›› 2020, Vol. 40 ›› Issue (5): 448-452.

• 调查研究 • 上一篇    下一篇

江苏省3~5岁和12~15岁人群口腔卫生服务利用情况调查及相关因素分析

刘怡然1,沈红2,仇颖莹2,沈家平3   

  1. 1. 南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院
    2. 江苏省口腔医院
    3. 南京医科大学附属口腔医院
  • 收稿日期:2019-09-20 修回日期:2019-10-16 出版日期:2020-05-26 发布日期:2020-06-08
  • 通讯作者: 沈家平 E-mail:shennyd@163.com

Oral health service utilization patterns and related factors among 3- to 5-year-old children and 12- to 15-year-old students in Jiangsu Province

2,   

  • Received:2019-09-20 Revised:2019-10-16 Online:2020-05-26 Published:2020-06-08

摘要: [摘要] 目的 评价江苏省3~5岁儿童和12~15岁青少年口腔卫生服务利用情况以及相关因素。方法 采用多阶段分层抽样的方法,抽取江苏省3~5岁儿童1 337人和12~15岁青少年3 914人,通过口腔检查和问卷调查对口腔卫生服务需要和利用情况进行评价,对过去12个月内口腔科就诊情况进行单因素分析和多因素Logistic回归分析。结果 江苏省3~5岁儿童和12~15岁青少年患龋率分别为59.69%和34.98%,分别有98.12%和82.47%的龋齿未充填;89.68%的12~15岁青少年牙周有问题;13.76%的3~5岁儿童和25.29%的12~15岁学生过去12个月内曾到口腔科就诊;进行口腔疾病的治疗(3~5岁49.73%,12~15岁45.15%)为最主要的就医原因;3~5岁儿童过去12个月没有就医的原因主要为家长认为孩子的牙没有问题(73.07%),或孩子的牙坏得不严重(11.85%),以及乳牙不需要治疗(11.24%);口腔健康状况、口腔卫生习惯和父母教育水平是口腔卫生服务利用的影响因素。结论 江苏省3~5岁儿童和12~15岁青少年口腔卫生服务需要量大而利用率低,应进一步加强幼儿园和学校口腔健康教育,提高口腔卫生服务利用率。

关键词: 口腔卫生服务利用, 相关因素, 3~5岁儿童, 5~12岁, 江苏省

Abstract: Objective To evaluate the patterns of oral health service utilization and to determine the related factors among 3- to 5-year-old children and 12- to 15-year-old students in Jiangsu Province. Methods The sampling process was conducted with a multistage stratified equal capacity method. A total of 1337 children and 3914 students were recruited. Oral health examinations and questionnaire investigations were carried out to evaluate the needs and utilization of oral health service. Chi-square tests, Mann-Whitney U tests, multivariate logistic regression were used to identify the variables associated with oral health service utilization based on the past 12-month clinical situation. Results Caries prevalence rates of 3- to 5-year-old children and 12- to 15-year-old students in Jiangsu Province were 59.69% and 34.98%. And 98.12% and 82.47% of the caries were unfilled. Among them, 89.68% of 12- to 15-year-old students had periodontal problems, 13.76% children and 25.29% students had utilized oral health services in the past 12 months. Main reason for care-seeking was receiving dental treatment (3- to 5-year-old 49.73%, 12- to 15-year-old 45.15%). The main reason for not utilizing oral health services in the past 12 months in 3- to 5-year-old children was that parents thought their children had no dental problems, or no serious dental problems, and there was no need to care for primary teeth. Oral health status, oral hygiene behavior and parents’ educational attainment affected the utilization of oral health services. Conclusion The need for dental care is heavy, while utilization of dental service is relatively low. Oral health education in kindergartens and schools should be strengthened to improve the utilization of dental services.

Key words: oral health service utilization, related factors, 3- to 5-year-old children, 12- to 15-year-old, Jiangsu Province

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