杭州市某社区老人牙科焦虑现状及影响因素分析  

Current status and influencing factors of dental anxiety among elders in communities of Hangzhou city

作　　者：朱晨曦 刘新功 何福明[2] 牛虹懿 周心驰 李瀛洲 

机构地区：[1]杭州市拱墅区医学会科研部,310022 [2]浙江大学医学院附属口腔医院种植科 [3]浙江中医药大学管理学院公共管理教研室

出　　处：《中华全科医师杂志》2014年第3期231-234,共4页Chinese Journal of General Practitioners

基　　金：浙江省医药卫生科技计划项目（2010KYB090）

摘　　要：采用汉化Coarh＇s牙科焦虑量表对多阶段分层整群随机法抽取的杭州市拱墅区600名社区老人牙科焦虑现状进行问卷调查.其牙科焦虑量表得分为（7.51±3.18）分,牙科焦虑发生率为34.9%;牙科焦虑发生率在不同性别、不同年龄组、对疼痛的不同耐受程度、自己的不同看牙经历、亲友的不同看牙经历的社区老人之间差异有统计学意义（均P＜0.05）;女性、60-69岁年龄组、疼痛耐受程度越差和看牙经历痛苦的社区老人牙科焦虑发生的风险更高.提示性别、年龄、疼痛耐受程度和看牙经历是社区老人牙科焦虑发生的影响因素.To explore the current status and influencing factors of dental anxiety among the elders in communities of Hangzhou. A total of 600 elders were selected by multi-stage stratified cluster random sampling and examined by Coarh＇s dental anxiety scale （DAS）. The status and influencing factors of dental anxiety among them were analyzed by single and multi-factor analysis methods. A total of 596 questionnaires were answered 99.3% （596/600）. And there were 573 valid questionnaires with a validity rate of 96.1% （573/596）. The respondents＇ DAS score was 7.51 ± 3. 18. Their prevalence rate of DA was 34.9%. Among them, there was significant difference for the comparison of prevalence rate of DA in gender, age, different pain tolerance and experiences of dental care （X2 = 9.45, 18.24, 33.34, 38.66,12.62, P 〈 0. 05）. The results of logistic regression model showed that there was a higher risk of DA occurrence among females, age, poor pain tolerance and elders with painful dental experiences. Gender, age, pain tolerance and experiences of dental care are influencing factors of oral health behaviors among the elders in communities of Hangzhou.

关 键 词：老年人 牙科焦虑 

分 类 号：R749.72[医药卫生—神经病学与精神病学]