1
|
Verástegui-Sandoval A, Aquiles-Barzola F, Machco-Pasmiño H, Ladera-Castañeda M, Briceño-Vergel G, Castro-Rojas M, Cornejo-Pinto A, Cervantes-Ganoza L, Cayo-Rojas C. Fear of COVID-19 associated with burnout syndrome in dentists of the Health Directorate of the National Police of Peru: a cross-sectional study at national level under multivariable regression model. BMC Public Health 2024; 24:1488. [PMID: 38831272 PMCID: PMC11149343 DOI: 10.1186/s12889-024-18979-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 05/28/2024] [Indexed: 06/05/2024] Open
Abstract
BACKGROUND During the pandemic, many police dentists had the crucial responsibility of ensuring law and order while providing dental care by taking government-approved health measures to stop the spread of the coronavirus. The aim of this study was to assess the association between the fear of COVID-19 and Burnout syndrome in Peruvian dentists belonging to the Health Department of the National Police of Peru (PNP), taking into account possible confounding variables. METHODS This cross-sectional and analytical study included 182 PNP dentists. The Fear COVID-19 Scale assessed fear of COVID-19 and the Maslach Burnout Inventory Test assessed burnout syndrome. The association between the fear of COVID-19 and Burnout syndrome (self-fulfilment) was analyzed using Spearman's Rho. A multivariable Poisson regression model with a robust variance estimation method was employed to evaluate the impact of fear of COVID-19 on the various dimensions of Burnout syndrome, considering possible confounding variables. The statistical significance level was set at p < 0.05. RESULTS Under bivariate analysis, fear of COVID-19 was significantly linked with low direct intensity toward emotional exhaustion (Rho = 0.325, p < 0.001), very low direct intensity toward depersonalization (Rho = 0.180, p = 0.015), and very low inverse intensity toward self-fulfilment (Rho =-0.186, p = 0.012). Under multivariable analysis, it was observed that dentists who exhibited fear of COVID-19 were 3.4 and 3.7 times more likely to experience emotional exhaustion and depersonalization, respectively (APR = 3.40, 95% CI: 1.74-6.63 and APR = 3.68, 95% CI: 1.31-10.37), as compared to those who did not display fear of COVID-19. Moreover, none of the potential confounding factors were found to have a significant impact on emotional exhaustion (p > 0.05), depersonalization (p > 0.05), and self-fulfilment (p > 0.05). CONCLUSION Fear of COVID-19 was significantly associated with emotional exhaustion and depersonalization, and inversely associated with self-fulfilment. PNP dentists who exhibited fear of COVID-19 were at greater risk for emotional exhaustion and depersonalization. In developing Burnout syndrome, no significant impact was observed from factors such as age, gender, marital status, children, hierarchy, years of service, work area, private practice, work over 40 h per week, type of service, work performed, sport practice and daily exercise time.
Collapse
Affiliation(s)
- Arturo Verástegui-Sandoval
- Research Group "Salud Pública - Salud Integral", Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru
- Professional Academic School of Dentistry, Faculty of Health Sciences, Universidad Privada Norbert Wiener, Lima, Peru
| | - Flor Aquiles-Barzola
- Professional Academic School of Dentistry, Faculty of Health Sciences, Universidad Privada Norbert Wiener, Lima, Peru
| | - Heriberto Machco-Pasmiño
- Professional Academic School of Dentistry, Faculty of Health Sciences, Universidad Privada Norbert Wiener, Lima, Peru
| | - Marysela Ladera-Castañeda
- Research Group "Salud Pública - Salud Integral", Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | - Miriam Castro-Rojas
- Research Group "Salud Pública - Salud Integral", Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Alberto Cornejo-Pinto
- Research Group "Salud Pública - Salud Integral", Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Lima, Peru.
