摘要
目的了解江苏省12~15岁中学生龋病流行现状及相关影响因素,为进一步开展中学生口腔保健工作提供可靠依据。方法参照WHO《口腔健康调查基本方法》(第五版),采用分层多阶段等容量随机抽样的方法,在江苏省12~15岁中学生中抽取3914名受检者,其中12岁组978人、13岁组986人、14岁组978人、15岁组972人。检查冠龋情况并进行问卷调查,采用非参数检验分析龋均,采用卡方检验分析患龋率、充填率及窝沟封闭率,采用二元Logistic回归分析恒牙患龋的影响因素。结果12~15岁年龄组恒牙患龋率、龋均分别为34.98%、0.69;患龋率、龋均女性均高于男性且具有明显的统计学差异(P<0.001);12~15岁中学生龋齿充填率仅为17.53%,其中农村女性高于男性(P=0.039);恒牙患龋率最高的牙位是第一恒磨牙;居住地区、性别、食用甜食频率为恒牙龋病发生的危险因素。结论江苏省中学生的患龋情况不容乐观,应重点针对高危人群进行龋病防治,控制患龋危险因素,并加强口腔健康教育,落实口腔公共卫生措施。
Objective To describe the caries status and associated factors in students aged 12 to 15 years old in Jiangsu Province and to provide reliable evidence for health service of caries prevention in the future.Methods Referring to WHO Oral Health Surveys-Basic Methods(Fifth Edition),a sample of 3914 students aged 12 to 15 years old were drawn by the method of multistage,stratified,equal capacity and simple random.Subjects were divided into four different age groups(aged 12,13,14 and 15),with 978,986,978 and972 students in each group.The dental caries were recorded and the questionnaire was filled.And then the mean DMFT was analyzed by Kruskal-Wallis H Test,and the prevalence,the filling rate and the pit and fissure sealant rate were analyzed by Chi-squared Test.Meanwhile,the associated factors were analyzed by Binary logistic analysis.Results The permanent tooth caries prevalence in the 12-to 15-year-old was 34.98%and the mean DMFT was 0.69,which were both higher in females than males and made a significant difference in gender(P<0.001).The filling percentage of caries of students aged 12 to 15 years old was only 17.53%,and that of male was higher than that of female in rural areas(P=0.039).What’s more,the tooth position of the highest permanent tooth caries prevalence was the first permanent molar.The living area,gender and the frequency of having sweet cakes or cookies were the risk factors of the permanent tooth caries.Conclusion Due to the high caries prevalence of students in Jiangsu Province,good oral health behaviors should be encouraged and preventive measures in high-risk groups should be carried out.Public health measures and oral health education are also needed to control the risk factors of caries.
作者
肖滢
刘怡然
沈红
仇颖莹
沈家平
XIAO Ying;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)
出处
《口腔医学》
CAS
2020年第2期135-140,共6页
Stomatology
基金
公益性行业科研专硕(201502002)
第四次全国口腔流行病学调查(2015-2018)
江苏高校优势学科建设工程资助项目(2018-87).
关键词
恒牙
龋病
流行病学
相关因素
江苏省
permanent tooth
caries
epidemiology
associated factors
Jiangsu Province
