Khairinisa Safira, Setiawati Febriana, Darwita Risqa Rina, Maharani Diah Ayu
Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia.
Eur J Dent. 2024 May;18(2):632-639. doi: 10.1055/s-0043-1771336. Epub 2023 Aug 17.
This study aimed to investigate Indonesian dentists' perceived barriers in providing caries prevention for pediatric patients.
A total of 362 general dentists were included in this cross-sectional study. The participants were asked to complete a self-administered online questionnaire of dentist characteristics and perceived barriers in multiple domains (children, parents, dentists, and healthcare system-related barriers). The frequency of responses to items of the questionnaire was presented. The Mann-Whitney U test was used to compare perceived barriers by gender, Kruskal-Wallis by practice sector, and Spearman analysis was used to assess the correlation between perceived barrier with age, years of practice experience, weekly practice hours, percentage of pediatric patients, percentage of pediatric preventive care, and percentage of insured patients. A multivariate analysis was conducted through structural equation modeling.
The highest perceived barrier was found to be healthcare system-related, followed by parents, children, and dentists themselves. Most participants thought parents have poor knowledge of pediatric caries prevention ( = 290; 80%), and dental care for young children emphasizes curative treatment over prevention ( = 257; 70%). The multivariate analysis showed that dentists' practice sector and age affect perceived barriers and pediatric preventive care the most.
Factors and barriers identified in this study must be the main focus of oral health programs, and dentists, as service providers, need proper training to address these barriers to optimize caries prevention in Indonesia.
本研究旨在调查印度尼西亚牙医在为儿科患者提供龋齿预防方面所感知到的障碍。
本横断面研究共纳入362名普通牙医。参与者被要求完成一份关于牙医特征以及在多个领域（儿童、家长、牙医和医疗保健系统相关障碍）所感知到的障碍的自填式在线问卷。呈现了问卷项目的回答频率。采用曼-惠特尼U检验比较不同性别所感知到的障碍，采用克鲁斯卡尔-沃利斯检验比较不同执业部门的情况，采用斯皮尔曼分析评估所感知到的障碍与年龄、执业年限、每周执业时长、儿科患者百分比、儿科预防保健百分比以及参保患者百分比之间的相关性。通过结构方程模型进行多变量分析。
发现感知到的最高障碍与医疗保健系统相关，其次是家长、儿童和牙医自身。大多数参与者认为家长对儿科龋齿预防知识了解不足（n = 290；80%），并且幼儿牙科护理更强调治疗而非预防（n = 257；70%）。多变量分析表明，牙医的执业部门和年龄对感知到的障碍以及儿科预防保健影响最大。
本研究中确定的因素和障碍必须成为口腔健康项目的主要关注点，并且牙医作为服务提供者，需要接受适当培训以克服这些障碍，从而在印度尼西亚优化龋齿预防。
