摘要
目的研究辽宁省居民口腔疾病的就医观念和行为习惯,为卫生行政部门进一步合理分配有限的口腔卫生资源提供依据。方法采用多阶段分层等容量随机抽样的方法,在辽宁省的6个抽样地区随机抽取35～44岁的中年人792例,65～74岁的老年人396例作为问卷调查对象,由问卷调查员面对面询问的方法收集资料并记录。结果中年人就医需要高于老年(χ2=29.41,P<0.01),城市老年人就医需要高于农村(χ2=4.675,P<0.01)。在过去12个月,仅有17.1%的中年人和19.7%的老年人因牙病去医院治疗,城市就医率高于农村。约有84.0%的中老年人就医原因是急慢性牙痛,仅有3.8%的人能定期检查。50%以上的人认为牙病不重或没有时间就不必就医。在农村约有95%,城市有70%的人牙病治疗支付途径为自费。有55.9%的中年人和67.9%的老年人口腔疾病的就医机构是私人诊所。结论加强口腔健康教育和促进,建立包括预防保健项目在内的口腔保险制度,才能充分利用有限的口腔卫生资源,提高我省居民的口腔健康水平。
Objective To investigate dental treatment behavior and concepts of 35-44 and 65- 74-year-old people in Liaoning province, Methods Multi-stage, stratified sampling was used to randomly select 792 subjects of 35-44-year-old and 396 subjects of 65-74-year-old from 6 regions in Liaoning Province with female and male ratio about 1：1. The questionnaire information was collected by a face to face interview. Results The dental needs of 35-44-year-old people were higher than that of 65- 74-year-old people （x^2=29.41,P 〈 0.01）, and in urban were higher than in rural （x^2=4.675,P 〈0.01）. Only 17.1% of 35-44-year-old people and 19.7% of 65-74-year-old people were reported to have visited dentists in the past 12 months, the percentage of people who had dental visit in urban was significantly higher than that in rural （P 〈 0.01）. Only 3.8 % of person took dental examination regularly. About 50% of the subjects paid no attention to dental examination if the oral disease was not serious or time was limited. Toothache was the main reason for the last dental visit for nearly 84.0% of the subjects. About 95.0% of participants in rural and 70.0% in urban paid their dental service costs by themselves, and only 11.4% of 35-44 year old people and 14,6% of 65-74-year-old people paid by medical insurance. About 55.9% of 35-44-year-old people and 67.9% of 65-74-year-old people received dental service from private dental clinics. Conclusion Systematic community-based oral health education and promotion should be strengthened and dental insurance system including prevention-oriented oral health care needs to be established in order to effectively utilize the limited oral health resources.
出处
《中华口腔医学研究杂志（电子版）》
CAS
2008年第3期52-55,共4页
Chinese Journal of Stomatological Research(Electronic Edition)
基金
辽宁省卫生厅专项[2005(355)]
关键词
口腔健康调查
老年人
中年人
辽宁
Oral health survey
The elderly
The middle-aged
Liaoning province
