潍坊市7~8岁儿童口腔卫生服务利用影响因素研究

Study on the utilization factors of oral health services of children aged 7-8 years in Weifang

目的基于安德森卫生服务利用行为模型探讨潍坊市7~8岁儿童口腔卫生服务利用行为的影响因素。方法依托全国口腔疾病综合干预项目,以整群随机抽样法抽取潍坊市4区10所小学1826名7~8岁儿童为研究对象。以修正后的安德森模型为理论框架,探究情景特征、人群特征和医疗行为对儿童口腔卫生服务利用行为的影响。结果儿童1年内口腔就诊率39.8%(726例),其中治疗性就诊率47.2%(342例)、咨询性就诊率20.9%(152例)、预防性就诊率10.7%(78例)。多因素Logistic回归分析显示,刷牙时家长经常监督、家长经常观察牙齿健康、父母学历在大专及以上、近1年有牙齿疼痛或不适经历、医生口腔健康评价差是儿童口腔卫生服务利用的主要影响因素(P<0.05)。结论儿童预防性口腔就诊率较低,家长对儿童口腔健康保健的认知影响儿童口腔卫生服务利用率,建议对家长加强儿童口腔保健知识的宣教,提高儿童卫生服务利用。

Objective This study aims to determine factors influencing the oral health service utilization behavior of children aged 7-8 years in Weifang based on Anderson health services utilization model.Methods Based on the National Comprehensive Oral Disease Intervention Project,1826 children aged 7-8 years were selected from 10 elementary schools in four districts of Weifang City by whole-group random sampling as the study population.The modified Anderson model was used as the theoretical framework to explore the effects of situational characteristics,population characteristics,and medical behavior on children’s oral health service utilization.Results The oral visit rate of children within 1year was 39.8%(726 cases),of which 47.2%(342 cases)were curative visits,20.9%(152 cases)were consultative visits,and 10.7%(78 cases)were preventive visits.Multi-factor logistic regression analysis showed that frequent parental supervision during tooth brushing,frequent parental observation of dental health,parental education level of college and above,experience of dental pain or discomfort in the last year,and poor oral health evaluated by physician were the main factors that influenced the utilization of oral health services among children(P<0.05).Conclusion The rate of preventive dental visits of children is low,and parents’awareness of children’s oral health care affects the utilization rate of oral health services.Hence,parents should be taught more about children’s oral health care to improve the utilization of children’s health services.