贵州省65~74岁老年人牙周健康状况及其影响因素分析  

Analysis of periodontal health status and its influencing factors in people aged 65 to 74 years in Guizhou Province

作　　者：龙梦雅 王惠群[1] 陈黎明 周婕[2] 吴延莉 刘涛[1,2] LONG Meng-ya;WANG Hui-qun;CHEN Li-ming;ZHOU Jie;WU Yan-li;LIU Tao(School of Public Health,the Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education,Guizhou Medical University,Guiyang,Guizhou 550025,China;不详)

机构地区：[1]贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州贵阳550025 [2]贵州省疾病预防控制中心,贵州贵阳550004 [3]贵阳市口腔医院

出　　处：《现代预防医学》2023年第5期914-918,共5页Modern Preventive Medicine

基　　金：国家重大公共卫生服务项目(口腔健康流行病学调查)。

摘　　要：目的 了解贵州省65~74岁老年人牙周健康状况及其影响因素,为制定相应的防控措施提供依据。方法 采用多阶段分层整群随机抽样方法抽取贵州省9个县(市、区)共1 655名65~74岁老年人进行口腔检查和问卷调查。符合正态分布的定量资料用(均数±标准差)表示,组间比较采用复杂抽样t检验;定性资料用构成比或率(%)表示,复杂加权后计算患病率,组间比较采用复杂抽样χ^(2)检验,牙周炎患病的影响因素采用复杂抽样的多因素logistic回归分析。结果 1 655名调查对象中,牙周炎患者1 359人,加权患病率为81.3%,牙周健康率为6.5%,牙龈出血检出率为68.0%;牙结石检出率为92.1%;牙周袋≥4 mm检出率为58.0%;附着丧失≥4 mm检出率为75.6%。多因素logistic回归分析结果显示:汉族(OR=1.771,95%CI:1.268~2.473)、牙结石(OR=10.734,95%CI:6.622~17.397)、现在饮酒(OR=1.558, 95%CI:1.056~2.299)、既往自报高血压(OR=1.440,95%CI:1.015~2.043)与牙周炎患病高风险相关;有看牙经历(OR=0.633,95%CI:0.460~0.870)与牙周炎低风险相关。结论 贵州省65~74岁老年人牙周状况较差,应针对不同的危险因素制定合理可行的干预措施。Objective To investigate the periodontal health status and its influencing factors in the elderly aged 65 to 74 years in Guizhou Province,and to provide basis for the development of corresponding prevention and control measures.Methods A total of 1655 elderly aged 65 to 74 years from nine counties(cities and districts)in Guizhou Province were selected by multistage stratified cluster random sampling method for oral examination and questionnaire survey.The quantitative data conforming to normal distribution were expressed as(mean±standard deviation),and complex sampling t-test was used for comparison between groups.The qualitative data were expressed as component ratio or rate(%),and the prevalence was calculated after complex weighting.The comparison between groups was performed by complex samplingχ^(2) test,and the influencing factors of periodontitis were analyzed by multi-factor logistic regression with complex sampling.Results Among 1655 participants,there were 1359 patients with periodontitis,the weighted prevalence was 81.3%,the periodontal health rate was 6.5%,and the detection rate of gingival bleeding was 68.0%.The detection rate of dental calculus was 92.1%.The detection rate of periodontal pocket≥4 mm was 58.0%.The detection rate of attachment loss≥4mm was 75.6%.Multivariate logistic regression analysis results showed that Han ethnic group(OR=1.771,95%CI:1.268-2.473),dental calculus(OR=10.734,95%CI:6.622-17.397),alcohol consumption(OR=1.558,95%CI:1.056-2.299)and self-reported hypertension(OR=1.440,95%CI:1.015-2.043)were associated with high risk of periodontitis.Having dental experience(OR=0.633,95%CI:0.460-0.870)was associated with a lower risk of periodontitis.Conclusion The periodontal status of people aged 65 to 74 years old in Guizhou Province is poor,and appropriate and feasible intervention measures should be formulated according to different risk factors.

关 键 词：牙周健康 老年人 患病率 影响因素 

分 类 号：R211[医药卫生—中医学] R780.1