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牙科护理中年龄歧视的具体形式:牙科学生年龄歧视量表的收敛效度及其对教育的启示。

Specific form of ageism in dental care: Convergent validity of the Ageism Scale for Dental Students and its implications for education.

作者信息

Sophie Piaton, Valerie Roger-Leroi, Guillaume Vallet

机构信息

CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France.

LAPSCO, CNRS, Université Clermont Auvergne, Clermont-Ferrand, France.

出版信息

Eur J Dent Educ. 2023 May;27(2):368-373. doi: 10.1111/eje.12817. Epub 2022 May 23.

DOI:10.1111/eje.12817
PMID:35543310
Abstract

INTRODUCTION

The World Health Organisation considers ageism as an important barrier to age-appropriate care for older adults. An Ageism Scale for Dental Students (ASDS) has been validated in the United States, Brazil, Greece, Romania and in France. At present, the convergent validity of ASDS has never been evaluated. Moreover, a specialised and disciplinary tool as the ASDS may not overlap with more general ageism assessment which may highlight the need for specific courses during the education of the future health professionals.

MATERIALS AND METHODS

The survey was administered from December 2020 to January 2021. All the undergraduate students of the last 3 years of study at the dental school of Clermont-Ferrand were invited to complete both scales. Two hundred sixteen students were randomly divided into two equal groups. The first group answered first Aging Semantic Differential- ASD then ASDS, the second in reverse order. The convergent validity between ASDS and ASD was assessed by computing a Pearson correlation coefficient and discriminant analysis between each component of the two scales.

RESULTS

The response rate was of 53.7%. The correlation analysis conducted on the total scores of the ASDS and of the ASD shows a significant, yet weak relationship. The discriminant analysis indicates that only the first component of the ASDS is significantly associated with each dimension of the ASD, whereas the second component is totally independent from the ASD and the third component almost independent from the ASD, except for the integrity dimension.

CONCLUSIONS

This specialised questionnaire may assess a form of ageism that is not captured at all in more general scales. Such a scale may help to identify the different dimensions of ageism among dental students which is required to reduce ageism in medical care. This reduction should pass by adapted courses in gerodontology.

摘要

引言

世界卫生组织认为年龄歧视是为老年人提供适宜照护的一个重要障碍。牙科学生年龄歧视量表(ASDS)已在美国、巴西、希腊、罗马尼亚和法国得到验证。目前,ASDS的收敛效度从未被评估过。此外,像ASDS这样的专业学科工具可能与更一般的年龄歧视评估没有重叠,这可能凸显了在未来卫生专业人员教育期间开设特定课程的必要性。

材料与方法

调查于2020年12月至2021年1月进行。邀请了克莱蒙费朗牙科学院最后3年学习的所有本科生完成这两个量表。216名学生被随机分为两组。第一组先回答老化语义差异量表(ASD),然后回答ASDS,第二组顺序相反。通过计算两个量表各组成部分之间的皮尔逊相关系数和判别分析来评估ASDS和ASD之间的收敛效度。

结果

回复率为53.7%。对ASDS和ASD总分进行的相关分析显示出显著但微弱的关系。判别分析表明,只有ASDS的第一个组成部分与ASD的每个维度显著相关,而第二个组成部分与ASD完全独立,第三个组成部分除了在完整性维度外几乎与ASD独立。

结论

这种专业问卷可能评估了一种在更一般量表中完全未被捕捉到的年龄歧视形式。这样一个量表可能有助于识别牙科学生中年龄歧视的不同维度,这对于减少医疗保健中的年龄歧视是必要的。这种减少应通过老年牙科学的适配课程来实现。

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Northwest Dent. 2011 Nov-Dec;90(6):21-4.
巴西南部牙科学生中的年龄歧视与同理心
Spec Care Dentist. 2025 Mar-Apr;45(2):e70021. doi: 10.1111/scd.70021.
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Simulation of Age-Related Limitations of Patients in Patient-Centred Dental Education.以患者为中心的牙科教育中患者年龄相关局限性的模拟
Eur J Dent Educ. 2025 May;29(2):356-366. doi: 10.1111/eje.13075. Epub 2025 Feb 17.