社區中老年人口腔健康識能及其相關因素之初探

A Preliminary Study on the Oral Health Literacy and Related Factors of Community Mid-Aged and Older Adults

何牧行(Mu-Hsing HO) ； 劉芳(Megan F. LIU) ； 張佳琪(Chia-Chi CHANG)

《護理雜誌》 66卷1期 (2019/02) Pp. 38-47

https://doi.org/10.6224/JN.201902_66(1).06

摘要

背景：口腔健康問題取決於許多因素，如口腔健康識能，然過去調查發現臺灣成人對於正確之口腔保健觀念及相關知識技能有待加強，透過口腔健康識能能夠以不同面向來探索民眾獲得、處理和理解基本口腔健康訊息，並做出合宜健康決策之能力。目的：瞭解社區中老年人口腔健康識能並探討其相關因素。方法：採橫斷式研究設計，以方便取樣選取符合選樣標準之社區中老年人共計263位，研究工具為口腔健康識能量表（Oral Health Literacy-Adult Questionnaire）及人口學變項問卷，以皮爾森相關積差、獨立樣本t檢定以及單因子變異數分析進行統計分析。結果：本研究指出民眾在閱讀理解能力方面的平均得分最低，顯示民眾在閱讀理解以及口腔相關健康知識上仍需加強；而年齡越大，口腔健康識能越差，教育程度與經濟狀況較佳者其口腔健康識能越佳，口腔健康識能越優者會選擇合適自己的口腔清潔工具。結論／實務應用：社區中老年人之口腔健康識能仍有進步的空間，特別是閱讀理解能力，本研究結果可提供口腔衛生專業人員及社區護理人員日後計畫及推行口腔衛生教育活動之參考。

關鍵字

健康識能 ； 口腔健康 ； 社區中老年人

並列摘要

Background: Oral health literacy is one of the factors known to affect oral health. The results of prior studies indicate that Taiwanese lack accurate oral health knowledge and skills. Assessing the understanding of Taiwanese of the various aspects of oral health literacy is necessary to explore their ability to access, process, and understand basic oral health information and to make informed health decisions. Purpose: To understand the oral health literacy of mid-aged and older adults living in the community and to identify the related factors that significantly affect their oral health literacy. Methods: This cross-sectional study was conducted on a convenience sample of 263 mid-aged and older adults living in the community. Each participant completed a demographics datasheet and the Oral Health Literacy-Adult Questionnaire. The survey data were analyzed using descriptive statistics, independent t test, one-way analysis of variance test, and Pearson's correlation. Results: The reading comprehension domain earned the lowest average score, indicating that reading comprehension of oral-health-related information should be strengthened in the mid-age/older population. Age was negatively associated with oral health literacy, while educational level and financial status was positively associated with oral health literacy. Furthermore, the participants who scored higher in oral health literacy were better able to accurately choose the oral hygiene tools that best suited their needs. Conclusions: The results of this study suggest that strategies aiming to promote oral health literacy among community-dwelling mid-aged and older adults should focus particularly on strengthening reading comprehension abilities and on those of older age, lower education level, and lower financial status.

並列關鍵字

health literacy ； oral health ； community mid-aged and older adults

參考文獻

蔡恒惠（2012）．高齡者與住院病患的口腔照護．新臺北護理期刊，14（1），1–5。[Tsai, H. H. (2012). Oral care in the elderly and hospitalized inpatients. New Taipei Journal of Nursing, 14(1), 1–5.] https://doi.org/10.6540/NTJN.2012.1.001

楊瑞珍、蘇秀娟、諶世芳、潘 愷、王凌節、周適宏（2001）．某護理學院新生口腔健康狀況及口腔保健知識、態度、行為之探討．醫護科技學刊，3（2），123–136。[Yang, R. J., Su, H. C., Shen, S. F., Pan, K., Wang, L. J., & Chou, S. H. (2001). Oral health and the knowledge, attitudes and behaviors of university freshmen in a nursing college. The Journal of Health Science, 3(2), 123–136.] https://doi.org/10.6563/TJHS.2001.3(2).1

蔡旻璇、陳佳慧（2013）．老化對吞嚥功能之影響．台灣醫學，17（1），84–87。[Tsai, M. H., & Chen, C. C. H. (2013). Age effects on swallowing. Formosan Journal of Medicine, 17(1), 84-87.] https://doi.org/10.6320/FJM.2013.17(1).13

李守義、蔡慈儀、蔡憶文、郭耿南（2012）．「中文健康識能評估量表」簡式量表的發展與效度檢測．台灣公共衛生雜誌，31（2），184–194。[Lee, S. Y. D., Tsai, T. I., Tsai, Y. W., & Kuo, K. N. (2012). Development and validation of the short-form mandarin health literacy scale. Taiwan Journal of Public Health, 31(2), 184–194.] https://doi.org/10.6288/TJPH2012-31-02-10

吳秀英、賴辛癸、張粹文、林宇旋、洪百薰、蕭美玲（2008）．台灣地區2001年及2005年成人及兒童口腔保健行為與牙科就診原因之比較．台灣公共衛生雜誌，27（1），25–31。[Wu, S. I., Lai, S. K., Chang, T. W., Lin, Y. H., Hurng, B. S., & Hsiao, M. L. (2008). The relationship between oral health behaviors and dental visits among adults and children in Taiwan: A transitional comparison between 2001 and 2005. Taiwan Journal of Public Health, 27(1), 25–31.] https://doi.org/10.6288/TJPH2008-27-01-03