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比较纽约市50岁及以下男女全科牙医治疗HIV阳性患者意愿的预测因素。

Comparing predictors of willingness to treat HIV+ patients for New York City male and female general practice dentists 50 years of age or younger.

作者信息

Kunzel C, Sadowsky D, Tseng C L

机构信息

Division of Community Health, Columbia University School of Dental and Oral Surgery, New York, NY 10032, USA.

出版信息

J Public Health Dent. 1997 Summer;57(3):159-62. doi: 10.1111/j.1752-7325.1997.tb02967.x.

Abstract

OBJECTIVES

This article develops and compares gender-specific predictive models for willingness to treat HIV-infected patients (PHIV+) for male and female private general practice dentists (GPDs).

METHODS

Based on mail survey data collected in Manhattan and Queens, New York City (73.3% response rate), hierarchical multiple regression analyses were conducted for male and female dentists 50 years of age or younger (n = 763) and for those in solo practice.

RESULTS

The gender-specific predictive models (R2s = 0.72) do not differ, except for the influence of practice viability, a moderately strong, statistically significant predictor for men, while the least powerful, statistically nonsignificant predictor for women. This distinction remains for solo male and female practitioners. Informal/formal collegial norms are more influential predictors within the solo female model than within the solo male model.

CONCLUSIONS

Findings are encouraging for further work in developing predictive models for clinician subpopulations, with an eye toward developing intervention strategies that reflect key predictive factors for each group.

摘要

目的

本文针对男性和女性私立普通牙科医生(GPD)治疗HIV感染患者(PHIV+)的意愿,开发并比较了针对性别的预测模型。

方法

基于在纽约市曼哈顿和皇后区收集的邮件调查数据(回复率为73.3%),对50岁及以下的男性和女性牙医(n = 763)以及独立执业的牙医进行了分层多元回归分析。

结果

针对性别的预测模型(R2 = 0.72)并无差异,只是在执业可行性的影响方面有所不同,执业可行性对男性来说是一个中等强度、具有统计学意义的预测因素,而对女性来说则是影响力最小、无统计学意义的预测因素。这种差异在独立执业的男性和女性从业者中依然存在。在独立女性模型中,非正式/正式的同行规范比独立男性模型中的更具影响力。

结论

这些发现为进一步开展针对临床医生亚群体的预测模型研究提供了鼓励,旨在制定反映每组关键预测因素的干预策略。

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