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在新冠疫情背景下寻求牙科医疗保健:一项检验健康信念模型的研究

Seeking Dental Healthcare in the Context of COVID-19 Pandemic: A Study Examining the Health Belief Model.

作者信息

Goldstein Aviv, Matalon Shlomo, Fridenberg Na'ama, Slutzky Hagay

机构信息

Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

出版信息

Innov Aging. 2024 Sep 17;8(10):igae089. doi: 10.1093/geroni/igae089. eCollection 2024.

Abstract

BACKGROUND AND OBJECTIVES

The main purpose of the study was to examine the factors influencing older adults' seeking dental care, in the context of coronavirus disease 2019 (COVID-19) pandemic, based on the Health Belief Model (HBM).

RESEARCH DESIGN AND METHODS

Phone interviews were conducted using a structured questionnaire, among 200 older adults aged 65 and above, who are members of the Israeli largest sick fund Clalit Health Services, that were sampled through a systematic random sample. The data were collected between January 2022 and March 2022 and during September 2022.

RESULTS

Our findings indicate that since the outbreak of COVID-19 in Israel, 61.5% and 55% of the participants reported visiting a dentist and a dental hygienist, respectively, and about a fifth of the participants have foregone care at both. Seeking dental care was associated with an increase in perceived threat, benefits, willingness to seek care, and with a decrease in perceived barriers. The HBM was found to be a suitable framework for illuminating older adults' dental behavior, which explains 43% of the variance.

DISCUSSION AND IMPLICATIONS

The results of the study provided first-hand findings regarding seeking dental care during the COVID-19 pandemic. These findings emphasize the importance of providing dental services with clear recommendations about dental care and appropriate protective equipment, even under conditions of health concern, to enhance oral health services utilization.

摘要

背景与目的

本研究的主要目的是基于健康信念模型(HBM),在2019年冠状病毒病(COVID-19)大流行的背景下,考察影响老年人寻求牙科护理的因素。

研究设计与方法

采用结构化问卷对200名65岁及以上的老年人进行电话访谈,这些老年人是以色列最大的疾病基金Clalit Health Services的成员,通过系统随机抽样选取。数据收集于2022年1月至2022年3月以及2022年9月期间。

结果

我们的研究结果表明,自以色列爆发COVID-19以来,分别有61.5%和55%的参与者报告去过牙医诊所和牙科保健员处,约五分之一的参与者在这两处都放弃了护理。寻求牙科护理与感知威胁增加、益处、寻求护理的意愿增加以及感知障碍减少有关。发现健康信念模型是阐明老年人牙科行为的合适框架,该模型解释了43%的变异。

讨论与启示

该研究结果提供了关于COVID-19大流行期间寻求牙科护理的第一手研究结果。这些结果强调了即使在健康问题的情况下,提供有关牙科护理和适当防护设备的明确建议的牙科服务对于提高口腔健康服务利用率的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2453/11500717/8a4965e3c398/igae089_fig1.jpg

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