Oral Health Literacy and Measures of Periodontal Disease.
Oral Health Literacy and Measures of Periodontal Disease.
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DOI：
10.1902/jop.2016.160203
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发表时间：
2017-01
影响因子：
4.3
通讯作者：
Markovic D
中科院分区：
文献类型：
--
作者：
Holtzman JS;Atchison KA;Macek MD;Markovic D
现有证据表明健康素养(HL)和牙周健康之间的关系不足以确定提供者如何帮助患者管理牙周病。这项研究评估了HL测量(单词识别、算术和概念性知识)与牙周病症状之间的关系。这项研究包括牙科学校诊所的325名新患者，并采用了口腔HL(OHL)调查、全口X线片和临床检查。采用线性和有序Logistic回归模型对调整前后的协变量进行评估，包括每个HL测量值与牙数、出血分数、菌斑分数和牙周严重程度的关系。在HL测量中，最新的生命体征显示与牙数显著相关，成人功能健康素养的短期测试显示与菌斑评分显著相关。《成人医学和牙科素养短期快速评估》(REALMD-20)显示，在对人口统计变量、吸烟和糖尿病(DM)进行调整后，表现在最高四分位数的参与者多了近两颗牙齿，出血部位减少了5.5%，牙菌斑减少了近9%。在口腔健康知识综合测量(CMOHK)中得分最高的参与者的牙菌斑减少了近9%。两种OHL仪器(REAMLD-20和CMOHK)在可以被认为具有中等临床相关性的水平上提供了牙周健康的临床测量的统计相关性。研究结果表明，牙医可能希望评估他们的患者对牙科术语和牙周病知识的熟悉程度，以提供关于口腔卫生、吸烟和糖尿病的教育。
Existing evidence demonstrating a relationship between health literacy (HL) and periodontal health is insufficient to identify how providers can help patients manage periodontal disease. This study assesses associations between HL measures (word recognition, numeracy, and conceptual knowledge) and signs of periodontal disease. This study included 325 new patients at a dental school clinic and employed an oral HL (OHL) survey, full-mouth radiographs, and clinical examination. Evaluations included the relationship between each HL measure versus number of teeth, bleeding score, plaque score, and periodontal severity with linear and ordinal logistic regression models before and after adjusting for covariates. Among HL measures, the Newest Vital Sign demonstrated a significant relationship with number of teeth and the Short Test of Functional Health Literacy in Adults showed a significant association with plaque score. The short Rapid Estimate of Adult Literacy in Medicine and Dentistry (REALMD-20) showed participants who performed in the highest quartile had nearly two additional teeth, over 5.5% fewer bleeding sites, and nearly 9% fewer teeth with plaque after adjustment for demographic variables, smoking, and diabetes mellitus (DM). Participants who scored in the highest quartile of the Comprehensive Measure of Oral Health Knowledge (CMOHK) had nearly 9% less plaque. Two OHL instruments (REAMLD-20 and CMOHK) provided statistical associations with clinical measures of periodontal health at a level that could be considered of moderate clinical relevancy. Findings suggest dentists may wish to assess familiarity of their patients with dental terminology and knowledge of periodontal disease to provide education on oral hygiene, smoking, and DM.
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影响因子：
4.5
作者：
Sørensen K;Van den Broucke S;Fullam J;Doyle G;Pelikan J;Slonska Z;Brand H;(HLS-EU) Consortium Health Literacy Project European
通讯作者：
(HLS-EU) Consortium Health Literacy Project European
影响因子：
2
作者：
Stein, Linda;Pettersen, Kjell Sverre;Bergdahl, Jan
通讯作者：
Bergdahl, Jan
影响因子：
4.3
作者：
Eke PI;Dye BA;Wei L;Slade GD;Thornton-Evans GO;Borgnakke WS;Taylor GW;Page RC;Beck JD;Genco RJ
通讯作者：
Genco RJ
影响因子：
3.6
作者：
Divaris, Kimon;Lee, Jessica Y.;Vann, William F., Jr.
通讯作者：
Vann, William F., Jr.
影响因子：
4.4
作者：
Osborn CY;Cavanaugh K;Wallston KA;Rothman RL
通讯作者：
Rothman RL