山东省1 126名小学生口腔现状调查及危险因素分析

›› 2016, Vol. 36 ›› Issue (2): 174-177.

山东省1 126名小学生口腔现状调查及危险因素分析

公文¹,李刚²,吕健¹,辛秉昌¹

1. 青岛市口腔医院
2. 第四军医大学口腔医院

收稿日期:2015-03-13 修回日期:2015-07-06 出版日期:2016-02-28 发布日期:2016-02-29
通讯作者: 公文 E-mail:chinagongwen@163.com
基金资助:
青岛市2014年度医药科研指导计划;青岛市2014年度医药科研指导计划

Current situation of dental caries and its related risk factors in pupils of Shandong province

Received:2015-03-13 Revised:2015-07-06 Online:2016-02-28 Published:2016-02-29

摘要/Abstract

摘要： ［摘要］目的了解山东省小学生口腔健康状况及龋病危险因素，为采取小学校口腔健康干预措施提供依据。方法根据调查目的设计小学生口腔健康检查表、小学生口腔健康问卷以及家长口腔健康问卷，采用分层随机抽样的方法选择调查班级进行调查。并对调查结果进行多因素分析。结果调查总人数为1126人，男生581人，女生545人，乳牙患龋率为46.84%，龋均为1.46±2.111，恒牙患龋率为12.61%，龋均为0.21±0.630。多因素分析发现小学生患龋和家长受教育程度（P=0.047）、家长对小学生口腔状况的评估（P＜0.001）等因素有关。结论应结合调查分析发现的危险因素，有针对性的加强对小学生及家长的口腔健康教育。

关键词: 口腔健康, 龋病, 小学生, 危险因素

Abstract: Abstract: Objective The aim of this cross-sectional study was to know about the current situation of dental caries and to determine its related risk factors in pupils of Shandong province, thus provide basis for oral health interventions in primary schools. Methods Based on the aim of the investigation, pupils' oral health examination form as well as pupils' and parents' oral health questionnaire were designed. Stratified sampling method was used to select samples for the investigation. Data was analyzed with software such as Foxpro6.0 and SPSS13.0. Results A total of 1126 pupils, including 581 males and 545 females, were surveyed. The percentage of primary caries was 46.80% and the DMFT was 1.46±2.111 (mean ± SD), the percentage of primary permanent teeth caries was 12.61% and the DMFT was 0.21±0.630 (mean ± SD). The parents’ educational level (P=0.047) and their estimate of their children’ oral health (P<0.001) were strongly associated with the prevalence of caries. Conclusion Risk factors found out in the investigation should be taken into account in strengthening the oral health education of pupils and their parents.

Key words: Oral health , Dental caries, Primary school, Risk factors

中图分类号:

R780.1

公文李刚吕健辛秉昌. 山东省1 126名小学生口腔现状调查及危险因素分析[J]. , 2016, 36(2): 174-177.

参考文献

[1] Lina Naomi Hashizume， Kayoko Shinada，and Yoko Kawaguchi. Factors associated with prevalence of dental caries in Brazilian schoolchildren residing in Japan[J]. Journal of Oral Science, 2011，3( 53): 307-312
[2] 齐小秋．第三次全国口腔健康流行病学抽样调查报告[M]．北京：人民卫生出版社，2008，p11-16；p202
[3] Tagliaferro EP，Pereira AC，Meneghim Mde C,Ambrosano GM (2006) .Assessment of dental caries predictors in a seven-year longitudinal study[J]．J Public Health Dent2006, 66:169-173
[4] Pereira SM，Tagliaferro EP，Ambrosano GM，Cortelazzi KL，Meneghim Mde C，Pereira AC(2007) Dental caries in 12-year-old schoolchildren and its relationship with socioeconomic and behavioural variables[J]．Oral Health Prev Dent2007, 5:299-306
[5] 方鹏骞．医学社会科学研究方法[M]．北京：人民卫生出版社，2010，P134-136
[6] 林居红，李刚，田考聪等．重庆市中小学生龋病影响因素评估[J]．现代医药卫生，2003,19（11）：1374-1375
[7] 康玉芳.743名学龄前儿童乳牙龋病患病情况调查及防治[J].疾病监测与控制杂志，2010,4（1）：12-13
[8] 袁爽，吕进.上海市静安区小学生龋齿充填率调查及分析[J].北京口腔医学，2006,14（4）：286
[9] 颜秀艳.正定县2008年小学生龋齿调查分析[J].临床合理用药.2009,2（14）：38
[10] 索士敏，赵香萍.山西省某高校大学生龋齿调查分析[J].长治医学院学报，2005,19（1）：9-11
[11] 符筠，吕若然等.北京市6区县中小学生龋齿患病情况的调查[J].中国卫生监督杂志，2002,9（3）：152-154
[12] Giedrius Vanagas．Associations between parental skills and their attitudes toward importance to develop good oral hygiene skills in their children[J]．Medicina (Kaunas) ，2009，45 (9)：718-723
[13] S. Thitasomakul，S. Piwat， A. Thearmontree1，O. Chankanka， W. Pithpornchaiyakul，S. Madyusoh：Risks for Early Childhood Caries Analyzed by Negative Binomial Models[J]．J Dent Res 2009，88(2)：137-141
[14] Li Gang，Wang Chenglong，Li Jie，Ai Yanan，Zhang Yuexian．Dental Carices in Yanan Schoolchildren aged 12 Years: China[J], Commun Dental Oral Eperdimeology，1994，22(4)：208
[15] Camling E．Gahnberq L，Krasse B．The relationship between IgA antibodies to Streptococcus mutans antigens in human saliva and breast milk and the numbers of indigenous oral Streptococcus mutans[J]. Arch 0ral Biol，1987，32(1)：21—25
[16] Norman O．Harris，Friankin Garcia-Godoy， Christine Nielsen Nathe. Primary Preventive Dentistry[M]．Seventh Edition．Copyright @ 2009， by Pearson Education， Inc，Upper Saddle River，New Jersey．P115-119