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The impact of oral health literacy on dental anxiety and utilization of oral health services among dental patients: a cross sectional study,BMC Oral Health

泰然健康网
2025-08-07 05:03

Low oral health literacy levels and deficient oral health knowledge jeopardize the communication between dentists and patients in different communities. This study aimed to examine the impact and association of oral health literacy with patients’ levels of dental anxiety and their utilization of dental health services. This cross-sectional study was conducted at the Misr International University (MIU) dental clinics. The study utilized a structured, interview led questionnaire that was administered by second year dental students, over the period of two successive academic years 2018–2019 and 2019–2020. A total of 440 student interviewed a convenience sample of 440 dental patients: including 269 females (61.1%) and 171 males (38.9%). The questionnaire consisted of four sections; a demographic section, a modified Arabic Rapid Estimate of Adult Literacy (ARELAD-30) Tool that measures the ability of the participants to read 30 commonly used dental terms. This questionnaire was modified by the authors to measure the participants’ knowledge by asking them to choose the most accurate meaning for each word based on their previous knowledge. Scoring was dependent on the participant’s immediate correct pronunciation, as well as comprehension of each word. The Arabic Modified Dental Anxiety Scale (AMDAS) was used to measure the level of dental anxiety, and the dental health service utilization was measured using the Utilization of oral health services questionnaire. One quarter (24.1%) of the participants read the 30 items of the A-REALD correctly. The average percentage of correct responses to the meaning of the dental terms was 71.2%. There was no statistically significant association between A-REALD and knowledge scores (Spearman’s Correlation coefficient ρ = -0.008, p-value = 0.872). There was a statistically significant inverse correlation between age and MDAS (Correlation coefficient ρ = -0.146, p-value = 0.002). A-REALD scores were inversely correlated with time since last visit (Regression coefficient = -0.027, p-value = 0.036, with 95% CI: -0.052 – -0.002). Within the limitations of this study, it can be concluded that oral health literacy is significantly associated to dental health services utilization, while, dental anxiety is related to other variables, such as age and gender.

中文翻译：

口腔健康素养对牙科患者牙科焦虑和口腔健康服务利用的影响：一项横断面研究

口腔健康素养水平低和口腔健康知识不足会危及不同社区牙医与患者之间的沟通。本研究旨在检查口腔健康素养与患者牙科焦虑水平及其对牙科健康服务的利用的影响和关联。这项横断面研究是在 Misr 国际大学 (MIU) 的牙科诊所进行的。该研究采用结构化的、以访谈为主导的问卷调查，由二年级牙科学生在 2018-2019 和 2019-2020 连续两个学年期间进行。共有 440 名学生采访了 440 名牙科患者的便利样本：包括 269 名女性 (61.1%) 和 171 名男性 (38.9%)。问卷由四个部分组成；人口统计部分，一种改进的阿拉伯语成人识字能力快速评估 (ARELAD-30) 工具，用于衡量参与者阅读 30 个常用牙科术语的能力。作者对这份问卷进行了修改，要求参与者根据之前的知识为每个单词选择最准确的含义，从而衡量参与者的知识水平。评分取决于参与者立即正确的发音，以及对每个单词的理解。使用阿拉伯改良牙科焦虑量表（AMDAS）测量牙科焦虑水平，并使用口腔卫生服务利用调查问卷测量牙科卫生服务利用情况。四分之一（24.1%）的参与者正确阅读了 A-REALD 的 30 个条目。正确回答牙科术语含义的平均百分比为 71.2%。A-REALD 和知识分数之间没有统计学上的显着关联（斯皮尔曼相关系数 ρ = -0.008，p 值 = 0.872）。年龄和 MDAS 之间存在统计学上显着的负相关（相关系数 ρ = -0.146，p 值 = 0.002）。A-REALD 分数与自上次访问以来的时间呈负相关（回归系数 = -0.027，p 值 = 0.036，95% CI：-0.052 – -0.002）。在本研究的限制范围内，可以得出结论，口腔健康素养与牙科健康服务利用显着相关，而牙科焦虑与其他变量有关，例如年龄和性别。年龄和 MDAS 之间存在统计学上显着的负相关（相关系数 ρ = -0.146，p 值 = 0.002）。A-REALD 分数与自上次访问以来的时间呈负相关（回归系数 = -0.027，p 值 = 0.036，95% CI：-0.052 – -0.002）。在本研究的限制范围内，可以得出结论，口腔健康素养与牙科健康服务利用显着相关，而牙科焦虑与其他变量有关，例如年龄和性别。年龄和 MDAS 之间存在统计学上显着的负相关（相关系数 ρ = -0.146，p 值 = 0.002）。A-REALD 分数与自上次访问以来的时间呈负相关（回归系数 = -0.027，p 值 = 0.036，95% CI：-0.052 – -0.002）。在本研究的限制范围内，可以得出结论，口腔健康素养与牙科健康服务利用显着相关，而牙科焦虑与其他变量有关，例如年龄和性别。