Chinnasamy Alagesan, Moodie Marjory
Melbourne Dental School, The University of Melbourne, Melbourne, VIC, Australia.
Deakin Health Economics, Deakin University, Geelong, VIC, Australia.
Clin Cosmet Investig Dent. 2020 Apr 3;12:111-121. doi: 10.2147/CCIDE.S240212. eCollection 2020.
Until now, little is known as to how well the evidence supporting the link between periodontal disease and diabetes is incorporated in the dental practice, in Australia. This study aims to explore Oral health Professionals (OHP) knowledge, attitudes, and practice (KAP) towards diabetes screening in the dental setting.
The survey questionnaire consisted of sociodemographic, practice characteristics and Likert scaled questions categorised in different domains of KAP and one additional domain as barriers. A Mann-Whitney and Kruskal-Wallis test was performed to determine differences in the OHP response. To predict if practice behavior was influenced by knowledge and attitudes, a multiple linear regression was conducted.
A total of 197 respondents were included in the analysis of the results. General dentists constituted 64.6% of the response. For chairside screening of diabetes, 58% felt it was essential and 70% felt it was appropriate. More public sector OHP (79%) felt it is important to conduct chairside screening for T2DM. Patient willingness was identified as the most important and insurance coverage as the least important (43%) consideration for T2DM screening.
Overall, knowledge, attitude and practice towards DM were positive, but a significant proportion of the OHP felt chairside screening may not be appropriate or important.
到目前为止，在澳大利亚，关于支持牙周病与糖尿病之间联系的证据在牙科实践中的应用情况知之甚少。本研究旨在探讨口腔健康专业人员（OHP）在牙科环境中对糖尿病筛查的知识、态度和实践（KAP）。
调查问卷包括社会人口统计学、实践特征以及在KAP不同领域分类的李克特量表问题，还有一个额外的障碍领域。进行了曼-惠特尼检验和克鲁斯卡尔-沃利斯检验以确定OHP反应的差异。为了预测实践行为是否受知识和态度的影响，进行了多元线性回归分析。
共有197名受访者纳入结果分析。普通牙医占回复者的64.6%。对于糖尿病的椅旁筛查，58%的人认为这是必要的，70%的人认为是合适的。更多公共部门的OHP（79%）认为对2型糖尿病进行椅旁筛查很重要。患者意愿被确定为2型糖尿病筛查最重要的考虑因素，而保险覆盖被认为是最不重要的（43%）考虑因素。
总体而言，OHP对糖尿病的知识、态度和实践是积极的，但相当一部分OHP认为椅旁筛查可能不合适或不重要。
