古蔺县地氟病区居民氟斑牙患病及影响因素分析  

Study on the prevalence of dental fluorosis and the influencing factors in fluorosis ill districts in Gulin county Sichuan province

作　　者：叶运莉[1] 刘娅[1] 张青碧[1] 杨超[1] 陈建国 周显刚[3] 

机构地区：[1]泸州医学院公共卫生系,四川泸州646000 [2]四川省泸州市古蔺县疾病预防控制中心 [3]四川省泸州市疾病预防控制中心疾控二科

出　　处：《现代预防医学》2013年第8期1411-1413,共3页Modern Preventive Medicine

基　　金：四川省卫生厅([2010]493-100213);泸医院科([2009]5-13)

摘　　要：目的了解古蔺县地氟病区居民氟斑牙患病状况及其影响因素,为改进地氟病防治策略提供根据。方法采用多阶段分层抽样的方法抽取古蔺县地氟病区的部分居民进行调查。结果居民氟斑牙患病率为84.97%,1998年后出生的居民(8～12岁儿童)CFI为(0.84±0.86),氟斑牙患病率44.59%,1981年后出生居民的氟斑牙患病率明显降低(χ2趋势=85.08,P﹤0.001)。"12岁前家里煮饭和取暖用煤"是氟斑牙发生的主要危险因素,OR值(95%CI)为3.08(2.12～4.47)。"12岁前家中参加了改良炉灶、家庭经济年收入高"是氟斑牙发生的保护因素,OR值(95%CI)分别为0.45(0.29～0.69)、0.72(0.58～0.88)。结论该地区的地氟病防制措施取得了显著的成效,但儿童氟斑牙患病率仍然较高,应进一步分析居民降氟炉灶的使用情况及其影响因素,改进防治方案,促进地氟病防治工作的可持续发展。OBJECTIVE To study local people＇s prevalence and the influencing factors of dental fluorosis in fluorosis ill districts in Gulin county Sichuan province, and provide the the scientific basis for improving the control strategies. METHODS Multi-stage stratified sampling method was used to select some residents in fluorosis ill districts in Gulin, and the prevalence of dental fluorosis and the related factors were surveyed. RESULTS The prevalence rate of residents＇ dental fluorosis was 84.97% in Gulin county. The CFI of people born after 1998 （children aged 8-12） was （0.84 ＋ 0.86） and their dental fluorosis prevalence was 44.59%. The people＇s prevalence of dental fluorosis decreased significantly （χ2tend = 85.08, P 〈 0.001 ） born after 1981. The results showed that ＂home cooking and warming with coal before 12 years old＂ was a major risk factor for the oc- currence of dental fluorosis, OR （95%CI） = 3.08 （2.12-4.47）, and ＂people took part in the improved stoves before 12 years old and high families income＂ were the protective factors for occurrence of dental fluorosis, OR （95%CI） = 0.45 （0.29-0.69） and 0.72 （0.58-0.88）. CONCLUSION The control measures to endemic fluorosis in the region has made significant success, but the residents＇ prevalence of dental fluorosis is still high. We should further analyze the use rate of the residents＇ fluoride stove and its influence factors, then to reform the intervention measures and promote the prevention and control of endemic fluorosis sustainable development.

关 键 词：地方性氟中毒 氟斑牙 患病 影响因素 

分 类 号：R781.2[医药卫生—口腔医学]