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已发表论文
中国哈尔滨地区孕妇对妊娠期牙科诊断和治疗的知识、态度和行为（KAP）影响因素的横断面研究
Authors Wang X , Xu B, Fan J, Wang Y
Received 14 August 2025
Accepted for publication 17 November 2025
Published 13 December 2025 Volume 2025:17 Pages 5399—5410
DOI https://doi.org/10.2147/IJWH.S560628
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Vinay Kumar
Xiaonan Wang, Baiqiang Xu, Jiayu Fan, Yanming Wang
Department of Stomatology, the Forth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, 150001, People’s Republic of China
Correspondence: Yanming Wang, Department of Stomatology, the Forth Affiliated Hospital of Harbin Medical University, 37 Yiyuan Street, Harbin, Heilongjiang, 150000, People’s Republic of China, Tel +8615846576709, Email wangyanming8227@163.com
Purpose: This study primarily aimed to identify factors influencing the knowledge, attitudes, and practices (KAP) of pregnant women regarding dental diagnosis and treatment during pregnancy in Harbin, China.
Patients and Methods: A cross-sectional study was conducted from May to July 2025, during which 383 pregnant women attending the Obstetrics Department of the Fourth Affiliated Hospital of Harbin Medical University were successfully recruited via convenience sampling. A self-designed, validated questionnaire based on the KAP model and the standardized Modified Dental Anxiety Scale (MDAS) was used for data collection. Data were analyzed using descriptive statistics, Pearson correlation, univariate analysis, and multiple linear regression.
Results: The mean KAP scores (standardized to a 100-point scale) were suboptimal: knowledge, 59.36 ± 14.10; attitude, 59.92 ± 13.60; practice, 64.66 ± 16.74; and total KAP, 60.33 ± 12.28. Knowledge gaps were most evident regarding oral medications and radiographic examinations. Dental anxiety was prevalent in 72.0% of participants. The primary barrier to seeking care was safety concerns (74.93%). Medical professionals and online new media were the most frequently reported sources of oral health information. Multiple linear regression identified medical background, pregnancy intention, educational attainment, and dental anxiety as significant predictors of total KAP score (p < 0.05).
Conclusion: Pregnant women’s KAP toward dental diagnosis and treatment were influenced by educational attainment, Medical professional background, pregnancy intention, and dental anxiety. Developing national guidelines, enhancing multidisciplinary collaboration, and providing targeted education and psychological support may improve oral health outcomes.
Keywords: pregnant women, dental diagnosis and treatment, knowledge–attitude–practice, KAP, cross-sectional study, dental anxiety, influencing factors
Department of Stomatology, the Forth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, 150001, People’s Republic of China
Correspondence: Yanming Wang, Department of Stomatology, the Forth Affiliated Hospital of Harbin Medical University, 37 Yiyuan Street, Harbin, Heilongjiang, 150000, People’s Republic of China, Tel +8615846576709, Email wangyanming8227@163.com
Purpose: This study primarily aimed to identify factors influencing the knowledge, attitudes, and practices (KAP) of pregnant women regarding dental diagnosis and treatment during pregnancy in Harbin, China.
Patients and Methods: A cross-sectional study was conducted from May to July 2025, during which 383 pregnant women attending the Obstetrics Department of the Fourth Affiliated Hospital of Harbin Medical University were successfully recruited via convenience sampling. A self-designed, validated questionnaire based on the KAP model and the standardized Modified Dental Anxiety Scale (MDAS) was used for data collection. Data were analyzed using descriptive statistics, Pearson correlation, univariate analysis, and multiple linear regression.
Results: The mean KAP scores (standardized to a 100-point scale) were suboptimal: knowledge, 59.36 ± 14.10; attitude, 59.92 ± 13.60; practice, 64.66 ± 16.74; and total KAP, 60.33 ± 12.28. Knowledge gaps were most evident regarding oral medications and radiographic examinations. Dental anxiety was prevalent in 72.0% of participants. The primary barrier to seeking care was safety concerns (74.93%). Medical professionals and online new media were the most frequently reported sources of oral health information. Multiple linear regression identified medical background, pregnancy intention, educational attainment, and dental anxiety as significant predictors of total KAP score (p < 0.05).
Conclusion: Pregnant women’s KAP toward dental diagnosis and treatment were influenced by educational attainment, Medical professional background, pregnancy intention, and dental anxiety. Developing national guidelines, enhancing multidisciplinary collaboration, and providing targeted education and psychological support may improve oral health outcomes.
Keywords: pregnant women, dental diagnosis and treatment, knowledge–attitude–practice, KAP, cross-sectional study, dental anxiety, influencing factors