浦东新区上钢社区幼儿龋齿防治影响因素研究  

Influential factors of dental caries prevention and treatment of young children in Shanggang steel community in Pudong New District

作　　者：陈洁如 唐卫忠[1] 蔡锋 文姿又[2] 王艳 孔英 刘美瑜 赵玉健 CHEN Jieru;TANG Weizhong;CAI Feng;WEN Ziyou;WANG Yan;KONG Ying;LIU Meiyu;ZHAO Yujian(Department of Stomatology,Second Military Medical University,Shanghai 200433,China)

机构地区：[1]中国人民解放军海军军医大学口腔医学系,上海200433 [2]上海市浦东新区上钢社区卫生服务中心口腔科

出　　处：《中国学校卫生》2020年第9期1372-1375,共4页Chinese Journal of School Health

基　　金：2019年度浦东新区科技发展基金民生科研(医疗卫生)项目(PKJ2019-Y51);上海市浦东新区卫生和计划生育委员会优秀社区适宜人才培养项目(PWRS 2017-34)。

摘　　要：目的分析幼儿龋齿防治的影响因素,为设计幼儿针对性龋齿防治健康管理方案提供依据。方法于2019年6—9月,基于便利抽样法,对上海市浦东新区上钢社区辖区5所幼儿园登记在册的718名幼儿家长进行问卷调查。调查内容包括家长和幼儿基本信息、龋齿防治信息因素、动机因素、行为技巧和幼儿龋齿防治行为。结果 718位家长的幼儿龋齿防治信息因素得分中位数为8(7,9)分,个人动机得分中位数为20(19,20)分,社会动机得分中位数为9(8,10)分,行为技巧得分中位数为25(24,25)分,幼儿龋齿防治相关的行为表现得分中位数为7(5,8)分。动机因素对行为技巧有正向影响,信息因素和行为技巧对龋齿防治行为有正向影响(P值均<0.05);个人动机对行为技巧的直接效果值为0.80,对龋齿防治行为的间接效果值为0.15;行为技巧对龋齿防治行为的直接效果值为0.19;信息因素对龋齿防治行为的直接效果值为0.26。结论社区在开展幼儿龋齿防治工作时,除了关注对幼儿家长的相关口腔卫生知识教育外,还需重点加强心理支持,增强龋齿防治信念,积极整合相关资源为其提供同伴教育等社会支持,以进一步提升其龋齿防治信念。Objective To identify confounding factors associated with dental caries prevention,as the basis for the development of subsequent health management plan for dental caries prevention in young children.Methods From June to September2019,a questionnaire survey was conducted among parents of young children enrolled in five kindergartens in the district of Shanggang Steel Community,Pudong New District,Shanghai,using the convenience sampling method.The survey included basic demographic characteristics on parents and children,as well as information factor,motivation factor,behavioral skills,and caries prevention behavior.Results Among 718 parents surveyed,the median information factor score was 8( 7,9),the median personal motivation factor score was 20( 19,20),the median social motivation factor score was 9( 8,10),the median behavioral skills score was 25( 24,25),and the median caries prevention behavior score was 7( 5,8).Motivation factor was positively associated with behavioral skills,both information factor and behavioral skills were positively associated with dental caries prevention( P <0.05).Personal motivation factor had a direct influence factor of 0.80 on behavioral skills and an indirect influence factor of 0.15 on dental caries prevention behavior;behavioral skills and information factor had a direct influence factor of 0.19 and 0.26 respectively on dental caries prevention.Conclusion The finding suggest that in addition to oral hygiene information and education for parents of young children,mental support should be a key component of any community-based dental caries prevention program.

关 键 词：龋齿 健康行为 知识 因素分析 统计学 儿童 

分 类 号：R193[医药卫生—卫生事业管理] R788[医药卫生—公共卫生与预防医学]