蚌埠市高年级小学生口腔健康相关生活质量及影响因素研究

Current status and influencing factors of oral health-related quality of life among senior primary school students in Bengbu

目的了解蚌埠市小学高年级学生口腔健康相关生活质量现状及其影响因素,为开展有针对性的儿童口腔健康教育提供科学依据及对策。方法采用分层整群随机抽样的方法,于2022年9—11月选择蚌埠市4个区12所小学1760名高年级(五至六年级)学生作为调查对象,通过口腔健康相关问卷对学生口腔健康情况开展调查,口腔问题对生活质量的影响应用儿童日常生活口腔影响程度(Child-OIDP)量表测评。采用χ^(2)检验、非参数检验及二分类Logistic回归模型分析小学高年级学生口腔健康相关生活质量影响因素。结果口腔问题对蚌埠市小学高年级学生日常生活质量影响报告率为70.00%,重度影响率达15.06%,对经口进食方面影响最大(57.95%),Child-OIDP得分为(7.49±8.57)分。二分类Logistic回归分析显示,母亲学历、自评牙齿及口腔状况、牙齿有无摔伤或碰伤、过去1年内牙疼情况及过去2周内牙龈有无出血与Child-OIDP发生相关且均有统计学意义(OR=1.86~5.00,P值均<0.05)。结论蚌埠市小学高年级学生因口腔问题影响日常生活质量现象较为普遍。家庭及学校应加强口腔保健知识宣传教育及行为指导,以降低口腔问题对高年级小学生日常生活的影响。

Objective To investigate oral health-related life quality and associated factors of senior primary school students in Bengbu City,so as to provide scientific basis for targeted oral health education for children.Methods A stratified cluster random sampling method was adopted to select 1760 senior students(grade 5 to 6)from 12 primary schools in 4 districts of Bengbu City from September to November 2022.A cross-sectional survey was conducted on the oral health of students through questionnaires related to oral health.The effect of oral problems on quality of life was assessed by the Child Daily Life Oral Influence Scale(Child-OIDP).Chi-square test,non-parametric test and binary Logistic regression model were used to analyze the influencing factors of oral health-related quality of life in senior primary school students.Results The prevalence of oral problems affecting the quality of daily life was 70.00%,and the severe impact rate was 15.06%.Oral feeding was the most affected(57.95%).The Child-OIDP score was(7.49±8.57).Binary Logistic regression analysis showed that mother's education level,self-rated teeth and oral conditions,bruised tooth,toothache in the past year,and gingival bleeding in the past 2 weeks were significantly associated with the incidence of Child-OIDP(OR=1.86-5.00,P<0.05).Conclusion It is common that oral problems affect the quality of daily life of senior primary school students in Bengbu.Families and schools should strengthen oral health knowledge education and behavior guidance,so as to reduce the impact of oral problems on daily life among senior primary school students.