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1337人和12~15岁青少年3914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。
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 1 337 children and 3 914 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.
作者
刘怡然
沈红
仇颖莹
沈家平
LIU Yiran;SHEN Hong;QIU Yingying;SHEN Jiaping(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Department of Pediatric and Preventive Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China)
出处
《口腔医学》
CAS
2020年第5期448-452,共5页
Stomatology
基金
公益性行业科研专项(201502002)
江苏高校优势学科建设工程资助项目(2018-87)
江苏省预防医学科研课题(Y2018103,Y2018104)。
关键词
口腔卫生服务利用
相关因素
3~5岁
12~15岁
江苏
utilization of oral health services
related factors
3-to 5-year-old
12-to 15-year-old
Jiangsu
