南部某醫學大學牙科相關大學生口腔健康促進行為之探討

Understanding Oral Health Promoting Behaviors among Dental-Related Students in a Southern Medical University

呂國勳(Kuo-Hsun Lu)

指導教授 ： 黃曉靈

高雄醫學大學/口腔醫學院/口腔衛生科學研究所碩士在職專班/碩士(2010年)

https://doi.org/10.6832/KMU.2010.00094

摘要

摘要
背景:
牙醫師或是口衛師，本身具有良好的口腔健康態度、行為和習慣，較能夠去影響其週遭的家人、朋友、和他的病患，許多研究發現口衛系學生比其他科系學生有較正向的口腔健康促進行為態度。
目的:
比較口腔衛生學系、牙醫學系與非牙科相關科系大學生對口腔健康促進行為態度之差異，了解口衛系與牙醫系及非牙科相關科系大學生的社會人口學、牙科就醫行為、口腔保健行為、自覺口腔健康等變項與口腔健康促進行為態度之相關性。
方法:
採橫斷性研究方法設計，使用日本廣島大學口腔健康促進行為態度量表(Hiroshima University- Dental Behavior Inventory，簡稱HU-DBI)和附加問卷，針對南部某醫學大學口衛系、牙醫系、非牙科相關科系1-4年級學生合計1008名，以自行填答方式進行問卷調查。實際回收樣本數為841份，回覆率為83%。以ANOVA及線性複迴歸分析，分析口腔健康促進行為態度量表平均得分與科系別之相關性。最後以邏輯斯複迴歸分析，分析口腔健康促進行為態度量表項目與系別變項之相關性。
結果:
本研究結果顯示，口衛系、牙醫系與非牙科相關科系學生，其口腔健康促進行為態度量表平均得分，具有顯著性的差異，分別為7.52、6.69、5.77（P<0.001）。調整潛在性自變項後，線性複迴歸分析結果顯示，三個不同系別對於口腔健康促進行為之態度的R2累積解釋變異量為0.081 (P<0.001)。口衛系與牙醫系的對比變項、口衛系與非牙科相關科系的對比變項皆達顯著水準(B值分別為0.58與1.10)，顯示相較於牙醫系與非牙科相關科系學生，口衛系學生有較高的口腔健康促進行為態度量表得分。在個別分析口腔健康促進行為態度量表項目，相較於口衛系學生，牙醫系及其他非相關科系學生較不可能 (1)認為不用牙膏就可以把牙齒刷乾淨(Adjusted odds ratio (AOR)=0.39和0.23)， (2)使用小刷頭的牙刷刷牙(AOR=0.46和0.38)及不(3)使用硬毛牙刷刷牙(AOR=2.18和2.07)。
結論:
口衛系學生相較於牙醫系及非牙科相關科系的大學生，有較正向口腔健康促進行為的態度。建議進一步在其他地區有口衛系學校進行相同研究。

關鍵詞: HU-DBI、口腔健康促進行為、醫學大學

關鍵字

HU-DBI ； 口腔健康促進行為 ； 醫學大學

並列摘要

Abstract
Backgroun: As a health care provider dental and oral hygiene students should be a good model to their family members, friends and especially patients for oral health behavior.
Objective: The aim of this study was to compare the difference of oral health promotion behaviors among oral hygiene, dentistry and non dental-related college students.
Methods: A cross-sectional study design using the Hiroshima University - Dental Behavioral Inventory (HU-DBI) questionnaire to collect data from oral hygiene, dentistry and non-dental college students in a southern medical university in Taiwan. Overall, 841students completed survey with anonymously. Response rate was 83%. ANOVA and multivariate regression analysis was used to examine the association between HU-DBI score and three departments.

Results: The present study indicated that HU-DBI mean score in oral hygiene, dentistry and non-dental students was 7.52, 6.69 and 5.77, respectively (P<0.001). Department variables were explained 8.1% of the variability for HU-DBI score. After controlling potential variables, multivariate regression model showed that oral hygiene students have significant higher HU-DBI mean score than dentistry and other non-dental students (B=0.58 and 1.10, respectively). Compared to oral hygiene students, dentistry and non-dental students were less to think they can clear their teeth well without using toothpaste (Odds ratio (OR)=0.39 and 0.23, respectively), to use a child-sized toothbrush (OR=0.46 and 0.38, respectively) and not to use a toothbrush with hard bristles (OR=2.18 and 2.07, respectively).

Conclusion: Compared to dentistry and non-dental students, oral hygiene students were found to have better oral health behavior. Our findings suggest that the further syudy is necessary to collect more data form other of department of oral hygiene in north and center Taiwan.

Key word: HU-DBI; Oral Health Behavior; medical university

並列關鍵字

HU-DBI ； Oral Health Behavior ； medical university

參考文獻

參考文獻:

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