广西中老年人口腔健康相关生活质量调查及影响因素分析  

Survey of oral health-related quality of life in middle-aged and elderly populations in Guangxi and analysis of influencing factors

作　　者：李安迪 刘秋林[1] 吴敏琼 于雪婷 陈文霞[1] 曾晓娟[1] Li Andi;Liu Qiulin;Wu Minqiong;Yu Xueting;Chen Wenxia;Zeng Xiaojuan(Guangxi Medical University College of Stomatology,Nanning 530021,China;Guangxi Stomatological Association,Nanning 530021,China)

机构地区：[1]广西医科大学附属口腔医院,南宁530021 [2]广西口腔医学会,南宁530021

出　　处：《广西医科大学学报》2020年第2期292-297,共6页Journal of Guangxi Medical University

基　　金：国家卫计委科教司2015年度公益性行业科研专项项目(No.201502002);广西自然科学基金资助项目(No.2016GXNSFAA380284)。

摘　　要：目的:了解广西中老年人的口腔健康相关生活质量状况,分析影响其口腔健康相关生活质量的因素,为广西中老年人口腔疾病防治提供依据。方法:采用多阶段分层随机抽样方法,抽取广西3个城市地区和3个农村地区的35~44岁、65~74岁居民共433名,按照第四次全国口腔健康流行病学调查标准检查其牙列状况、牙周状况、牙列缺失及义齿修复状况等口腔健康状况;使用通用口腔健康评价指数(GOHAI)中文版量表评估口腔健康相关生活质量;数据采用SPSS 22.0进行分析。结果:口腔健康影响生活质量的发生率为82.7%,GOHAI量表得分中位数为56.00分(IQR 7.00)。年龄、性别、有无看牙经历、义齿修复状况、冠龋或根龋牙数、缺牙数是影响广西中老年人口腔健康相关生活质量的因素(P<0.05)。多元泊松回归结果显示,有看牙经历、冠龋牙数多的人群GOHAI得分低,口腔健康相关生活质量较差(P<0.05)。结论:广西中老年人口腔健康相关生活质量主要受龋患的影响。因此,应重视广西中老年人龋病的预防和治疗,降低口腔疾病发病率,特别是龋齿的发病率。Objective:To assess the Oral Health-Related Quality of Life(OHRQoL)and analyze the factors related OHRQoL in middle-aged and elderly people in Guangxi and provide the evidence for the prevention and treatment of oral diseases.Methods:A total of 433 subjects aged 35-44 and 65-74 years old were selected from 3 districts in city and 3 counties in rural area of Guangxi by using multistage stratified cluster sampling.Clinical examination was performed based on the criteria of the 4th National Oral Health Survey of China.The Chinese version of General Oral Health Assessment Index(GOHAI)was used to assess the OHRQoL.The data was analyzed by SPSS 22.0 software package.Results:Total 82.7%subjects were affected by oral problem in quality of life.The median GOHAI score of subjects was 56.00(IQR 7.00),GOHAI scores were lower in women,the older,people with dental visiting,more missing teeth,caries or root caries,unfilled spaces and denture(P<0.05).The results of multivariate Poisson regression showed subjects with dental visiting or more dental caries had lower GOHAI score(P<0.05).Conclusion:The OHRQoL of middle-aged and elderly people in Guangxi was mainly influenced by dental caries.Promotion was needed in prevention and treatment of dental caries in order to reduce the rate of oral disease,especially caries.

关 键 词：口腔健康相关生活质量 通用口腔健康评价指数 中老年人 龋病 广西 

分 类 号：R780.1[医药卫生—口腔医学]