摘要
目的调查佛山市12~15岁青少年口腔健康相关生活质量,并探索其影响因素,为青少年的口腔健康促进提供对策建议。方法采用多阶段分层等容量随机抽样的方式招募佛山市3840名12~15岁青少年,对青少年口腔健康进行横断面研究。采用口腔临床检查和口腔健康问卷调查收集信息,并利用描述性分析、非参数检验和等级Logistic回归分析法对青少年口腔健康相关生活质量及相关影响因素进行分析。结果口腔问题对佛山地区青少年生活质量的中等至严重程度影响主要反映在进食方面(27.1%)。等级Logistic回归分析结果显示,低糖摄入频率、牙龈出血牙数较少,无过去12个月内牙疼及牙齿碰伤或摔伤史、居住地(南海、顺德)等因素与口腔健康相关生活质量呈正相关(OR=0.6~0.8,P值均<0.05)。结论佛山地区青少年口腔健康相关生活质量略优于全国总体平均水平。建议根据细分区域的综合情况精准制定实施口腔公共卫生措施,联合多方力量加强青少年人群饮食限糖,预防牙龈出血,及时缓解并治疗牙痛,重点关注有牙外伤史的青少年人群,并且改变青少年自身、家长和教师有关口腔检查的就医观念,帮助其养成定期进行口腔检查的习惯。
Objective To investigate oral health related quality of life and associated factors of adolescents between 12 and 15 years old,and to provide countermeasures and suggestions for oral health promotion of adolescents.Methods This cross-sectional study recruited 3840 adolescents aged 12-15 through multi-stage stratified cluster sampling method.The oral clinical examination and oral health questionnaire were conducted.Descriptive analysis,non-parametric testing and logistic regression analysis were used to analyze the oral health-related quality of life and associated factors.Results Oral problems showed moderate to severe impact on quality of life,especially on eating(27.1%).Ordinal Logistic regression analysis showed that low sugar intake frequency,few teeth with gingival bleeding,no history of dental pain in the past 12 months,no history of tooth injuries,and administrative region of residence(Nanhai,Shunde)were associated with higher oral health-related quality of life,(OR=0.6-0.8,P<0.05).Conclusion The oral health-related quality of life of adolescents in Foshan was slightly better than the average national level.It is recommended to accurately formulate and ensure the full implementation of oral public health measures based on the comprehensive analysis of the local area,and combine various efforts to strengthen education on reducing excessive intake of sugar,prevent gingival bleeding,relieve and treat toothache in time,pay attention to adolescents with histories of dental trauma,and update the concepts of receiving oral health examination for the adolescents themselves,parents and teachers,and help adolescents develop the habit of regular oral examinations.
作者
苏淑文
张建明
邓瑞冰
王伟萍
崔添强
苏育武
李霞
SU Shuwen;ZHANG Jianming;DENG Ruibing;WANG Weiping;CUI Tianqiang;SU Yuwu;LI Xia(School of Stomatology and Medicine,Foshan University,Foshan(528225),Guangdong Province,China)
出处
《中国学校卫生》
CAS
北大核心
2021年第4期560-564,共5页
Chinese Journal of School Health
基金
广东省基础与应用基础研究基金联合基金项目(2019A1515111102)。
关键词
口腔卫生
生活质量
健康促进
回归分析
青少年
Oral hygiene
Quality of life
Health promotion
Regression analysis
Adolescent
