Social determinants of seeking emergency and routine dental care in Saudi Arabia during the COVID-19 pandemic.
Social determinants of seeking emergency and routine dental care in Saudi Arabia during the COVID-19 pandemic.
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DOI：
10.1186/s12903-021-01577-1
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发表时间：
2021-04-26
期刊：
影响因子：
2.9
通讯作者：
Alharbi GM
中科院分区：
文献类型：
--
作者：
Meisha DE;Alsolami AM;Alharbi GM
2020 年 3 月至 6 月期间，建议在 COVID-19 大流行期间关闭牙科诊所（紧急牙科护理除外）。据记录，在大流行期间寻求健康的行为会发生变化。本研究的目的是调查 COVID-19 大流行期间与沙特阿拉伯寻求牙科护理决定相关的社会决定因素。共有 4372 名参与者受邀参加这项于 2020 年 4 月 21 日至 6 月 20 日分发的横断面网络调查。调查包括紧急、紧急和常规牙科手术清单。参与者被问及他们是否会在大流行期间因这些情况寻求牙科护理，以及什么程度的疼痛会促使他们寻求牙科治疗。采用逻辑回归模型来预测变量，这些变量解释了在大流行期间针对每种牙科疾病是否去牙科诊所的决定。共有 3443 人回复了本次调查。紧急牙科情况参与者最愿意去牙科诊所的原因是面部骨骼损伤气道（94.5%）。只有 65.8% 的人愿意因影响气道的面部蜂窝织炎而寻求治疗。平均 35.2% 的受访者表示，第一步是寻求远程咨询。 18%的参与者在疫情期间仍然愿意去牙科诊所进行常规牙科手术。 多元逻辑回归显示，女性（比值比（OR）：1.6，OR 95% CI 1.3，1.9）、从未看过牙医的人（OR：1.8，OR 95% CI 1.3，2.5）和居住在大都市地区的人（OR：1.8，OR 95%：1.4，2.3）在这次大流行期间不寻求紧急牙科护理的可能性较高。疫情期间寻求牙科治疗的疼痛阈值是十分之七。女性、从未看过牙医的人和来自城市地区的人在寻求牙科治疗之前报告的疼痛阈值较高（P值 < 0.001）。在 COVID-19 大流行期间，沙特阿拉伯在寻求紧急牙科护理决策时发现了社会差异。令人担忧的是，在这次大流行期间，一些人害怕因蜂窝组织炎等危及生命的牙科紧急情况而寻求牙科护理。这反映了提高公共卫生意识和政府法规的重要性。在线版本包含可在 10.1186/s12903-021-01577-1 获取的补充材料。
Between March and June 2020, closing dental clinics during the COVID-19 pandemic except for emergency dental care was recommended. It is documented that health-seeking behaviors change during pandemics. The objective of this study was to examine social determinants associated with decisions to seek dental care in Saudi Arabia during the COVID-19 pandemic. A total of 4372 participants were invited to this cross-sectional web-based survey distributed from April 21 to June 20, 2020. The survey included a list of emergency, urgent, and routine dental procedures. Participants were asked if they would seek dental care for these conditions during the pandemic, and what pain severity would make them seek dental treatment. Logistic regression models were performed for predicting variables that explain the decision to go or not to go to the dental clinic during the pandemic for each dental condition. A total of 3443 responded to this survey. The emergency dental situation participants were most willing to go to the dental clinic for was trauma involving facial bones compromising the airway (94.5%). Only 65.8% were willing to seek care for facial cellulitis compromising the airway. On average 35.2% reported seeking teleconsultation as the first step. Eighteen percent of participants were still willing to go to the dental clinic during the pandemic for routine dental procedures. Multiple logistic regression showed that females (Odds Ratio (OR): 1.6, OR 95% CI 1.3, 1.9), people who had never visited a dentist (OR: 1.8, OR 95% CI 1.3, 2.5), and people living in metropolitan regions (OR: 1.8, OR 95%: 1.4, 2.3) had higher odds for not seeking emergency dental care during this pandemic. The pain threshold for seeking dental care during the pandemic was 7 out of 10. Female, those who never visited a dentist, and those from urban regions reported higher pain threshold before seeking dental care (P value < 0.001). Social disparities were found in emergency dental care seeking decision-making in Saudi Arabia during the COVID-19 pandemic. It was alarming that some people were afraid to seek dental care for life-threatening dental emergencies as cellulitis during this pandemic. This reflects the importance of increasing public health awareness and governmental regulations. The online version contains supplementary material available at 10.1186/s12903-021-01577-1.
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