摘要
目的 了解氟斑牙对8~12岁儿童心理健康的影响,为完善小学生教育培养方案及地方性氟中毒防治策略提供参考依据。方法 采用分层整群抽样方法抽取调查点,采用氟斑牙诊断标准(WS/T 208—2011)进行病例诊断,依据预调查结果确定问卷调查样本量,采用儿少心理健康量表开展问卷调查。结果 共检查8~12岁儿童591人,氟斑牙检出率为18.27%。量表总分氟斑牙组低于对照组,差异有统计学意义(t=2.45,P=0.015<0.017)。氟斑牙组认知、情绪、意志行为3个维度得分均低于对照组,差异均有统计学意义(t=2.85、3.94、3.03,P值均<0.017);氟斑牙组个性特征维度得分低于对照组,差异无统计学意义(t=1.64,P=0.10)。疾病状态发生率,氟斑牙组高于对照组,差异有统计学意义(χ^(2)=13.40,P<0.001);各分维度氟斑牙组均高于对照组,情绪维度和意志行为维度差异有统计学意义(χ^(2)=9.68、6.94,P=0.002、0.008);男生高于女生,差异无统计学意义(χ^(2)=0.90,P=0.34);随着年龄的增高呈升高趋势,差异无统计学意义(χ^(2)=5.08,P=0.28);随着患病程度的加重呈升高趋势,差异有统计学意义(χ^(2)=6.97,P=0.03)。结论 氟斑牙可能对8~12岁儿童心理健康产生影响,应通过改水、改炉改灶及改饮低氟砖茶等措施有效控制氟斑牙的发生,已发生氟斑牙的儿童在教学过程中应积极采取相应的心理干预措施,使孩子健康成长。
Objective To investigate the effect of dental fluorosis on mental health of children aged from 8 to 12,and to provide reference for improving education and training programs of primary school students and prevention and treatment strategies of endemic fluorosis.Methods Stratified cluster sampling was used to select the survey points, and the diagnosis of dental fluorosis was carried out by WS/T208-2011.The sample size was determined according to the pre-survey results, and the children’s mental health scale was used to carry out the questionnaire survey.Results A total of 591 children aged from 8 to 12 were examined with detection rate of 18.27%.The total score in dental fluorosis group was lower than that in control group, and the difference was statistically significant(t=2.45,P=0.015<0.017).The scores of cognition, emotion and volitional behavior in dental fluorosis group were lower than those in control group, the differences were statistically significant(t=2.85,3.94,3.03,P<0.017).The score of personality dimension in dental fluorosis group was lower than that in control group, and the difference was not statistically significant(t=1.64,P=0.10).The incidence of disease status in dental fluorosis group was higher than that in control group, the difference was statistically significant(χ~2=13.40,P<0.001).All the dimensions of dental fluorosis group were higher than those of control group, and the differences of emotion dimension and volitional behavior dimension were statistically significant(χ~2=9.68,6.94,P=0.002,0.008).There was no significant difference between male and female(χ~2=0.90,P=0.34).There was no significant difference with age(χ~2=5.08,P=0.28).With the aggravation of the severity of the disease, the difference was statistically significant(χ~2=6.97,P=0.03).Conclusions Dental fluorosis may affect the mental health of children aged from 8 to 12.It is necessary to control the occurrence of dental fluorosis effectively by changing water, stove and drinking low fluoride brick tea, etc.The corresponding psychological intervention measures should be actively taken in the teaching process of children with dental fluorosis to ensure their healthy growth.
作者
陈显赫
李长华
孙宁
姜爽
张海涛
CHEN Xian-he;LI Chang—hua;SUN Ning;JIANG Shuang;ZHANG Hai-tao(The First institute for Endemic Disease Control and Prevention of Jilin Province,Baicheng Jilin,137000,China;不详)
出处
《中国地方病防治》
CAS
2022年第1期12-16,共5页
Chinese Journal of Control of Endemic Diseases
基金
吉林省卫生健康科技创新自筹经费项目(2019zc037)。
关键词
氟中毒
牙
儿童
心理学
Fluorosis
Dental
Children
Psychology
