北京某社区15岁以上居民口腔卫生服务利用情况及影响因素

Oral health services utilization and influencing factors in downtown community residents older than 15 years in Beijing

目的 了解北京社区居民中不同人群口腔卫生服务利用情况,并分析其相关影响因素,以期为今后口腔卫生服务的发展提供依据.方法 采取多阶段整群随机抽样的方法,抽取北京市新街口社区街道居民进行家庭健康询问和健康检查的入户调查,统计分析社区居民口腔卫生服务利用的影响因素.结果 调查社区居民2003户,共计4459人.社区居民1年内口腔就诊率为11.3%（502/4459）.Logistic结果显示青年人（OR=2.072）、有医疗保障（OR=2.835）、就诊距离近（OR=3.535）、有就诊意愿（OR=2.595）以及认为自己口腔健康差（OR=2.014）是有利于社区居民口腔卫生服务利用的主要因素.结论 社区居民口腔卫生服务利用率较低,中老年人尤为严重.应提高居民对口腔疾病的认识和对口腔卫生服务的了解,同时完善医疗保障体系.

Objective To investigate the utilization of oral health services and to analyze the factors associated with oral health services for the community residents. Methods Household health interview and oral health condition survey were conducted to obtain information about oral health services. The respondents were recruited by a multi-stage random cluster sampling procedure. Multiple dummy regression analyses were performed for the assessment of the relative effect of behavioural factors on dental attendance. Results A total of 2003 families, 4459 people participated in this study. The people seeking dental treatment accounted for 11.3% （502/4459） per year. Young people （ OR = 2. 072）, having medical insurance system （ OR =2. 835 ）, short distance to see dentist （ OR = 3. 535 ） , oral health awareness （ OR = 2. 595 ） , poor selfassessment of oral health status （OR =2. 014 ） were the main factors which influenced dental attendance of community residents. Conclusions The utilization of oral health service was low, particularly for middleaged people and the elderly. Oral health education and medical insurance system should be strengthened.