Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study

Abstract Background Screening for medical conditions (MCs) of public health importance is a first step in disease prevention and control. Prior studies in the United States found oral health care providers (OHCPS) embrace screening for increased risk of medical conditions in the dental setting. Our...

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Main Authors: Saba Kassim, Badr Othman, Sakher AlQahtani, Alemad Mustafa Kawthar, Sterling M. McPherson, Barbara L. Greenberg
Format: Article
Language:English
Published: BMC 2019-08-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-019-0870-x
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author Saba Kassim
Badr Othman
Sakher AlQahtani
Alemad Mustafa Kawthar
Sterling M. McPherson
Barbara L. Greenberg
author_facet Saba Kassim
Badr Othman
Sakher AlQahtani
Alemad Mustafa Kawthar
Sterling M. McPherson
Barbara L. Greenberg
author_sort Saba Kassim
collection DOAJ
description Abstract Background Screening for medical conditions (MCs) of public health importance is a first step in disease prevention and control. Prior studies in the United States found oral health care providers (OHCPS) embrace screening for increased risk of medical conditions in the dental setting. Our objectives were to assess Saudi Arabian (SA) dentist’s attitudes, willingness and perceived barriers towards implementing screening for MCs into their dental practices. Methods A self-administered, 5-point Likert Scale (1 = very important/willing to 5 = very unimportant/unwilling) questionnaire was given to a convenience sample of 190 practicing dentists. Friedman nonparametric analysis of variance was used to compare responses within each question. Results Of the 143 responding dentists the mean age was 31 years; 102 (71%) were men. The majority felt it was important for a dentist to screen for cardiovascular disease (98.6%), hypertension (97.9%), diabetes (97.9%), human immunodeficiency virus (HIV) (97.9%), and hepatitis C virus (98.6%). Respondents were willing to refer a patient to a physician (97.9%); send samples to an outside laboratory (96.1%); conduct screening that yields immediate results (96.2%); and discuss results immediately with the patient (93.7%). Respondents were willing to measure/collect blood pressure (67.2%); weight and height (63.7%); and finger stick blood (54.6%). The whole responding dentists (100%) reported time as an important barrier. Respondents were significantly more willing to refer a patient for consultation than send samples to an outside laboratory (mean ranks: 2.32, 2.81, P < 0.001); significantly more willing to measure blood pressure than take oral fluids for salivary diagnostics (mean ranks 2.22, 2.75, p = 0.003). Insurance was significantly (P < 0.05) less important barrier than time, cost, patients’ willingness or liability (mean ranks 3.56, 2.63, 3.00, 2.79, 3.02, respectively). Conclusions The majority of dentists in this study reported positive attitudes towards and willingness to perform medical screenings in their practice. Time was an important factor.
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spelling doaj.art-426a06f3484e4d1a86449c2f3937530f2022-12-22T00:01:38ZengBMCBMC Oral Health1472-68312019-08-011911810.1186/s12903-019-0870-xDentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional StudySaba Kassim0Badr Othman1Sakher AlQahtani2Alemad Mustafa Kawthar3Sterling M. McPherson4Barbara L. Greenberg5Department of Preventive Dental Sciences, Taibah University Dental College & HospitalDepartment of Preventive Dental Sciences, Taibah University Dental College & HospitalDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud UniversityPediatric Division AlJouf Specialty Dental Centre, Ministry of HealthElson S. Floyd College of Medicine, Washington State UniversityTouro College of Dental Medicine, New York Medical CollegeAbstract Background Screening for medical conditions (MCs) of public health importance is a first step in disease prevention and control. Prior studies in the United States found oral health care providers (OHCPS) embrace screening for increased risk of medical conditions in the dental setting. Our objectives were to assess Saudi Arabian (SA) dentist’s attitudes, willingness and perceived barriers towards implementing screening for MCs into their dental practices. Methods A self-administered, 5-point Likert Scale (1 = very important/willing to 5 = very unimportant/unwilling) questionnaire was given to a convenience sample of 190 practicing dentists. Friedman nonparametric analysis of variance was used to compare responses within each question. Results Of the 143 responding dentists the mean age was 31 years; 102 (71%) were men. The majority felt it was important for a dentist to screen for cardiovascular disease (98.6%), hypertension (97.9%), diabetes (97.9%), human immunodeficiency virus (HIV) (97.9%), and hepatitis C virus (98.6%). Respondents were willing to refer a patient to a physician (97.9%); send samples to an outside laboratory (96.1%); conduct screening that yields immediate results (96.2%); and discuss results immediately with the patient (93.7%). Respondents were willing to measure/collect blood pressure (67.2%); weight and height (63.7%); and finger stick blood (54.6%). The whole responding dentists (100%) reported time as an important barrier. Respondents were significantly more willing to refer a patient for consultation than send samples to an outside laboratory (mean ranks: 2.32, 2.81, P < 0.001); significantly more willing to measure blood pressure than take oral fluids for salivary diagnostics (mean ranks 2.22, 2.75, p = 0.003). Insurance was significantly (P < 0.05) less important barrier than time, cost, patients’ willingness or liability (mean ranks 3.56, 2.63, 3.00, 2.79, 3.02, respectively). Conclusions The majority of dentists in this study reported positive attitudes towards and willingness to perform medical screenings in their practice. Time was an important factor.http://link.springer.com/article/10.1186/s12903-019-0870-xDentistsSaudi Arabia Oral healthMedical screeningAttitudes
spellingShingle Saba Kassim
Badr Othman
Sakher AlQahtani
Alemad Mustafa Kawthar
Sterling M. McPherson
Barbara L. Greenberg
Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study
BMC Oral Health
Dentists
Saudi Arabia Oral health
Medical screening
Attitudes
title Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study
title_full Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study
title_fullStr Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study
title_full_unstemmed Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study
title_short Dentists’ attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study
title_sort dentists attitudes towards chairside medical conditions screening in a dental setting in saudi arabia an exploratory cross sectional study
topic Dentists
Saudi Arabia Oral health
Medical screening
Attitudes
url http://link.springer.com/article/10.1186/s12903-019-0870-x
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AT sakheralqahtani dentistsattitudestowardschairsidemedicalconditionsscreeninginadentalsettinginsaudiarabiaanexploratorycrosssectionalstudy
AT alemadmustafakawthar dentistsattitudestowardschairsidemedicalconditionsscreeninginadentalsettinginsaudiarabiaanexploratorycrosssectionalstudy
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