Low oral health literacy levels and deficient oral health knowledge jeopardize the communication between dentists and patients in different communities. This study aimed to examine the impact and association of oral health literacy with patients’ levels of dental anxiety and their utilization of dental health services. This cross-sectional study was conducted at the Misr International University (MIU) dental clinics. The study utilized a structured, interview led questionnaire that was administered by second year dental students, over the period of two successive academic years 2018–2019 and 2019–2020. A total of 440 student interviewed a convenience sample of 440 dental patients: including 269 females (61.1%) and 171 males (38.9%). The questionnaire consisted of four sections; a demographic section, a modified Arabic Rapid Estimate of Adult Literacy (ARELAD-30) Tool that measures the ability of the participants to read 30 commonly used dental terms. This questionnaire was modified by the authors to measure the participants’ knowledge by asking them to choose the most accurate meaning for each word based on their previous knowledge. Scoring was dependent on the participant’s immediate correct pronunciation, as well as comprehension of each word. The Arabic Modified Dental Anxiety Scale (AMDAS) was used to measure the level of dental anxiety, and the dental health service utilization was measured using the Utilization of oral health services questionnaire. One quarter (24.1%) of the participants read the 30 items of the A-REALD correctly. The average percentage of correct responses to the meaning of the dental terms was 71.2%. There was no statistically significant association between A-REALD and knowledge scores (Spearman’s Correlation coefficient ρ = -0.008, p-value?=?0.872). There was a statistically significant inverse correlation between age and MDAS (Correlation coefficient ρ = -0.146, p-value?=?0.002). A-REALD scores were inversely correlated with time since last visit (Regression coefficient = -0.027, p-value?=?0.036, with 95% CI: -0.052 – -0.002). Within the limitations of this study, it can be concluded that oral health literacy is significantly associated to dental health services utilization, while, dental anxiety is related to other variables, such as age and gender.

中文翻譯：

口腔健康素養(yǎng)對牙科患者牙科焦慮和口腔健康服務利用的影響：一項橫斷面研究

口腔健康素養(yǎng)水平低和口腔健康知識不足會危及不同社區(qū)牙醫(yī)與患者之間的溝通。本研究旨在檢查口腔健康素養(yǎng)與患者牙科焦慮水平及其對牙科健康服務的利用的影響和關聯(lián)。這項橫斷面研究是在 Misr 國際大學 (MIU) 的牙科診所進行的。該研究采用結構化的、以訪談為主導的問卷調查，由二年級牙科學生在 2018-2019 和 2019-2020 連續(xù)兩個學年期間進行。共有 440 名學生采訪了 440 名牙科患者的便利樣本：包括 269 名女性 (61.1%) 和 171 名男性 (38.9%)。問卷由四個部分組成；人口統(tǒng)計部分，一種改進的阿拉伯語成人識字能力快速評估 (ARELAD-30) 工具，用于衡量參與者閱讀 30 個常用牙科術語的能力。作者對這份問卷進行了修改，要求參與者根據之前的知識為每個單詞選擇最準確的含義，從而衡量參與者的知識水平。評分取決于參與者立即正確的發(fā)音，以及對每個單詞的理解。使用阿拉伯改良牙科焦慮量表（AMDAS）測量牙科焦慮水平，并使用口腔衛(wèi)生服務利用調查問卷測量牙科衛(wèi)生服務利用情況。四分之一（24.1%）的參與者正確閱讀了 A-REALD 的 30 個條目。正確回答牙科術語含義的平均百分比為 71.2%。A-REALD 和知識分數之間沒有統(tǒng)計學上的顯著關聯(lián)（斯皮爾曼相關系數 ρ = -0.008，p 值 = 0.872）。年齡和 MDAS 之間存在統(tǒng)計學上顯著的負相關（相關系數 ρ = -0.146，p 值 = 0.002）。A-REALD 分數與自上次訪問以來的時間呈負相關（回歸系數 = -0.027，p 值 = 0.036，95% CI：-0.052 – -0.002）。在本研究的限制范圍內，可以得出結論，口腔健康素養(yǎng)與牙科健康服務利用顯著相關，而牙科焦慮與其他變量有關，例如年齡和性別。年齡和 MDAS 之間存在統(tǒng)計學上顯著的負相關（相關系數 ρ = -0.146，p 值 = 0.002）。A-REALD 分數與自上次訪問以來的時間呈負相關（回歸系數 = -0.027，p 值 = 0.036，95% CI：-0.052 – -0.002）。在本研究的限制范圍內，可以得出結論，口腔健康素養(yǎng)與牙科健康服務利用顯著相關，而牙科焦慮與其他變量有關，例如年齡和性別。年齡和 MDAS 之間存在統(tǒng)計學上顯著的負相關（相關系數 ρ = -0.146，p 值 = 0.002）。A-REALD 分數與自上次訪問以來的時間呈負相關（回歸系數 = -0.027，p 值 = 0.036，95% CI：-0.052 – -0.002）。在本研究的限制范圍內，可以得出結論，口腔健康素養(yǎng)與牙科健康服務利用顯著相關，而牙科焦慮與其他變量有關，例如年齡和性別。

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