教育和健康素养与糖尿病患者预防性牙科就诊的联合关联：一项全国性的横断面研究

IF 1.2 Q4 ENDOCRINOLOGY & METABOLISM

Diabetology International Pub Date : 2024-12-02 eCollection Date: 2025-01-01 DOI:10.1007/s13340-024-00780-z

Kyoko Saito, Yuki Kawai, Hirono Ishikawa, Takahiro Tabuchi, Keisuke Kuwahara

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引用次数: 0

摘要

目的：口腔健康对糖尿病患者至关重要。虽然卫生知识普及可能会促进预防性牙科就诊，但这方面的证据很少。此外，由于教育被认为是健康素养的决定因素，因此没有人澄清健康素养是否可以减轻寻求医疗保健行为中的教育不平等。我们检查了教育和健康素养与糖尿病患者预防性牙科就诊的联合关系。方法：采用2020年日本COVID-19和社会互联网调查（JACSIS）的横断面数据。我们纳入了1441名目前报告患有糖尿病的患者。教育程度自述。采用经验证的健康素养量表进行测量。过去12个月的预防性牙科就诊是自我报告的。我们估计了预防性牙科就诊的多变量调整患病率（PR）。结果：54%的参与者进行了预防性牙科检查；35%的人有较高的卫生知识素养。总体而言，高健康素养与预防性牙科就诊显著相关。受教育程度较高和/或具有较高的健康素养与预防性牙科就诊的患病率增加有关（P表示趋势）。结论：目前的数据表明，健康素养可能有助于促进预防性牙科就诊，并且不否认健康素养可以减轻糖尿病患者教育不平等的可能性。补充信息：在线版本包含补充资料，提供地址为10.1007/s13340-024-00780-z。

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Combined associations of education and health literacy with preventive dental visits in patients with diabetes: a nationwide cross-sectional study.

Aim: Oral health is important in patients with diabetes. While health literacy may promote preventive dental visits, the evidence is sparse among them. Additionally, because education is indicated as a determinant of health literacy, none clarified whether health literacy can mitigate educational inequalities in healthcare-seeking behaviors. We examined combined associations of education and health literacy with preventive dental visits in patients with diabetes.

Methods: We used cross-sectional data from the Japan COVID-19 and Society Internet Survey (JACSIS) in 2020. We included 1441 patients reporting to have diabetes currently. Educational level was self-reported. Health literacy was measured using the validated scale. Preventive dental visits in the past 12 months were self-reported. We estimated multivariable-adjusted prevalence ratio (PR) for preventive dental visits.

Results: 54% of the participants had preventive dental visits; 35% had high health literacy. Overall, high health literacy was significantly associated with preventive dental visits. Being more educated and/or having high health literacy were associated with an increased prevalence of preventive dental visits (P for trend < 0.001). Compared with less education and low health literacy group, adjusted PRs (95% confidence intervals) of preventive dental visits were 1.10 (0.93, 1.31) for less education and high health literacy group, 1.14 (1.00, 1.30) for more education and low health literacy group, and 1.29 (1.13, 1.48) for more education and high health literacy group.

Conclusions: The present data suggest that health literacy may help promote preventive dental visits and do not deny the possibility that health literacy can mitigate educational inequalities in patients with diabetes.

Supplementary information: The online version contains supplementary material available at 10.1007/s13340-024-00780-z.

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来源期刊

Diabetology International ENDOCRINOLOGY & METABOLISM-

CiteScore

3.90

自引率

4.50%

发文量

期刊介绍： Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.