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ATTITUDES AND OPINIONS ON DENTAL HEALTH SERVICES AND FLUORIDE IN JAPANESE DENTAL HYGIENISTS.

日本牙科保健员对牙科保健服务和氟化物的态度和看法。

基本信息

批准号：
11672066
负责人：
TSURUMOTO Akihisa
金额：
$ 0.7万
依托单位：
TSURUMI UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672066/
关键词：
Dental hygienist Dental caries prevention Opninions and attitudes Use of Fluoride

项目摘要

The purpose of this study was to clarify the opinions and attitudes of dental hygienists in Japan, who play an important role in dental health services, on dental caries prevention including the use of fluorides, and to give useful information on making a dental health policy. A questionnaire was designed according to PRECEDE model relating Japanese dental hygienists' opinions and attitudes on dental caries prevention. And responses from the subjects were analyzed to identify relationships among factors of the model.Both dental hygienists who worked in public offices and health centers and those who worked in private clinics were likely to have enough predisposing factors which were comprised of positive attitudes toward dental health and knowledge of fluoride. But they indicated dissatisfaction regarding to enabling factors and reinforcing factors. Enabling factors were made up of a dental health budget and enough personnel, while reinforcing factors which promote dental caries prevention were comprised of perception of their colleagues. In diagnosis of behavior, which was expressed as a choice of procedure of prevention, both of dental hygienists appeared to accept plaque control and sugar control as the best method. A low proportion of the respondents supported the use of fluorides, and very few dental hygienists chose general application of fluoride such as water fluoridation. Resulting from LISREL analysis, reinforcing factors had a strong positive influence on predisposing factors, enabling factors and choice of preventive procedure. It was suggested that dental hygienists who worked in public offices and health centers tended to choose caries preventive procedures without fluoride, like plaque control. Further, it was recognized that knowledge and belief of fluoride among predisposing factors was the most significant factor for the subjects to choose water fluoridation.

本研究的目的是澄清在牙科保健服务中发挥重要作用的日本牙科医生对龋齿预防（包括使用氟化物）的意见和态度，并为制定牙科保健政策提供有用的信息。根据PRECEDE模型设计调查问卷，调查日本牙科医师对龋病预防的意见和态度。结果发现，无论是在公共机构或卫生中心工作的牙科医师，还是在私人诊所工作的牙科医师，都有足够的易感因素，包括对牙齿健康的积极态度和对氟化物的了解。但他们对有利因素和加强因素表示不满。促进因素包括口腔卫生预算和足够的人员，而促进龋齿预防的强化因素包括同事的看法。在行为诊断中，表现为预防程序的选择，两位牙科医生似乎都接受菌斑控制和糖控制为最佳方法。低比例的受访者支持使用氟化物，很少有牙科医生选择氟化物的一般应用，如水氟化。LISREL分析结果显示，强化因素对诱发因素、使能因素及预防程序的选择有显著的正向影响。有人建议，在公共办公室和卫生中心工作的牙科医生倾向于选择不含氟的龋齿预防程序，如牙菌斑控制。在诱发因素中，对氟的认识和信念是影响居民选择饮水加氟的最重要因素。