中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (8): 862-867.DOI: 10.11852/zgetbjzz2024-0157

• 科研论著 • 上一篇    下一篇

贵州省12岁儿童口腔健康相关生活质量及影响因素

张旭彤1, 李娜2, 吴娟娟2, 陈欣月1, 赵南洋3, 陈黎明2, 戴泰鸣1,2   

  1. 1.贵州大学医学院,贵州 贵阳 550025;
    2.贵阳市口腔医院;
    3.遵义医科大学
  • 收稿日期:2024-02-18 修回日期:2024-04-19 发布日期:2024-07-31 出版日期:2024-08-10
  • 通讯作者: 戴泰鸣,E-mail: daitaiming@163.com
  • 作者简介:张旭彤(1999-),女,硕士研究生在读,主要研究方向为社会医学与卫生事业管理、儿童口腔健康管理。
  • 基金资助:
    贵州省口腔健康流行病学调查项目(gzwjkj2019-1-173);贵阳市科技计划项目(筑科合同[2022]4号-12-1)

Oral health-related quality of life and associated factors among 12-year-old children in Guizhou

ZHANG Xutong1, LI Na2, WU Juanjuan2, CHEN Xinyue1, ZHAO Nanyang3, CHEN Liming2, DAI Taiming1,2   

  1. 1. Medical College of Guizhou University, Guiyang, Guizhou 550025, China;
    2. Guiyang Hospital of Stomatology;
    3. Zunyi Medical University
  • Received:2024-02-18 Revised:2024-04-19 Online:2024-08-10 Published:2024-07-31
  • Contact: DAI Taiming, E-mail: daitaiming@163.com

摘要: 目的 了解贵州省12岁儿童口腔健康相关生活质量状况,评估其影响因素,为学龄期儿童口腔疾病的健康教育和防治提供参考依据。方法 采用多阶段随机分层抽样的方法抽取贵州省12岁儿童1 777人纳入研究,按照WHO 口腔健康检查标准进行口腔检查,使用儿童日常生活口腔影响量表 (Child-OIDP)评估儿童日常生活质量。运用χ2检验、非参数检验和二分类Logistic 回归模型分析其影响因素。结果 共有73.3%(1 303/1 777)的12岁儿童显示在过去6个月内至少受到1次口腔健康状况的影响,受到影响最高的是饮食(52.6%),而最低的是上学(16.0%)。居住于农村地区(OR=0.483,95%CI:0.322~0.723)是口腔相关生活质量受影响的保护因素(P<0.001);经济状况为二类经济地区(OR=1.926,95%CI:1.404~2.642)和三类经济地区(OR=5.347,95%CI:3.295~8.677)、每周2~6次的甜食摄入频率(OR=1.518,95%CI:1.143~2.015)和每天1次及以上的甜食摄入频率(OR=1.433,95%CI:1.098~1.871)、良好的口腔健康知识水平(OR=1.693,95%CI:1.145~2.502)、一般的口腔健康态度(OR=1.830,95%CI:1.143~2.928)及积极的口腔健康态度(OR=2.121,95%CI:1.353~3.324)与口腔相关生活质量受影响呈正相关(P<0.05)。结论 贵州省12岁儿童的日常生活广泛受到口腔健康状况的影响,但影响的程度相对较轻。

关键词: 口腔卫生, 口腔流行病学, 学龄期儿童, 儿童日常生活口腔影响量表

Abstract: Objective To evaluate the status of oral health-related quality of life and associated factors of 12-year-old children in Guizhou Province, so as to provide reference for health education and prevention of oral diseases in school-age children. Methods A total of 1 777 children aged 12 in Guizhou Province were recruited by a multi-stage stratified sampling method. Oral examination was performed according to WHO oral health examination criteria, and child oral health-related quality of life was assessed using Child-Oral Impact on Daily Performance(Child-OIDP). Chi-square test, non-parametric test and binary Logistic regression model were used to analyze the associated factors. Results Totally 73.3% (1 303/1 707) children showed at least one impact on their oral health in the last 6 months, with diet being the most affected (52.6%) and schooling being the least affected(16.0%). Living in rural areas (OR=0.483, 95%CI: 0.322 - 0.723) was a protective factor for the impact on oral health-related quality of life(P<0.001). Being the second-class economic tier (OR=1.926,95%CI:1.404 - 2.642) and third-class economic tier (OR=5.347, 95%CI:3.295 - 8.677), consuming sweet food 2 - 6 times per week (OR=1.518,95%CI:1.143 - 2.015) and once or more daily (OR=1.433, 95%CI:1.098 - 1.871), having good oral health knowledge (OR=1.693, 95%CI:1.145 - 2.502), having moderate oral health attitude (OR=1.830, 95%CI: 1.143 - 2.928) and positive oral health attitude (OR=2.121, 95%CI:1.353 - 3.324) were positively associated with the impact on oral health-related quality of life (P<0.05). Conclusion The daily life of 12-year-old children in Guizhou Province is significantly affected by oral health conditions, albeit to a relatively mild extent.

Key words: oral hygiene, oral epidemiology, school-aged children, Child-Oral Impact on Daily Performance

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