Resident-in-Training, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham School of Dentistry, Birmingham, AL.
Former Student, University of Alabama at Birmingham School of Dentistry, Birmingham, AL.
J Oral Maxillofac Surg. 2024 Apr;82(4):434-442. doi: 10.1016/j.joms.2024.01.004. Epub 2024 Jan 6.
Health literacy of orthognathic surgery patients has not been thoroughly evaluated.
The purpose of this study was to estimate health literacy and identify risk factors associated with inadequate health literacy in orthognathic surgery patients.
STUDY DESIGN, SETTING, SAMPLE: A cross-sectional study was implemented utilizing patients ages 14-80 years who presented for orthognathic surgery evaluation between September 2021 and December 2022. Subjects were excluded from the study if they did not complete the orthognathic surgery evaluation, were not between the ages of 14-80 years old, or did not complete the Brief Health Literacy Screening Tool (BRIEF) questionnaire during intake. Subjects who have not undergone orthognathic surgery but completed the initial evaluation for orthognathic surgery were included in the study.
The predictor variables were a set of risk factors for inadequate health literacy: age, sex, primary language, race, estimated household income, and diagnosis.
The main outcome variable was health literacy assessed using the BRIEF questionnaire. During intake, subjects completed the BRIEF questionnaire consisting of four questions scored on an ordinal scale of 1-5. Inadequate health literacy was defined as a BRIEF score ≤16.
Not applicable.
Bivariate and multivariate analyses were performed. P < .05 was considered statistically significant.
Of 150 patients presenting for orthognathic surgery, fifteen percent of patients had inadequate health literacy via the BRIEF test. The mean age of those with adequate health literacy was 27.9 years (standard deviation, ±12.5) compared to 18.5 years (standard deviation, ±5.7) for those with inadequate health literacy (P = <.001). After adjusting for sex, language, race, estimated household income, and diagnosis via multivariate analysis, increasing age was associated with decreased odds of inadequate health literacy (adjusted odds ratio = 0.81; confidence interval, 0.72-0.92; P = <.001).
In the complex process of orthognathic surgery, it is essential to identify patients with inadequate health literacy that may require additional health literacy interventions. Ultimately, 15% of orthognathic surgery subjects had inadequate health literacy, and younger patients were the most susceptible as the odds of inadequate health literacy decreased with increasing age.
口腔颌面部手术患者的健康素养尚未得到充分评估。
本研究旨在评估口腔颌面部手术患者的健康素养，并确定与健康素养不足相关的风险因素。
研究设计、地点和样本：本研究采用横断面研究设计，纳入 2021 年 9 月至 2022 年 12 月期间因口腔颌面部手术评估而就诊的 14-80 岁患者。如果患者未完成口腔颌面部手术评估、年龄不在 14-80 岁之间、或在入组时未完成简短健康素养筛查工具（BRIEF）问卷，则将其排除在研究之外。已完成口腔颌面部手术初始评估但未接受口腔颌面部手术的患者被纳入研究。
预测变量为健康素养不足的一组风险因素：年龄、性别、主要语言、种族、估计家庭收入和诊断。
主要结局变量是使用 BRIEF 问卷评估的健康素养。在入组时，患者完成了由四个问题组成的 BRIEF 问卷，这些问题按 1-5 的顺序进行了有序评分。健康素养不足定义为 BRIEF 评分≤16。
不适用。
进行了单变量和多变量分析。P<0.05 被认为具有统计学意义。
在 150 名因口腔颌面部手术就诊的患者中，15%的患者通过 BRIEF 测试显示健康素养不足。具有足够健康素养的患者的平均年龄为 27.9 岁（标准差，±12.5），而健康素养不足的患者为 18.5 岁（标准差，±5.7）（P<0.001）。通过多变量分析调整性别、语言、种族、估计家庭收入和诊断后，年龄增加与健康素养不足的可能性降低相关（调整后的优势比=0.81；置信区间，0.72-0.92；P<0.001）。
在口腔颌面部手术这一复杂过程中，识别可能需要额外健康素养干预的健康素养不足的患者至关重要。最终，15%的口腔颌面部手术患者的健康素养不足，年龄较小的患者最容易受到影响，因为健康素养不足的可能性随着年龄的增长而降低。
