Spanish, and 51% of all participants had low OHK. Participants were less likely to correctly answer questions pertaining to children's oral health, periodontal disease, and oral cancer. Low OHK was associated with having less than 12th grade education, lack of dental insurance, and preference for a Spanish-speaking oral health care provider.

CONCLUSIONS AND PRACTICAL IMPLICATIONS

OHK appears to be low in this population. Increasing OHK may help decrease oral health disparities and improve oral health outcomes. Furthermore, it is important that oral health care providers have an understanding of barriers that can impede patients' understanding of the health care system. Specifically, minority populations, such as Hispanics, may have a harder time because of certain cultural differences that exist among this ethnic group.

摘要

背景

在美国,西班牙裔人口不成比例地面临可预防的口腔健康问题。本研究旨在确定爱荷华州西班牙裔成年人的口腔健康知识 (OHK),以确定知识方面的潜在差距。

方法

本横断面研究包括一个方便的自我识别的西班牙裔成年人样本。收集了与口腔健康素养以及人口统计学、文化和牙科特征相关的数据。OHK 通过概念性口腔健康知识测量进行评估,并分为低或高。进行了单变量分析和多逻辑回归模型分析,以确定与 OHK 相关的变量 (P <.05)。获得了机构审查委员会的批准。

结果

338 名参与者完成了问卷,68%的参与者用西班牙语完成了问卷,所有参与者中有 51%的 OHK 较低。参与者不太可能正确回答有关儿童口腔健康、牙周病和口腔癌的问题。OHK 较低与受教育程度低于 12 年级、缺乏牙科保险以及偏爱讲西班牙语的口腔保健提供者有关。

结论和实际意义

该人群的 OHK 似乎较低。提高 OHK 可能有助于减少口腔健康差距并改善口腔健康结果。此外,口腔保健提供者了解可能阻碍患者理解医疗保健系统的障碍非常重要。特别是,少数民族群体,如西班牙裔,可能由于该族裔群体中存在的某些文化差异而更难获得口腔保健。

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