上海市11～14岁儿童口腔健康相关生活质量调查分析

A study about oral health-related quality of Life among 11-14 years old children in Shanghai municipality

目的：评估上海市11~14岁儿童口腔健康相关生活质量,探讨其影响因素,为进行针对性口腔健康教育、制订公共卫生策略提供依据。方法：采用系统抽样方法,抽取上海4个城区8所学校11~14岁儿童,检查其龋失补牙数和牙龈出血指数。采用儿童口腔健康影响程度量表（CPQ11-14）,评估目标人群的口腔健康相关生活质量,其他问卷调查内容包括调查对象的社会人口学资料和口腔健康相关行为、知识和态度。采用SPSS21.0软件包对调查结果进行t检验、单因素方差分析和多元线形回归分析。结果：共调查儿童1050人,纳入有效人数955人（市区482人,郊区473人）,应答率为91%。CPQ11-14平均分数为（6.0±5.6）分。DMFT指数较高;有探诊出血的目标人群,其CPQ11-14平均分数较高,口腔健康相关生活质量较差（P〈0.05）。结论：11~14岁儿童的龋病、牙周状况,是其口腔健康相关生活质量的最主要影响因素,今后仍需加强口腔保健工作,包括良好的口腔卫生宣教,并关注该人群的口气和黏膜病等相关疾病。

PURPOSE： To assess oral health-related quality of life （OHRQoL） among 11-14 years old children in Shanghai municipality and investigate the influential factors, in order to provide theoretical evidence for pointed oral health education and public health strategies formulation. METHODS： Systematic sampling method was used to extract 11-14 years old children in Shanghai municipality. The decay missing filling tooth （DMFT） and gingival bleeding index （GBI） were examined and recorded. Child oral-health-related quality of life questionnaires（CPQ11-14） was adopted to assess the OHRQoL. Other enquiry included sociodemographic background and oral health-related behaviors, knowledge and attitudes. Statistical analysis was performed using SPSS 21.0 software package. RESULTS： This study examined 1050 children of 11-14 years old, among which 955 children （urban 482,suburb 473） were enrolled. The response rate was 91%. The mean CPQ11-14 score was （6.0＋5.6）. Statistical analysis showed that children with higher DMFT index and bleeding on probing had higher CPQ11-14 average score and poorer oral health related quality of life （P 〈0.05）. CONCLUSIONS： Caries and periodontal disease have negative effect on OHRQoL of 11-14 years old children. Efforts are needed to strengthen oral health care, including good oral health education, and focusing on halitosis and oral mucosal diseases in children aged 11-14 years old.