山西省四地区村民牙痛及相关影响因素分析

Survey on Residents’ Toothache in Shanxi Province and Analysis of its Risk Factors

目的调查分析山西省四地区村民牙痛及相关影响因素,为山西省卫生行政部门开展口腔疾病防治工作、评价防治效果提供基线资料。方法采用随机整群抽样方法,对山西省太原、大同、运城及长治四地区741名村民进行问卷调查,结果进行单因素及多因素Logistic逐步回归分析。结果过去的12个月中有446人(占60.2%)有过牙痛或不适,有175(占23.6%)人去医院看过牙。持"牙齿好坏是天生的,和自己保护无关"态度者193名(占26.0%);单因素分析提示,年龄、糖果或巧克力、碳酸饮料、果汁、抽烟、喝酒、刷牙、口腔卫生知识等与过去12个月有过的牙痛或不适显著相关;多因素Logistic逐步回归分析结果表明,年龄和认为牙齿好坏是天生的和自己保护无关是过去12个月牙痛或不适的主要危险因素。结论口腔健康与饮食习惯、口腔卫生习惯及口腔健康信念与态度密切相关;山西省居民口腔健康状况较差,刷牙频率及求医行为等均低于全国平均水平,建议从培养良好的习惯和营造良好的社会生活方式两方面加强改善。

Objectives By investigating and analyzing the risk factors that affected the toothache of residents in four districts of Shanxi Province, and to provide the baseline data for disease prevention and evaluation policy making. Methods Questionnaire survey was conducted among 741 residents, who were randomly cluster - stratified from 4 cities in Shanxi. The data was dealt with the single factor and logistic analysis. Results In the past 12 months among the 741 investigated residents, 60.2 % suffered from toothache, 23.6 % saw the dentist, and 26.0 % were under the impression that tooth health was inherent having nothing to do with protection. The single factor analysis showed that age, sweets, chocolate, carbonic acid drink, juice, smoking, drinking, tooth brushing and oral health knowledge were the risk factors of toothache. The logistic analysis showed that age and incorrect altitude about oral health were the main risk factors for the toothache. Conclusions The oral health status is closely related to diet habit, oral cleaning habit, oral health beliefs and attitude. There is low level of oral medical treatment in Shanxi Province, and the residents lack oral self - care awareness. The results suggest that to bring up good habit and create fine social living condition may change the poor oral health situation.