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作 者:王春笛[1] 刘凯[1] 赖文[1] 王默涵 蒋勇[1]
机构地区:[1]安徽医科大学口腔医学院,安徽合肥230032
出 处:《实用预防医学》2016年第3期327-329,共3页Practical Preventive Medicine
摘 要:目的了解安徽省中学生恒牙患龋现状及其影响因素,为安徽省中学生口腔保健工作提供基础资料和科学依据。方法在全省范围内根据各个城市的经济发展水平和地理特点选择了四个城市,对其中5所中学的2013例在校学生的患龋情况进行了流行病学调查。调查内容包括年龄性别等基础状况、口腔行为习惯、口腔保健意识、饮食习惯等。结果本次调查安徽省5所中学的学生中有892人有龋病,患龋率为44.3%,龋均0.62,其中女生患龋率为49.6%(402/810)高于男生40.7%(490/1203),差异有统计学意义(P〈0.05)。logistic回归分析显示,女性学生(OR=1.360,95%CI:1.142~1.736)、经常饮用碳酸类饮料(OR=1.213,95%a:1.021~1.441)、经常吃甜食(OR=5.441,95%CI:1.594~18.557)、单侧咀嚼者(OR=1.692,95%a:1.370--2.091)是中学生患龋病的危险因素,定期去医院检查(OR=0.579,95%a:0.446-0.775)是龋病的保护因素。结论安徽省中学生患龋率处于较高的流行水平,应促进中学生提高口腔保健知识水平,培养良好的口腔卫生习惯,以减少和预防龋齿。Objective To investigate the prevalence of decayed permanent tooth and its influencing factors among middle school students in Anhui Province so as to provide basic information and scientific evidence for middle school students' oral health care in Anhui Province. Methods Four cities of Anhui Province were selected in terms of economic level and regional charac- teristies. The prevalence of dental caries in 2,013 students from 5 schools in the 4 cities was surveyed by an epidemiological questionnaire which included general information (age, gender, etc. ), oral habits, oral healthcare awareness and eating habits. Results Among all the 2,013 students surveyed, 892 students suffered from dental caries, with the prevalence rate of 44.3 %. The average dental caries was 0.62. The prevalence rate of dental caries in female students (49.6 %, 402/810) was significantly higher than that of male students (40.7 %, 490/1,203, P 〈 0.05). Logistic regression analysis indicated that female students (OR = 1. 360, CI. 1. 142 - 1. 736), often drinking carbonated beverage ( OR = 1. 213, CI. 1. 021 - 1. 441 ), often eating sweets ( OR = 5. 441, CI : 1. 594 - 18. 557) and unilateral chewing ( OR = 1. 692, CI : 1. 370 - 2. 091) were the risk factors for dental caries, while regular oral health examination ( OR = 0. 579, CI : 0. 446 - 0. 775) was the protective factor. Conclusions The prevalence rate of dental caries in the middle school students in Anhui Province is high. It is necessary to improve the middle school students' oral healthearerelated knowledge and cultivate good oral health habits so as to prevent and decrease dental caries.
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