氟牙症患者周围人群对其社会心理状况的评价  

Evaluation on the psychosocial status of patients with fluorosis by the surrounding people

作　　者：司燕[1] 张博学[1] 林焕彩[2] 侯玉波[3] 高学军[1] 

机构地区：[1]北京大学口腔医学院.口腔医院,100081 [2]中山大学附属口腔医院 [3]北京大学心理系

出　　处：《现代口腔医学杂志》2007年第5期510-513,共4页Journal of Modern Stomatology

摘　　要：目的通过调查氟牙症患者周围人群，分析氟牙症对患者的社会心理影响。方法随机抽取河北省邢台高氟区12岁、15岁及35-44岁居民178名，进行Dean氏氟牙症指数检查，并对其周围人群进行社会心理问卷调查。结果河北省邢台农村高氟区氟牙症患病率为72．50％（n=178）。家人对“牙齿健康”、“牙齿满意度”及“主观幸福感”的评价在“重度组”（DI≥3）与“轻度组”（DI=1-2）或“对照组”（DI=0，TSIF=0）之间均存在显著性差异。邻居对成人组中不同程度氟牙症患者的评价仅在“牙齿健康程度”（P=0.029）上存在显著性差异。老师对不同程度氟牙症学生“牙齿健康程度”（P=0．026）及“主观幸福感”（P=0.010）的评价存在显著性差异。多元线性回归分析显示家人评价主要与氟牙症程度呈正相关，老师及邻居的对应评价主要与评价者的因素相关。结论氟牙症患者社会心理影响主要存在于中、重度惠者中（DI≥3），家人的评价受到氟牙症程度影响较明显，而老师及邻居的评价主要与评价者自身背景有关。Objective To analyze the effects of psychosocial factor on the patients with fluorosis by the surrounding people. Methods Inhabitants of fluorosis epidemic areas in Xintai city of Hebei Province were sampled randomly, including 12 -year-old group （n = 61 ）, 15 - year- old group （n = 55） and 35 - 44 years old group （n = 62）. The samples were examined by using Dean＇s Index and two of their surrounding people were asked to complete a questionnaire including six five -point questions, respectively. They were the parents and teachers of students groups and the husbands/wives and neighbors of adults group. Results Prevalence of fluorosis was 72.50 % （n = 178） in fluorosis epidemic areas of Xingtai City in Hebei province. Statistical difference of the evaluation scores of parents, which included “health of teeth”,“satisfaction of teeth”, and “perceived well-being”, could be found when comparing severe group （DI = 3-4） with moderate group （DI = 1 -2） or control group（DI = 0）. When comparing the evaluation on the different degree of fluorosis patients, significant difference could be found among the evaluation of the neighbors on the “health of teeth”（ P = 0. 029） in adults group, while in the students groups, there was significant difference existed among the evaluation of the teachers on the “health of teeth” （ P = 0.026） and “subjective well-being” （ P = 0.010）. According to the results of “Multivariate Liner Regression Analysis”, positive relationship between the evaluation of parents and the degree of fluorosis could be found, while the evaluation of teachers/neighbors was only related to their demographic data, such as incoming level, education level and age et al. Conclusion The influence of fluorosis evaluated by parents/ husbands/wives and teachers/neighbors was only found in severe group （ DI≥3） and the affects were appeared in the aspect of “health of teeth”, “perceived well- being” and “satisfaction of teeth”. Evaluation of

关 键 词：氟牙症 社会心理 评价 

分 类 号：R395[哲学宗教—心理学]