Izumi Maya, Fujii Wataru, Akifusa Sumio
School of Oral Sciences, Faculty of Dentistry, Kyushu Dental University, Kitakyushu, Fukuoka, Japan.
Eur J Dent Educ. 2024 Feb;28(1):20-27. doi: 10.1111/eje.12911. Epub 2023 Apr 29.
Since the needs for dental care among older adults in Japan are expected to increase in the future, this study aimed to examine the influence of ageism among dental students and clinical trainees on the attitude towards the older adults in dental care.
In 2022, we conducted a questionnaire survey of 9th-, 11th-semester dental students and first-year clinical trainees enrolled at Kyushu Dental University, using the Japanese version of Ageism Scale for Dental Students (ASDS-J), Japanese version of Fraboni Scale of Ageism (FSA-J). Questions on intention to provide dental care to the older adults, relationships with the older adults and living with the older adults were also surveyed.
There were 162 participants (84 males and 78 females), and the response rate was 71.7%. The participants were divided into the positive group for dental care to older adults (68 respondents) and the negative group (94 respondents). The ASDS-J score of the negative group was significantly higher than that of the positive group [49 (36-66) vs. 52 (34-88), p < .001]. The binomial logistic regression analysis revealed that the odds ratio of being negative attitude was 1.1 per one point of ASDS-J (95% confidence interval: 1.0-1.2) in the model adjusted for student grade, interaction with the older adults, gender, experience living with the older adults and FSA-J.
These findings suggest that ageism specific to dental students and clinical trainees (as assessed using the ASDS-J) was independently correlated with negative attitudes towards dental care for older adults.
由于预计日本老年人口对牙科护理的需求在未来会增加,本研究旨在探讨牙科学生和临床实习生中的年龄歧视对牙科护理中对待老年人态度的影响。
2022年,我们使用日本版牙科学生年龄歧视量表(ASDS-J)、日本版弗拉博尼年龄歧视量表(FSA-J),对九州牙科大学9年级、11年级的牙科学生和一年级临床实习生进行了问卷调查。还调查了为老年人提供牙科护理的意愿、与老年人的关系以及与老年人同住的情况。
共有162名参与者(84名男性和78名女性),回复率为71.7%。参与者被分为对老年人牙科护理的积极组(68名受访者)和消极组(94名受访者)。消极组的ASDS-J得分显著高于积极组[49(36 - 66)对52(34 - 88),p < 0.001]。二项逻辑回归分析显示,在对学生年级、与老年人的互动、性别、与老年人同住的经历和FSA-J进行调整的模型中,ASDS-J每增加一分,持消极态度的比值比为1.1(95%置信区间:1.0 - 1.2)。
这些发现表明,牙科学生和临床实习生特有的年龄歧视(用ASDS-J评估)与对老年人牙科护理的消极态度独立相关。