湖南省娄底市城区中小学生嚼槟榔情况调查  

Epidemiological study of betel nut chewing among elementary and middle school students in Loudi city, Hunan province

作　　者：高义军[1] 彭海艳[2] 尹晓敏[1] 温春燕[3] 韩玉玲[1] 肖艳波[1] 

机构地区：[1]中南大学湘雅二医院口腔医疗中心,长沙410011 [2]湖南省郴州市第一人民医院口腔科 [3]中南大学湘雅医院口腔科

出　　处：《中华口腔医学杂志》2009年第11期686-689,共4页Chinese Journal of Stomatology

摘　　要：目的调查湖南省娄底市城区中小学生槟榔咀嚼情况及口腔黏膜下纤维性变（oral subllluoolls fibrosis，OSF）发病情况，以了解咀嚼槟榔在未成年人中的流行情况。方法按照全国第三次口腔健康流行病学调查的要求，采用二阶段随机抽样的方法抽取湖南省娄底市6所学校的研究样本，共计4087名学生。采用问卷调查的方式调查咀嚼槟榔的情况，进行口腔检查并观察OSF的发病情况。结果4087名被抽查学生共完成问卷4019份，问卷完成率为98．3％；4019名中小学生中有498人咀嚼槟榔，咀嚼槟榔率为12．4％；男性咀嚼槟榔率为21．1％（437／2073），女性为3．1％（61／1946），男性咀嚼槟榔率显著高于女性（P〈0．05）；小学生咀嚼槟榔率为6．4％（126／1983），初中生为14．9％（143／959），高中生为21．3％（229／1077），三组相比差异有统计学意义（P〈0．001）；小学生咀嚼的槟榔主要来源于父母（61／126，48．4％），中学生主要来源于朋友（初中生：88／143，61．5％；高中生：165／229，72．1％）；4019名学生中共发现5例OSF患者，OSF患病率为0．12％，均为高中男生。结论湖南省娄底市城区中小学生有咀嚼槟榔习惯且有OSF患者；咀嚼槟榔率男性高于女性；咀嚼槟榔与年级相关，年级越高咀嚼槟榔率越高；小学生槟榔主要来源于父母，中学生槟榔主要来源于朋友。Objective To investigate the prevalence of betel nut chewing and oral submucous fibrosis （OSF） among elementary and middle school students in Loudi city, Hunan province. Methods According to the standard of the third national oral health epidemiological investigation, the subjects were selected through a two-stage random sampling procedure. A face to face questionnaire survey was conducted among students by random sampling from 6 schools, and oral examination was performed to find the prevalence of OSF. Results Of the 4087 eligible students, 4019 students participated in the survey （98.3%）. Among the 4019 students, there were 498 betel nut chewers, the prevalence of betel nut chewing was 12.4% , which was much higher in male than in fern＇,de students （437/2073, 21.1% vs 61/1946, 3.1%, P 〈 0. 05 ）. The proportion of students who were chewing areca nuts increased with increasing grades （P 〈0. 05）. The prevalence was highest in senior schools （229/1077, 21.3% ）and lowest in elementary schools （ 126/1983,6.4% ）. Most students who were chewing areca nuts in elementary school obtained betel nuts from their parents （61/126, 48.4% ）, but most middle school betel nut chewers obtained betel nuts from their friends （88/143, 61.5% and 165/229,72. 1% ）. Five OSF cases （0. 12% ） were diagnosed among the 4019 students, all of them were male senior school students. Conclusions Betel nut chewing was common and OSF cases were found among elementary and middle school students in Loudi city. There were more male than female students who were chewing betel nut.

关 键 词：槟榔 口腔黏膜下纤维化 问卷调查 中小学生 

分 类 号：R686[医药卫生—骨科学]