江苏省中老年人群口腔健康相关生活质量的影响因素  

Factors impacting the oral health related quality of life in middle-aged and elderly people in Jiangsu Province

作　　者：黄鑫 刘怡然[1] 沈红[1] 仇颖莹 沈家平[1] HUANG Xin;LIU Yiran;SHEN Hong;QIU Yingying;SHEN Jiaping(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Department of Pediatric and Preventive Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院儿童口腔预防科,江苏南京210029 [2]苏州科技城医院口腔科,江苏苏州215153

出　　处：《口腔医学》2020年第8期741-745,共5页Stomatology

基　　金：公益性行业科研专项(201502002);第四次全国口腔健康流行病学调查(2015—2018);江苏高校优势学科建设工程资助项目(2018-87)。

摘　　要：目的探讨第四次全国口腔健康调查中影响江苏省中老年人群口腔健康相关生活质量(oral health-related quality of life,OHRQoL)的临床和社会人口学因素。方法依据世界卫生组织(WHO)《口腔健康调查基本方法》(第5版)调查方法和第四次全国口腔健康流行病调查方案,采用多阶段、分层、等容量、随机抽样的方法,对江苏省35~74岁中老年人被抽样调查的人群进行口腔健康问卷调查和临床检查。调查问卷是普通口腔健康评估指数(General Oral Health Assessment Index,GOHAI)的普通话版本,由调查员在第四次全国口腔健康调查现场完成。结果调查对象的平均GOHAI评分为53.29±6.64,其中生理功能维度得分17.51±2.97,疼痛与不适维度得分12.63±2.15,心理社会功能维度得分23.15±2.59;在各条目负面影响的分析中,“限制所吃食物的种类和数量”一项负面影响最大,占16.60%,“对冷、热或甜刺激敏感”其次,占15.20%。对调查人群的GOHAI评分进行相关影响因素分析结果显示,35~44岁年龄组的GOHAI评分平均值高于65~74岁年龄组,性别、学历以及龋齿数目、缺失牙数目、牙龈出血牙数、牙石检出牙数和深牙周袋的存在与GOHAI评分有统计学上的显著关系。结论江苏省中老年人群OHRQoL主要受性别、学历等人口社会学因素,以及龋齿、牙列完整度和牙周状况等口腔临床状况的影响。积极开展龋病、牙周病的防治工作,可以促进中老年人群口腔健康相关生活质量的提高。Objective To explore the clinical and social demographic factors impacting the oral health related quality of life(OHRQoL)in middle-aged and elderly population in Jiangsu Province during the fourth national oral health survey.Methods A multistage,stratified,equal volume and random sampling method was carried out to conduct oral health questionnaire survey and clinical examination for 35-to 74-year-old middle-aged and elderly people in Jiangsu Province according to the investigation methods of the basic methods of WHO oral health survey(Fifth Edition)and the fourth national oral health epidemiology survey program.The questionnaires,with Mandarin Chinese version of the General Oral Health Assessment Index(GOHAI),were completed by the investigators at the scene of the fourth national oral health survey.Results The average GOHAI score of the respondents was 53.29±6.64,including 17.51±2.97 score in physiological function,12.63±2.15 score in pain and discomfort,and 23.15±2.59 score in psychosocial function.Among the negative effects of each item,“restricting the type and quantity of food”exerted the greatest negative impact and accounted for 16.60%,followed by“sensitive to cold,hot or sweet stimulation”,which accounted for 15.20%.The analysis of the results of the related influencing factors of GOHAI score of the investigated population showed that the average score of GOHAI in the 35-to 44-year old age group was higher than that in the 65-to 74-year-old age group.There was a statistically significant correlation between GOHAI score and the gender,education,dental caries number,missing teeth number,gingival bleeding teeth number,teeth with dental calculus number,and the existence of deep periodontal pockets.Conclusion The OHRQoL score of middle and old aged people in Jiangsu is mainly influenced by demographic sociological factors,including gender,education,and dental clinical condition,such as dental caries,dental integrity and periodontal condition.It is important to carry out active prevention and treatm

关 键 词：江苏省 中老年人群 口腔健康相关生活质量 

分 类 号：R780.1[医药卫生—口腔医学]