| |
Collapse
|
2
|
Albornoz-Palacios E, Ladera-Castañeda M, Briceño-Vergel G, Córdova-Limaylla N, Aroste-Andía R, Hernández-Huamaní E, Gavilán-Chávez P, Castro-Rojas M, Cervantes-Ganoza L, Cayo-Rojas C. Sociodemographic Factors Associated with the Satisfaction Level of Peruvian Dental Students with Virtual Classes During the Covid-19 Pandemic: A Prospective Bicentric Study. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2024; 15:257-268. [PMID: 38586608 PMCID: PMC10999204 DOI: 10.2147/amep.s452630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 03/27/2024] [Indexed: 04/09/2024]
Abstract
Background The pandemic caused by Covid-19 impacted all areas of social, economic and educational activity. When there is a high risk of spreading highly infectious diseases, education is usually the first service to be suspended. The objective was to evaluate the sociodemographic factors associated with the satisfaction level of Peruvian dental students with virtual classes during the Covid-19 pandemic. Methods This observational, cross-sectional, analytical study evaluated 237 dental students from the capital city and one Peruvian province using a validated 13-item questionnaire to measure the level of satisfaction with virtual classes. Pearson's chi-square test and a logit model were used to evaluate the associated factors such as age group, sex, marital status, monthly family income, area of residence, place of origin, occupation and computer use, considering a significance level of p<0.05. Results Of all students, 50.6%, 40.1% and 9.3% presented a good, average and poor level of satisfaction, respectively, with the virtual classes received. In addition, those with a monthly family income of less than 500 US dollars were 3.15 times more likely to have poor satisfaction compared to those with a monthly family income of more than 1000 US dollars (AOR = 3.15; 95% CI: 1.23-8.05). The rest of the variables evaluated were not considered influential factors in the levels of satisfaction with the virtual classes received. Conclusión Of all students, 50.6% and 9.3% reported good and poor satisfaction with virtual classes during the COVID-19 pandemic, respectively. Monthly family income of less than 500 US dollars was an influential factor. In addition, the variables age group, sex, marital status, area of residence, place of origin, occupation and computer use were not found to be influential factors.
Collapse
Affiliation(s)
| | | | | | | | - Rosa Aroste-Andía
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| | | | | | - Miriam Castro-Rojas
- Faculty of Dentistry and Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Lima, Peru
| |
Collapse
|
3
|
Lloclla-Sauñe S, Briceño-Vergel G, Ladera-Castañeda M, Huamaní-Echaccaya J, Romero-Velásquez L, Hernández-Huamaní E, Aroste-Andía R, Cervantes-Ganoza L, Cayo-Rojas C. Impact of an Educational Intervention on Oral Health Knowledge and Bacterial Plaque Control in Male Secondary School Students in a Peruvian Province: A Quasi-Experimental Study. J Multidiscip Healthc 2024; 17:205-217. [PMID: 38250314 PMCID: PMC10799640 DOI: 10.2147/jmdh.s448217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Accepted: 01/09/2024] [Indexed: 01/23/2024] Open
Abstract
Background The purpose of this study was to evaluate the effect of an educational intervention on oral health knowledge and bacterial plaque control in male secondary school students in a Peruvian province. Methods This quasi-experimental study evaluated 294 male secondary school students in southern Peru. Oral health knowledge was measured with a validated 20-item questionnaire. Bacterial plaque was measured with the Simplified Oral Hygiene Index (OHI-S). This was rated as Excellent: 0, Good: 0.1-1.2, Fair: 1.3-3.0 and Poor: 3.1-6.0, before receiving the educational intervention and after four weeks of receiving it. Variables such as age, area of residence, having health professionals as family members, educational level of mother and father, and living with parents were considered. A significance level of p<0.05 was considered. Results The comparison between the level of oral health knowledge and the OHI-S, before and after 4 weeks of receiving the educational intervention, showed a significant improvement (p<0.05) in all the categories of the variables studied. Likewise, before the educational intervention, there were significant differences in global knowledge about oral health among the categories of the following variables: age group (p=0.040), area of residence (p<0.001), educational level (father) (p=0.011) and living with parents (p<0.001). However, after four weeks of receiving the educational intervention, no significant differences were observed in all the variables studied (p>0.05). Regarding the OHI-S, no significant differences were observed in any of the variables studied, both before (p>0.05) and after four weeks (p>0.05) of receiving the educational intervention. Conclusion After four weeks, the educational intervention significantly improved oral health knowledge and significantly reduced plaque bacterial plaque in male secondary school students in a Peruvian province, regardless of age, area of residence, having health professional family members, educational level of mother and father, and living with parents.
