Association between dental fear and dental attendance among adults in Finland
Association between dental fear and dental attendance among adults in Finland
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DOI：
10.1080/00016350701373558
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发表时间：
2007-01-01
影响因子：
2
通讯作者：
Hausen, Hannu
中科院分区：
文献类型：
--
作者：
Pohjola, Vesa;Lahti, Satu;Hausen, Hannu
目标。我们的目的是评估牙科护理与牙科恐惧之间的关系，同时考虑感知的口腔健康和治疗需求、对口腔健康服务的满意度、年龄、性别、婚姻状况和获得的教育水平的同步影响。材料和方法。两阶段分层整群抽样(n=8028)代表30岁及以上的芬兰成年人。全国范围内抽样调查的应答率为88%。牙科恐惧症的衡量标准是这样一个问题：“你有多害怕去看牙医？”运用多元Logistic回归分析确定口腔恐惧与就诊之间的关系，包括以下自变量：感知口腔健康、感知治疗需求、对口腔健康服务的满意度、年龄、性别、婚姻状况和获得的教育程度。结果。在所有年龄段中，除了30至34岁的人外，不定期看病的人比经常看牙医的人更有可能害怕看牙医。年龄越大，这种关联性越强。只有年龄改变了牙科恐惧和就诊之间的联系。在41%的病例中，不规律的牙科就诊可归因于高度的牙科恐惧(暴露的患者中的病因分数)。结论。减少牙科恐惧将增加定期就诊者的数量，特别是在较年长的年龄段。从童年起定期为其提供口腔保健服务的个人似乎继续定期使用这些服务，尽管他们对牙齿有很高的恐惧感。
Objective. Our aim was to evaluate the association between dental attendance and dental fear while considering the simultaneous effects of perceived oral health and treatment need, satisfaction with oral health services, age, gender, marital status, and attained level of education. Material and methods. The two-stage stratified cluster sample ( n = 8028) represented Finnish adults aged 30 years and older. The response rate to this nationwide sample was 88%. Dental fear was measured with the question: " How afraid are you of visiting a dentist?'' Multiple logistic regression analyses were used to determine the association between dental fear and dental attendance, including the following independent variables: perceived oral health, perceived treatment need, satisfaction with oral health services, age, gender, marital status, and attained level of education. Results. Among all ages, except 30 to 34-year-olds, irregular attenders were more likely to be very afraid of visiting a dentist than regular attenders were. The association was stronger the older the age group. Only age modified the association between dental fear and attendance. Irregular dental attendance can be attributed to high dental fear ( etiologic fraction among exposed) in 41% of cases. Conclusion. Reducing dental fear would increase the number of regular attenders, especially among older age groups. Individuals for whom oral health services have been provided regularly since childhood seem to continue to use these services regularly despite high dental fear.