乌鲁木齐市3~5岁儿童口腔就医观念及就诊现状的调查分析

The investigation and analysis of the concept and status quo of stomatology in 3-5-year-old children in Urumqi

目的了解乌鲁木齐市3~5岁儿童口腔就医观念及就诊现状。方法采用多阶段分层整群抽样的方法,随机抽取乌鲁木齐市677名3~5岁儿童进行口腔检查和问卷调查,采用SPSS 25.0软件进行统计分析。结果儿童的患龋率、口腔疾病患病率、充填率分别为74.45%、85.38%、7.36%。儿童口腔就诊率为45.49%。近12个月内,就诊的儿童以治疗为目的就诊形式最常见(50.00%),未就诊儿童的主要原因为孩子的牙没问题(55.45%)。有就诊行为的儿童家长口腔健康认知情况和得分优于未就诊的儿童家长(P<0.05)。logistic回归分析显示年龄越大、家长对儿童口腔状况的评价越差、有过牙痛或不适、家长口腔健康认知得分和家庭年收入越高的儿童就诊率越高。结论乌鲁木齐市3~5岁儿童口腔健康状况较差,口腔就诊率低,主动求医观念薄弱。

Objective To understand the concept of seeking oral care and dental visits of 3-5-year-old children in Urumqi.Methods 677 children aged 3~5 years in Urumqi were randomly selected for oral examination and questionnaire survey by multistage stratified cluster sampling.Their parents were investigated by questionnaires.SPSS25.0 software was used for statistical analysis.Results The prevalence of caries,oral disease and filling rate in these children was 74.45%,85.38%and 7.36%respectively.The rate of children’s oral visits was 45.49%.In the past 12 months,the most common treatment for children(50.00%),the main reason for children who did not visit was that the children had no tooth problems(55.45%).The results showed that the parents of children with the experience of visiting the dental office had better understanding and cognition of oral health than those without experience of visiting the dental office(P<0.05)Logistic regression analysis showed that the older the age,the worse the parents’evaluation of children’s oral health,the more toothache or discomfort,the higher the parents’oral health cognitive score and the higher the family’s annual income,the higher the children’s medical treatment rate.Conclusion 3-5-year-old children in this region was reported to have poor oral health status,low dental visit rates and poor oral health seeking behaviors.