Collapse
Affiliation(s)
| | | | - Marysela Ladera-Castañeda
- Faculty of Dentistry and Postgraduate School, Research Team “salud Pública – Salud Integral”, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | | | | | - Rosa Aroste-Andía
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| |
Collapse
|
4
|
Luyo-Peñafiel BR, Briceño-Vergel G, Ladera-Castañeda MI, Córdova-Limaylla N, Huamaní-Echaccaya JL, Romero-Velásquez L, Hernández-Huamaní E, Castro-Rojas M, Cervantes-Ganoza L, Cayo-Rojas C. Sociodemographic Factors Associated with Knowledge About Management of Cleft Lip and Palate Patients in Peruvian Dental Students: A Logistic Regression Analysis. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2023; 14:1287-1298. [PMID: 38028374 PMCID: PMC10660724 DOI: 10.2147/amep.s437637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 11/10/2023] [Indexed: 12/01/2023]
Abstract
Background Cleft lip and palate are relatively frequent craniofacial alterations caused by the lack of union of the frontonasal processes with the maxillary processes during the first weeks of intrauterine life. This study evaluated the sociodemographic factors associated with the level of knowledge about management of cleft lip and palate (CLP) patients in Peruvian dental students. Methods This analytical, observational, cross-sectional and prospective study evaluated 191 dental students belonging to two branches of a private Peruvian university (one branch in the capital city and the other in a province), from September to November 2022. A validated questionnaire of 14 closed multiple-choice questions was used. A logit model was used to evaluate the influence of the variables: sex, age, academic year of study, marital status, relationship with CLP persons, place of origin and area of residence, on the level of knowledge of the students considering a significance level of p<0.05. Results Of the total, 77%, 22.5% and 0.5% presented a poor, fair and good level of knowledge, respectively, on the dental management of the patient with cleft lip and palate. In addition, those who lived in urban areas were 2.8 times more likely to have poor knowledge about the dental management of patients with CLP, compared to those who lived in non-urban areas (OR = 2.83; 95% CI: 1.26-6.33). Finally, sex, age, marital status, place of origin, academic year of studies and relationship with CLP persons were not considered influential factors (p>0.05). Conclusion Most of the students showed a poor level of knowledge about the dental management of patients with cleft lip and palate, a risk factor being that the students live in an urban area. It is recommended that educational authorities include selected topics on CLP in subjects related to infant, child and adolescent care.
Collapse
Affiliation(s)
| | | | - Marysela Irene Ladera-Castañeda
- Faculty of Dentistry and Postgraduate School, Research Team “salud Pública – Salud Integral”, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | | | | | | | - Miriam Castro-Rojas
- Faculty of Dentistry and Postgraduate School, Research Team “salud Pública – Salud Integral”, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| |
Collapse
|
5
|
Santome-Pariona J, Briceño-Vergel G, Córdova-Limaylla N, Ladera-Castañeda M, Huamani-Echaccaya J, Tolmos-Valdivia R, Huamani-Cantoral J, Solís-Dante F, Cervantes-Ganoza L, Cayo-Rojas C. Factors Associated with the Level of Knowledge about Biosafety against COVID-19 in Peruvian Dental Students: A Cross-Sectional Study under a Multivariable Regression Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5938. [PMID: 37297542 PMCID: PMC10252526 DOI: 10.3390/ijerph20115938] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 05/05/2023] [Accepted: 05/22/2023] [Indexed: 06/12/2023]
Abstract
AIM Biosafety is a set of preventive measures aimed at controlling risk factors arising from biological, physical, and/or chemical agents. This topic is particularly important in the dental field since saliva is the main biological agent of the transmission of coronavirus. The present study aimed to determine the factors associated with the level of knowledge about biosafety against COVID-19 in Peruvian dentistry students. MATERIALS AND METHODS The present observational, cross-sectional, and analytical study evaluated 312 Peruvian dentistry students. A validated 20-question questionnaire was used to measure the level of knowledge. The nonparametric Mann-Whitney U and Kruskal-Wallis tests were used to compare levels of knowledge between categories of each variable. A logit model was used to evaluate associated factors such as sex, age, marital status, place of origin, academic year of study, being in the academic upper third, history of COVID-19, and living with vulnerable family members. A significance level of p < 0.05 was considered. RESULTS 36.2%, 31.4%, and 32.4% presented poor, fair, and good knowledge levels, respectively. Students under 25 years of age were 64% less likely to pass the biosafety against COVID-19 questionnaire than students 25 years of age and older (OR = 0.36; CI: 0.20-0.66). Students in the academic upper third were nine times more likely to pass the test than other students (OR = 9.38; CI: 4.61-19.07). Finally, third-year students were 52% less likely to pass the exam than fifth-year students (OR = 0.48; CI: 0.28-0.83). CONCLUSION Only a minority of dentistry students had a good level of knowledge about biosafety against COVID-19. Younger and less educated students were more likely to fail the questionnaire. On the other hand, those students with outstanding academic performance were more likely to pass the questionnaire.
