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The association between oral health literacy and missed dental appointments.
J Am Dent Assoc. 2016 Aug 3. pii: S0002-8177(16)30505-0. doi: 10.1016/j.adaj.2016.05.011. [Epub ahead of print]
this study, the author identified associations among demographic
characteristics, dental risk factors, health-seeking behaviors, oral
health literacy level, and failure to keep dental appointments.
author conducted an unmatched 1:2 case-control study at a
university-based dental clinic from February through April 2015. The
author used the Comprehensive Measure of Oral Health Knowledge
questionnaire to record the oral health literacy of the respondents. The
author obtained additional information about the various covariates
using a questionnaire and checking the patients' electronic medical
records. The author used a multivariate logistic regression analysis to
test the associations between missed appointments and other risk factors
in addition to oral health literacy.
from 150 (50 case patients and 100 control patients) respondents were
included in the analysis. The case and control patients were comparable
in terms of sociodemographic characteristics and dental risk factors.
The Comprehensive Measure of Oral Health Knowledge score was used to
categorize the sample into low (≤ 18) and high (> 18) oral health
literacy groups. Low oral health literacy was associated with a 2-fold
increase in the risk of having missed appointments (adjusted odds ratio,
2.38; 95% confidence interval, 1.05-5.40). Age was also independently
associated with missed appointments (adjusted odds ratio, 1.03; 95%
confidence interval, 1.01-1.06).
adjusting for the various demographic and dental risk factors, poor
oral health literacy was found to be independently associated with
missed dental appointments. Insights into the role of oral health
literacy and clinic attendance could play an important role in
addressing the problem of missed dental appointments.
the effects of missed appointments on treatment outcomes, predictors of
patient compliance behaviors may be useful in circumventing
cancellations and no shows.