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牙医性别差异对患者口腔健康行为的影响。

Dentist gender-related differences in patients' oral health behaviour.

作者信息

Takeuchi Kenji, Noguchi Yuki, Nakai Yukie, Ojima Toshiyuki, Yamashita Yoshihisa

机构信息

Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University.

Department of Preventive Medicine, Nagoya University Graduate School of Medicine.

出版信息

J Oral Sci. 2020;62(1):32-35. doi: 10.2334/josnusd.18-0462.

DOI:10.2334/josnusd.18-0462
PMID:31996520
Abstract

This study aimed at determining whether oral health behavior differs between patients regularly checked by male and female dentists. The analysis was based on a cross-sectional survey of 354 Japanese community residents (median age = 54 years; 145 men and 209 women) conducted in a municipality from January to February 2017. Data on demographic characteristics and factors associated with oral health behavior were obtained through self-administered questionnaires. The association between regular dentist gender and patients' regular dental care check-up and interdental cleaning performance was examined after adjusting for potential confounders. Among respondents, 88.7% and 11.3% reported having male and female regular dentists, respectively. In a multivariate logistic regression model, patients regularly checked by female dentists had an increased likelihood of visiting their dentist for dental care check-up at least once every year (odds ratio [OR] = 2.23, 95% confidence interval [CI] = 1.09-4.55)and using an interdental cleaner (OR = 2.62, 95% CI = 1.03-6.71) compared to those regularly checked by male dentists. Patients regularly checked by female dentists tended to have more preventive oral health behaviors than those regularly checked by male dentists. These findings suggest that dentist gender has important clinical implications for patients' oral health behavior.

摘要

本研究旨在确定由男牙医和女牙医定期检查的患者在口腔健康行为方面是否存在差异。该分析基于2017年1月至2月在某自治市对354名日本社区居民(年龄中位数 = 54岁;男性145名,女性209名)进行的横断面调查。通过自填问卷获取人口统计学特征以及与口腔健康行为相关因素的数据。在对潜在混杂因素进行调整后,研究了牙医性别与患者定期牙科检查及牙间隙清洁表现之间的关联。在受访者中,分别有88.7%和11.3%的人报告其定期看诊的牙医为男性和女性。在多变量逻辑回归模型中,与由男牙医定期检查的患者相比,由女牙医定期检查的患者每年至少看一次牙医进行牙科检查(比值比[OR] = 2.23,95%置信区间[CI] = 1.09 - 4.55)以及使用牙间隙清洁器(OR = 2.62,95%CI = 1.03 - 6.71)的可能性更高。由女牙医定期检查的患者比由男牙医定期检查的患者往往有更多的预防性口腔健康行为。这些发现表明,牙医性别对患者的口腔健康行为具有重要的临床意义。

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