摘要
目的评价海南省2005—2015年间5岁儿童口腔健康及口腔健康行为的变化,为促进海南省5岁儿童口腔健康提供依据。方法通过对比2005年第三次全国口腔健康流行病学调查(758人)与2015年第四次口腔流行病学调查(430人)的儿童口腔检查情况与家长问卷调查情况,分析儿童龋患率、饮食习惯、口腔健康行为、就医行为的变化情况。结果2005年,海南省5岁儿童患龋率为76.1%,2015年为82.3%,差异有统计学意义(χ~2=6.23,P<0.05)。2005年,5岁儿童每天吃甜点、喝甜饮料分别为13.4%和6.1%,2015年提高到30.0%和7.4%。2005年5岁儿童每天喝加糖牛奶、酸奶报告率为47.6%,高于2015年的36.5%,差异有统计学意义(χ~2=12.76,P<0.05)。2005年,5岁儿童睡前经常吃甜点或者喝甜饮料为17.8%,2015年降到13.3%,差异有统计学意义(χ~2=32.27,P<0.05)。2005年,5岁儿童每天刷牙≥2次报告率为16.9%,2015年上升到24.2%,差异有统计学意义(χ~2=20.50,P<0.05)。2005年,含氟牙膏的使用率为31.7%,2015年降低到7.4%,差异有统计学意义(χ~2=229.13,P<0.05)。未带孩子就医原因中,因为乳牙要替换不需要看牙及孩子害怕疼痛2年间差异有统计学意义(χ~2值分别为6.05,9.34,P值均<0.05)。结论海南省5岁儿童口腔健康行为有所改善,儿童饮食习惯较差,含氟牙膏使用率较低,口腔就医行为较低。儿童口腔健康教育工作仍需加强。
Objective To evaluate ten-year changes in deciduous teeth health and oral health behavior aged 5-year-old children in Hainan province( during the year of 2005-2015),to provide basis for oral health promotion among 5-year-old children in Hainan province. Methods Through the comparison and analysis of the third and the fourth national oral health epidemiology survey,changes of dental caries prevalence rate,dietary habit,oral health behavior,and health seeking behavior were analyzed.Results The prevalence of dental caries in 2005 was 76.1%,2015 was 82.3% which had significant difference( χ~2= 6. 23,P <0.05),the percentage of consuming sugary food and sweet drinks every day in 2005 was 13. 4% and 6. 1%,which increased to30.0% and 7.4% respectively in 2015. The percentage of drinking milk and yoghurt with sugar was 47.6%,which decreased 36.5%in 2015( χ~2= 12.76,P<0.05),the percentage of consuming sugary food and sweet drinks before going to bed in 2005 was17.8%,which decreased to 13.3% in 2015( χ~2= 32.27,P<0.05). The percentage of brushing the teeth two or more times a day was 16.9%,which increased to 24. 2% in 2015( χ~2= 20. 50,P < 0. 05). The percentage of using fluoridated toothpaste decreased from 31. 7%( 2005) to 7.4%( 2015)( χ~2= 229.13,P<0.05). No need to treatment for baby teeth and afraid of pain among children were the main reason for no health-seeking among parents which children of dental health problems,which deffered significantly between 2005 and 2015( χ~2= 6.05,9.34,P<0.05). Conclusion Children’s oral health behavior improved,while eating habits fluoridated toothpaste usage and health-seeking behavior remain poor.Health education on child oral health should be strengthened.
作者
张启海
彭亮
谢奇
郭秋云
全涛
郭冬梅
谢莉莉
ZHANG Qihai;PENG Liang;XIE Qi;GUO Qiuyun;QUAN Tao;GUO Dongmei;XIE Lili(Department of Stomatology,People’s Hospital of Wanning,Wanning(571500),Hainan Province,China)
出处
《中国学校卫生》
CAS
北大核心
2020年第10期1559-1561,1565,共4页
Chinese Journal of School Health
基金
国家卫计委公益性行业科研专项(201502002)
海南省医药卫生科研项目(18A200009)。