Collapse
Affiliation(s)
- John Santome-Pariona
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| | - Gissela Briceño-Vergel
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| | - Nancy Córdova-Limaylla
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| | - Marysela Ladera-Castañeda
- Research Team “Salud Pública–Salud Integral”, Faculty of Dentistry and Postgraduate School, Universidad Nacional Federico Villarreal, Lima 15001, Peru;
| | - José Huamani-Echaccaya
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| | - Rita Tolmos-Valdivia
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| | - Juan Huamani-Cantoral
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| | | | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Ica 11002, Peru; (J.S.-P.); (G.B.-V.); (N.C.-L.); (J.H.-E.); (R.T.-V.); (J.H.-C.)
| |
Collapse
|
6
|
Aquiles-Barzola F, Verástegui-Sandoval A, Machco-Pasmiño H, Córdova-Limaylla N, Ladera-Castañeda M, Cervantes-Ganoza L, Cayo-Rojas C. Factors Associated with Epidemiological, Preventive and Health Care Knowledge of Dentists from North of the Peruvian Capital about COVID-19: A Cross-Sectional Study under a Predictive Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1020. [PMID: 36673776 PMCID: PMC9858654 DOI: 10.3390/ijerph20021020] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 12/30/2022] [Accepted: 01/04/2023] [Indexed: 06/12/2023]
Abstract
Aim: In dental practice there is a high risk of contact with fluids that may contain SARS-CoV-2. Salivary secretions in the form of droplets are the main route of infection. The present study aimed to evaluate factors associated with epidemiological, preventive and health care knowledge of dentists from the north of the Peruvian capital about COVID-19. Materials and Methods: This analytical, observational, cross-sectional and prospective study evaluated 142 dental professionals from the Directorate of Integrated Health Networks (DIRIS) in the north of the Peruvian capital during June to August 2022. A validated questionnaire of 20 closed multiple-choice questions was used to measure the level of epidemiological, preventive and health care knowledge about COVID-19. A logit model was used to evaluate the influence of the following variables: age, sex, marital status, children, origin, university of origin, academic degree, work modality, work status and number of training courses. In addition, a predictive model was constructed with the causal variables considering a significance level of p < 0.05. Results: Epidemiological, preventive and health care knowledge about COVID-19 was fair in 17.6%, 34.5% and 57.7%, respectively. Likewise, all the variables analyzed were influential factors. It was observed that being single (OR = 0.05, CI: 0.01−0.26), having studied at a private university (OR = 0.09, CI: 0.023−0.38) and having received four to six trainings on COVID-19 related topics (OR = 0.02, CI: 0.002−0.238) were protective factors against fair knowledge. Conclusions: More than half of the dentists surveyed had fair knowledge about COVID-19. The factors that favored a good level of overall knowledge were: being single, having studied at a private university and having received 4 to 6 training courses on COVID-19-related topics. It is advisable that the competent authorities continue to educate dental professionals with training programs about infection control practices in accordance with the health care work they perform in their specialty. It will also be of utmost importance for the professional to be updated with reliable information accredited by the Centers for Disease Control and Prevention as well as the WHO.
Collapse
Affiliation(s)
- Flor Aquiles-Barzola
- Grupo de Investigación Salud y Bienestar Global, Faculty of Dentistry and Postgraduate School, Universidad Nacional Federico Villarreal, Lima 15001, Peru
- Faculty of Health Sciences, Professional Academic School of Dentistry, Universidad Privada Norbert Wiener, Lima 15046, Peru
| | - Arturo Verástegui-Sandoval
- Faculty of Health Sciences, Professional Academic School of Dentistry, Universidad Privada Norbert Wiener, Lima 15046, Peru
| | - Heriberto Machco-Pasmiño
- Faculty of Health Sciences, Professional Academic School of Dentistry, Universidad Privada Norbert Wiener, Lima 15046, Peru
| | - Nancy Córdova-Limaylla
- School of Stomatology, Universidad Privada San Juan Bautista, Lima 15067, Peru
- Academic Program of Dentistry, Universidad Peruana de Ciencias Aplicadas, Lima 15023, Peru
| | - Marysela Ladera-Castañeda
- Grupo de Investigación Salud y Bienestar Global, Faculty of Dentistry and Postgraduate School, Universidad Nacional Federico Villarreal, Lima 15001, Peru
| | | | - César Cayo-Rojas
- Grupo de Investigación Salud y Bienestar Global, Faculty of Dentistry and Postgraduate School, Universidad Nacional Federico Villarreal, Lima 15001, Peru
- School of Stomatology, Universidad Privada San Juan Bautista, Lima 15067, Peru
| |
Collapse
|