Faculty of Dentistry, University of Antioquia, Medellín 050010, Colombia.
Int J Environ Res Public Health. 2022 Dec 1;19(23):16102. doi: 10.3390/ijerph192316102.
This study analyzed the association of the sociodemographic, labor, and health conditions on the quality of life (QOL) of the periodontists in Colombia. A mixed study (explanatory sequential design) was conducted. The first quantitative phase was carried out by a cross-sectional survey (n = 187; 60.4% females). Variables: sociodemographics, labor, and health conditions, QOL (WHOQOL-BREF). Normality tests, descriptive statistics, and bivariate analyzes were performed. Factors associated with QOL were established using multivariate linear regression. A second qualitative phase with two focus groups (FGs) delved into those aspects of relevance, through qualitative content analysis and triangulation of information. The multivariate linear regression analysis showed that the factors associated with the QOL scores were in the case of men and negatively (QOL decreases): having low social support (p < 0.001), reporting poor mental health (p < 0.01). For women, QOL scores were negatively associated with low social support (p < 0.001), reporting poor general and mental health (p < 0.01), having greater stress at work (p < 0.05), having a temporary contract (p < 0.05), and living in a medium or low socioeconomic status (p < 0.05). The analysis of the FG allowed us to understand how QOL is permeated by the social context. The specialization of periodontics has generated a change in living conditions, and an adaptation to the workplace that allows them to gain recognition and a higher QOL. In conclusion, the QOL of periodontists is defined in subjective terms (standards) and related to social and labor conditions. Follow-up and evaluation strategies of the general conditions of these clinical specialists in Colombia are required.
本研究分析了哥伦比亚牙周病医生的社会人口学、劳动力和健康状况与生活质量(QOL)之间的关联。采用混合研究(解释性序贯设计)进行。第一阶段为定量研究,采用横断面调查(n=187;60.4%为女性)。变量:社会人口统计学、劳动力和健康状况、生活质量(WHOQOL-BREF)。进行正态性检验、描述性统计和双变量分析。使用多元线性回归确定与 QOL 相关的因素。第二阶段定性研究采用两个焦点小组(FG),通过定性内容分析和信息三角测量深入探讨相关方面。多元线性回归分析表明,与 QOL 评分相关的因素是:男性(QOL 降低)社会支持低(p<0.001),心理健康状况差(p<0.01)。对于女性,社会支持低(p<0.001)、一般和心理健康状况差(p<0.01)、工作压力大(p<0.05)、有临时合同(p<0.05)、生活在中低社会经济地位(p<0.05)与 QOL 评分呈负相关。FG 的分析使我们能够理解 QOL 如何受到社会背景的影响。牙周病学的专业化导致了生活条件的改变,以及对工作场所的适应,这使他们获得了认可和更高的 QOL。总之,牙周病医生的 QOL 是用主观术语(标准)来定义的,并与社会和劳动力条件有关。需要在哥伦比亚对这些临床专家的一般情况进行后续跟踪和评估策略。