Development and validation of an instrument to assess oral health literacy in Norwegian adult dental patients
Development and validation of an instrument to assess oral health literacy in Norwegian adult dental patients
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DOI：
10.3109/00016357.2015.1007477
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发表时间：
2015-01-01
影响因子：
2
通讯作者：
Bergdahl, Jan
中科院分区：
文献类型：
--
作者：
Stein, Linda;Pettersen, Kjell Sverre;Bergdahl, Jan
objective.开发并验证一种访谈工具，以评估挪威成年牙科患者的口腔健康素养。材料和方法。该工具，成人牙科健康扫盲工具（AHLID），是基于经合组织用于评估成人一般识字率的工具。130名挪威成年人（平均年龄= 48岁; 57%为女性）参加了研究。AHLID包括一系列与口腔健康相关的印刷文本，难度从1到5不等。一份关于社会人口学变量和口腔疾病危险因素知识的问卷被使用。同时检测DMFT、刺激唾液流率、唾液中的变形链球菌和链球菌。结果AHLID的内部一致性信度Cronbach’s α值为0.98（p <0.01），重测信度Cronbach’s α值为0.81（p <0.05）。AHLID评分3是最常见的，而很少有满足评分1和5的标准。多元线性回归分析显示，唾液中的唾液酸和牙周炎和龋齿危险因素的知识是AHLID评分的预测变量。结论. AHLID似乎是可靠和有效的，以评估挪威成年人的口腔健康素养，并提出了一种方法，针对具体国家的健康素养工具。
Objective. To develop and validate an interview instrument to assess oral health literacy in Norwegian adult dental patients. Materials and methods. The instrument, Adult Health Literacy Instrument for Dentistry (AHLID), was based on an OECD instrument used to assess general literacy in adults. One hundred and thirty Norwegian adults (mean age = 48 years; 57% women) participated. AHLID included a selection of oral health-related printed texts that ranged from 1-5 with respect to difficulty. A questionnaire regarding socio-demographic variables and knowledge of risk factors for oral disease was used. DMFT, stimulated salivary flow rate and streptococcus mutans and lactobacillus in saliva was also examined. Results. The Cronbach's alpha values of AHLID were 0.98 for internal consistency reliability (p < 0.01) and 0.81 for test-re-test reliability (p < 0.05). AHLID score 3 was most frequent while very few fulfilled the criteria for score 1 and 5. Linear multiple regression analysis showed that lactobacillus in saliva and knowledge of risk factors for periodontitis and caries were predictor variables of AHLID score. Conclusions. AHLID appears to be reliable and valid to assess oral health literacy in Norwegian adults and suggests a method for country-specific health literacy instruments.