四川省65~74岁老年人口腔卫生服务利用状况及影响因素  

Utilization and influencing factors of oral health services among elderly people aged 65-74 years in Sichuan Province,China

作　　者：杨惠宇 邓雅兰 任世睿 王诗萌 蔡和 程立[1] 胡涛[1] Yang Huiyu;Deng Yalan;Ren Shirui;Wang Shimeng;Cai He;Cheng Li;Hu Tao(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Frontier Innovation Center for Dental Medicine Plus&Dept.of Preventive Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;Dept.of Cariology and Endodontics,Stomatological Hospital of Xiamen Medical College&Xiamen Key Laboratory of Stomatological Diseases Diagnosis and Treatment,Xiamen 361008,China;State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Frontier Innovation Center for Dental Medicine Plus&Dept.of Oral Medicine,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全、国重点实验室国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔医学+前沿医学创新中心、四川大学华西口腔医院预防口腔科,成都610041 [2]厦门市口腔疾病诊疗重点实验室、厦门医学院附属口腔医院牙体牙髓病科,厦门361008 [3]口腔疾病防治全国重点实验室、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔医学+前沿医学创新中心、四川大学华西口腔医院口腔黏膜病科,成都610041

出　　处：《国际口腔医学杂志》2025年第3期380-389,共10页International Journal of Stomatology

基　　金：国家重点研发计划(2023YFC3605600);国家自然科学基金(72104162);四川大学华西口腔医院临床研究项目(LCYJ-ZD-202301)。

摘　　要：目的 了解四川省65~74岁老年人口腔卫生服务利用状况,评估其影响因素,为老年口腔保健政策提供参考和依据。方法 利用四川省第4次全国口腔流行病学调查的数据,以安德森模型为理论框架,通过描述性统计、卡方检验、多元Logistic回归、结构方程模型分析老年人口腔卫生服务利用状况及其影响因素。结果 共744位老年人参与了调查。过去12个月内口腔卫生服务的利用率为24.1%,且以咨询、预防为目的的仅占其中的8.4%。多元Logistic回归分析显示:教育水平、居住地、自我口腔健康评估、刷牙频率、剩余牙齿数量均能影响口腔卫生服务利用。结构模型分析显示:教育水平越低、居住在乡村、刷牙频率越低、牙齿数目≥20颗、自我口腔健康评估越好的老年人口腔卫生服务利用率越低。结论 四川省65~74岁老年人口腔卫生服务利用率偏低,大部分以治疗为目的,受教育水平、居住地、自我口腔健康评估、刷牙频率、牙齿数目的影响。Objective To understand the utilization of oral health services among elderly individuals aged 65-74 years in Sichuan Province,China;evaluate the in‐fluencing factors;and provide references for elderly oral health care policies.Methods Data from the Fourth National Oral Health Survey in Sichuan Province were used.The Anderson model was applied as a theoretical frame‐work.Descriptive statistics,chi-square tests,multiple logistic regression,and structural equation modeling were used to analyze the utilization of oral health services and their influencing factors among elderly individuals.Results A total of 744 elderly individuals participated in the survey.The utilization rate of oral health services in the past 12 months was 24.1%,with only 8.4%of those pertaining to consultation and prevention.Multivariate logistic regression analysis re‐vealed that education level,place of residence,self-assessment of oral health,brushing frequency,and the number of re‐maining teeth influenced the utilization of oral health services.Structural model analysis indicated that low education le-vels,rural residence,low brushing frequency,the presence of 20 or more teeth,and good self-assessment of oral health were associated with low utilization rates of oral health services among elderly individuals.Conclusion The utilization rate of oral health services among elderly individuals aged 65-74 years in Sichuan Province is relatively low,with most services being for treatment purposes.Utilization is influenced by education level,place of residence,self-assessment of oral health,brushing frequency,and the number of teeth.

关 键 词：口腔卫生服务 安德森模型 老年人 结构方程模型 回归分析 

分 类 号：R780.1[医药卫生—口腔医学]