中国山东省济南市牙科患者对牙齿缺陷和补牙的认知、态度和实践：中介分析。

Knowledge, attitude, and practice of dental patients toward dental defects and dental fillings in Jinan, Shandong Province, China: a mediation analysis.

机构信息

Jinan Stomatological Hospital East Branch, Jinan Stomatological Hospital, Jinan, 250014, China.

Hospital Infection Management Office, Jinan Stomatological Hospital, Jinan, 250000, China.

出版信息

BMC Public Health. 2024 Oct 29;24(1):2995. doi: 10.1186/s12889-024-20503-y.

DOI:10.1186/s12889-024-20503-y

PMID:39472841

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11523884/

Abstract

BACKGROUND

Dental filling is a prevalent method for treating dental defects. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward dental defects and dental fillings among dental patients in Jinan, Shandong Province, China.

METHODS

This cross-sectional study was conducted at the main campus and several branch campuses of Jinan Stomatological Hospital, and community locations within Jinan city between October 2023, and January 2024. Spearman correlation analysis and mediation analysis were used to assess the associations and interrelationships between KAP scores.

RESULTS

In this study, 2529 dental patients participated, with 69.1% being females. Of these, 1711 had no dental defects, 551 had defects and fillings, and 267 had defects without fillings. Their median knowledge, attitude, and practice (Questions 1-6) scores were 8.00 [5.00, 12.00] (possible range: 0-18), 27.00 [26.00, 29.00] (possible range: 10-50), and 19.00 [15.00, 24.00] (possible range: 9-45), respectively. Mediation analysis revealed that in patients without dental defects, knowledge had a direct effect on attitude (β = -0.983, 95% CI: -0.999, -0.966, P < 0.001). Additionally, attitude had a direct effect on practice (β = -0.797, 95% CI: -1.490, -0.103, P = 0.024), while knowledge had an indirect effect on practice through attitude (β = 0.783, 95% CI: 0.096, 1.470, P = 0.026). In patients with dental defects who had undergone dental fillings, significant direct effects were observed between knowledge and attitude (β = -0.736, 95% CI: -0.821, -0.650, P < 0.001), knowledge and practice (β = 0.396, 95% CI: 0.214, 0.577, P < 0.001), and attitude and practice (β = -0.499, 95% CI: -0.683, -0.315, P < 0.001). Moreover, knowledge had an indirect effect on practice (β = 0.367, 95 CI: 0.221, 0.513, P < 0.001). In patients with dental defects but without any fillings, direct effects were found between knowledge and attitude (β = -0.929, 95% CI: -1.028, -0.829, P < 0.001).

CONCLUSIONS

Dental patients had inadequate knowledge, attitude, and practices concerning dental defects and fillings. It is recommended that clinical interventions should focus on enhancing patient education and promoting positive engagement in dental care practices.

摘要

背景

补牙是治疗牙体缺损的常用方法。本研究旨在调查山东省济南市牙科患者对牙体缺损和补牙的知识、态度和行为（KAP）。

方法

本横断面研究于 2023 年 10 月至 2024 年 1 月在济南口腔医院主校区和几个分校以及济南市社区进行。采用 Spearman 相关分析和中介分析评估 KAP 评分之间的关联和相互关系。

结果

本研究共纳入 2529 名牙科患者，其中 69.1%为女性。其中，1711 人无牙体缺损，551 人有牙体缺损和补牙，267 人有牙体缺损但未补牙。他们的知识、态度和行为（问题 1-6）评分中位数分别为 8.00 [5.00，12.00]（可能范围：0-18）、27.00 [26.00，29.00]（可能范围：10-50）和 19.00 [15.00，24.00]（可能范围：9-45）。中介分析显示，在无牙体缺损的患者中，知识对态度有直接影响（β=-0.983，95%CI：-0.999，-0.966，P<0.001）。此外，态度对实践有直接影响（β=-0.797，95%CI：-1.490，-0.103，P=0.024），而知识通过态度对实践有间接影响（β=0.783，95%CI：0.096，1.470，P=0.026）。在有牙体缺损且已补牙的患者中，知识与态度之间（β=-0.736，95%CI：-0.821，-0.650，P<0.001）、知识与实践之间（β=0.396，95%CI：0.214，0.577，P<0.001）和态度与实践之间（β=-0.499，95%CI：-0.683，-0.315，P<0.001）存在显著的直接影响。此外，知识对实践有间接影响（β=0.367，95%CI：0.221，0.513，P<0.001）。在有牙体缺损但无补牙的患者中，知识与态度之间存在直接影响（β=-0.929，95%CI：-1.028，-0.829，P<0.001）。