Research Institute for Future Medical Science, Chungnam National University Sejong Hospital, Sejong 30099, Korea.
Department of Dental Hygiene, College of Health Science, Dankook University, Cheonan-si 31116, Korea.
Int J Environ Res Public Health. 2022 Jan 4;19(1):518. doi: 10.3390/ijerph19010518.
This study aimed to identify the associated factors for protective behaviors for dental radiation exposure (PBDRE) among dental hygienists using the health belief model (HBM). The HBM, which is composed of perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and cues to action, explains preventive behavior. In this study, self-efficacy and modifying factors were additionally applied to the HBM. The subjects of the study were 204 dental hygienists who were working at hospitals or clinics in Korea. An online survey was conducted to measure PBDRE-related factors based on the HBM and self-efficacy. The collected data were analyzed using frequency analysis, -tests, ANOVA, Pearson's correlation analysis, and hierarchical multiple regression analysis. Regarding modifying factors, performance was found to be high when protection facilities were sufficient (β = 0.24, < 0.001) and low when radiation education was not received (β = -0.16, < 0.05). Among the HBM factors, cues to action for PBDRE (β = 0.28, < 0.001) was the most influential factor in the performance of PBDRE, and the effect of its perceived benefits on radiation exposure was also high (β = 0.17, < 0.001). Regarding the performance of PBDRE according to the HBM, providing education programs on protection can stimulate appropriate cues to action to perform PBDRE. In addition, if the benefits of PBDRE are highlighted, the performance of PBDRE by dental hygienists is increased.
本研究旨在利用健康信念模式（HBM）确定牙科保健员进行牙科辐射防护行为（PBDRE）的相关因素。HBM 由感知易感性、感知严重性、感知效益、感知障碍和行动线索组成，解释了预防行为。在本研究中，自我效能和修正因素被进一步应用于 HBM。研究对象为韩国 204 名在医院或诊所工作的牙科保健员。通过在线调查，根据 HBM 和自我效能测量与 PBDRE 相关的因素。收集的数据采用频率分析、t 检验、方差分析、皮尔逊相关分析和分层多元回归分析进行分析。关于修正因素，当保护设施充足时，表现良好（β=0.24，<0.001），而当未接受辐射教育时，表现不佳（β=-0.16，<0.05）。在 HBM 因素中，PBDRE 的行动线索（β=0.28，<0.001）是影响 PBDRE 表现的最主要因素，其感知效益对辐射暴露的影响也很高（β=0.17，<0.001）。根据 HBM，开展保护教育计划可以刺激适当的行动线索，以执行 PBDRE。此外，如果强调 PBDRE 的效益，牙科保健员执行 PBDRE 的表现会提高。
