摘要:

AbstractPrevious research with other ethnic minorities has shown that culture and age cohort, as well as language and economic limitations, act as barriers to obtaining dental care and maintaining good oral health. This study compared self‐reported oral health attitudes, self‐efficacy, and dental practices of 20 younger and 23 elderly Korean‐Americans. Oral assessments were also conducted to determine plaque and gingival status, and root and coronal caries. Significant differences emerged in health self‐efficacy (P<.01) and preventive health orientation (P<.002). Elderly had fewer teeth (P<.0001), more decayed and filled root surfaces (P<.05 and P<.004, respectively), and more decayed and filled coronal surfaces (P<.001 and P<.03). Both groups showed higher levels of distal and mesial plaque than occlusal and cervical plaque; however, the elderly had higher rates of both (P<.0001). Gingival status was also worse for the elderly, on distal and mesial (P<.01), facial (P<.01), and lingual (P<.01) surfaces. These differences are striking, since the elderly reported visiting the dentist more recently (P<.0001); but most of these visits were for prosthodontic and emergency care. Better preventive dental care and education are necessary for elderly immigrants who have not been exposed to preventive dentistry in their home co

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02258.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractWhereas a number of surveys have documented oral disease preventive behaviors and associated factors, little is known about public knowledge and beliefs about dental sealants. In this study, factors associated with the presence of sealants were studied in first and second graders residing in Columbia, SC. From a sample of 1,119 children, 88 were found clinically to have sealants; 508 did not have, but needed them. Parents of the sealant children (n=87) and of a random sample of the no‐sealant children (n=289) were interviewed by telephone to obtain information regarding (1) factors related to parents' inclination to obtain sealants for their children, (2) ability of the family to obtain oral disease preventive services, and (3) the influence of others in the family's decision‐making efforts. Analysis of 16 factors thought to be related to sealant presence revealed that parents were more likely to obtain dental sealants for their children if dentists or their staffs recommended them, if the parents were knowledgeable about dental sealants, if the parents were more highly educated, and if the parents had dental insurance coverage. Parents were less likely to obtain dental sealants for their children if they heard about them from mass media. The latter finding is unexpected and may have been influenced by conflicting or negative opinion expressed by some dental practitioners through mass media or other channels of communication. The results of this study suggest that efforts to enhance the utilization of dental sealants should include strategies to (1) encourage dentists to promote them with their patients and the public, (2) educate potential consumers about the benefits of dental sealants, and (3) promote greater insurance coverage for oral health care, including seala

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02259.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Abstractin dentistry, the vast majority of studies attempting to predict who is at high risk for getting a disease or condition, or attempting to identify risk factors for a specific disease or condition, have focused either on only one risk factor at a time, or have measured multiple potential risk factors, but analyzed their effects in isolation. Since researchers tend to agree that most dental conditions have a multiple etiology, it is necessary to develop models that consider simultaneously the effect of a number of potential risk factors on the disease or condition of interest if we are to have any understanding of the relative impact of potential risk factors. Many existing statistical techniques will aid dental researchers in identifying risk factors. However, the selection of an appropriate analytic technique depends on a number of conditions. The strategy for this paper is to discuss a wide range of possible statistical techniques that may be applied to the problem of deriving a model for identification of multiple risk factors for dental diseases and conditions. We have approached this task by presenting a number of dental research problems needing an appropriate analytic technique. Next, basic issues that must be considered in choosing an appropriate analytic strategy are discussed. These issues include features of the study design, the data structure of the variables being measured, and the types of assumptions that are applicable to provide valid inferences about the target population of interest. A matrix of possible analytic techniques is presented for various combinations of study‐design and data‐structure features. After a discussion of each of the techniques, the appropriate statistical techniques for each of the dental examples are described. The issues and examples presented in this paper should be of use to dental researchers who wish to investigate multiple risk factors for a disease or condition of inter

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02260.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02261.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02262.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02263.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02264.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02265.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02266.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1992.tb02267.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY