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目的:评估上海市11~14岁儿童口腔健康相关生活质量,探讨其影响因素,为进行针对性口腔健康教育、制订公共卫生策略提供依据。方法:采用系统抽样方法,抽取上海4个城区8所学校11~14岁儿童,检查其龋失补牙数和牙龈出血指数。采用儿童口腔健康影响程度量表(CPQ11-14),评估目标人群的口腔健康相关生活质量,其他问卷调查内容包括调查对象的社会人口学资料和口腔健康相关行为、知识和态度。采用SPSS21.0软件包对调查结果进行t检验、单因素方差分析和多元线形回归分析。结果:共调查儿童1050人,纳入有效人数955人(市区482人,郊区473人),应答率为91%。CPQ11-14平均分数为(6.0±5.6)分。DMFT指数较高;有探诊出血的目标人群,其CPQ11-14平均分数较高,口腔健康相关生活质量较差(P<0.05)。结论:11~14岁儿童的龋病、牙周状况,是其口腔健康相关生活质量的最主要影响因素,今后仍需加强口腔保健工作,包括良好的口腔卫生宣教,并关注该人群的口气和黏膜病等相关疾病。
OBJECTIVE: To evaluate the quality of life related to oral health in children aged 11 ~ 14 in Shanghai, and to explore the influencing factors for oral health education in order to provide the basis for public health strategies. Methods: By systematic sampling method, children from 11 to 14 years old in 8 schools in 4 urban districts of Shanghai were collected to check the dental caries loss and gingival bleeding index. The Oral Health Impact Scale for Children (CPQ11-14) was used to assess the oral health-related quality of life of the target population. Other questionnaires included socio-demographic data and oral health-related behaviors, knowledge and attitudes of the respondents. SPSS21.0 software package was used for t test, one-way ANOVA and multivariate linear regression analysis. Results: A total of 1050 children were enrolled and 955 valid persons (482 in urban areas and 473 in rural areas) were included in the survey. The response rate was 91%. The average score of CPQ11-14 was (6.0 ± 5.6) points. The DMFT index was higher; the target population with bleeding probing had higher CPQ11-14 scores and worse oral health-related quality of life (P <0.05). Conclusion: The dental caries and periodontal status of children aged 11 to 14 years are the most important factors influencing their oral health-related quality of life. In the future, oral health care needs to be strengthened, including good oral hygiene education and paying attention to the population’s tone and period Mucosal diseases and other related diseases.