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对冠状病毒感染的易感性认知:对牙科实践的影响。

Perceived vulnerability to Coronavirus infection: impact on dental practice.

机构信息

Rey Juan Carlos University , Dentistry Department , Madrid , Spain .

Jaén University , Psychology Department , Jaén , Spain .

出版信息

Braz Oral Res. 2020 May 8;34:e044. doi: 10.1590/1807-3107bor-2020.vol34.0044.

Abstract

SARS-CoV-2 is a new virus responsible for the outbreak of the respiratory disease COVID-19, which has spread to several countries around the world, causing considerable consternation and a fear of contagions in global healthcare settings. The objective of this study is to identify, among Madrid's adult population, the impact of COVID-19 on self-perceived vulnerability, infectiousness, aversion to germs, and other behaviors in the current situation regarding dental practice. This cross-sectional observational study involves 1,008 persons randomly surveyed on the streets of Madrid, Spain between March 1 and March 8, 2020. Their perceived vulnerability to disease was measured using the perceived vulnerability to disease scale. An additional questionnaire evaluated basic sociodemographic aspects, medical history, personal hygiene behavior, willingness to go to certain places and the perception of the risk of contagion when going to a dental practice. There are significant differences by sex on the germ aversion subscale (p < 0.05) and in the risk of waiting in the waiting room (p < 0.01), tooth extraction ((p < 0.05), endodontics (p < 0.05) and fillings ((p < 0.05). Women consider the risk to be higher than men do. The risk group (over 60 and with systemic disease) has significant differences on the subscales of infectivity (p < 0.01) and germ aversion (p < 0.01). Our study shows high levels of vulnerability regarding contracting COVID-19 and avoiding dental care as perceived by the population over 60 years old and with a systemic disease.

摘要

SARS-CoV-2 是一种新型病毒,可引发 COVID-19 呼吸道疾病,该病毒已传播到世界多个国家,在全球医疗保健环境中引起了极大的恐慌和对传染病的恐惧。本研究旨在确定马德里成年人群在当前牙科实践情况下,COVID-19 对自我感知易感性、传染性、对细菌的厌恶以及其他行为的影响。本横断面观察性研究涉及 2020 年 3 月 1 日至 3 月 8 日在西班牙马德里街头随机调查的 1008 人。使用疾病感知脆弱性量表评估他们对疾病的易感性。另外一个问卷评估了基本的社会人口学方面、病史、个人卫生行为、去某些地方的意愿以及去牙科诊所时的感染风险感知。在对细菌的厌恶子量表(p<0.05)和在候诊室等待的风险(p<0.01)、拔牙(p<0.05)、牙髓病学(p<0.05)和补牙(p<0.05)方面,性别存在显著差异。女性认为风险高于男性。风险组(60 岁以上且有系统性疾病)在传染性(p<0.01)和对细菌的厌恶(p<0.01)子量表上存在显著差异。我们的研究表明,年龄在 60 岁以上且患有系统性疾病的人群对感染 COVID-19 和避免牙科护理的脆弱性很高。

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