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。
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.
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
Key words
oral hygiene /
oral epidemiology /
school-aged children /
Child-Oral Impact on Daily Performance
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参考文献
[1] 林赳,余钒源,方欣怡,等.儿童口腔健康相关生存质量量表信度与效度的验证研究[J].国际口腔医学志,2017,44(4):445-451.
Lin J, Yu FY, Fang XY, et al. Validation of a Chinese version of oral health-related quality of life in children[J].Int J Stomatol,2017, 44 (4):445-451.(in Chinese)
[2] 陈霞,刘芳丽,李蕊,等.儿童口腔健康相关生存质量影响因素的系统综述[J].中国全科医学,2021,24(1):118-124.
Chen X, Liu FL, Li R, et al. Systematic review of factors influencing oral health-related quality of life in school-age children[J].Chin Gen Pract,2021, 24(1):118-124.(in Chinese)
[3] 刘金刚. 珠海市12岁儿童恒牙龋病的发病率、影响因素及预防措施[J].中国妇幼保健,2020,35(15):2822-2825.
Liu JG. Incidence rate, influencing factors and preventive measures of permanent tooth caries in 12-year-old children in Zhuhai city[J].Matern Child Health Care China,2020,35 (15):2822-2825.(in Chinese)
[4] 张丽丽,李慧,包文雅. 北京市6～12岁儿童口腔健康状况调查[J].华南预防医学,2023,49(4):427-431.
Zhang LL,Li H,Bao WY.Oral health status of children aged 6-12 years in Beijing[J]. South Chin J Prev Med,2023,49 (4):427-431.(in Chinese)
[5] 邓力,杨正艳,蔡婷,等. 重庆市12～15岁中学生口腔健康知识、态度、行为的问卷调查分析[J].华西口腔医学杂志, 2020,38(1):42-47.
Deng L,Yang ZY,Cai T,et al. Investigation of oral health knowledge, attitude, behavior of 12-15 years old children in Chongqing[J].West China J Stomatol,2020,2020,38 (1):42-47.(in Chinese)
[6] 代佳男. 基于贝叶斯的重庆市12岁儿童口腔健康影响因素的多水平分析[D].重庆:重庆医科大学,2017.
Dai JN. Multi-level analysis on oral health and its influencing factors for 12-year-old children in Chongqing based on bayes[D]. Chongqing:Chongqing Medical University, 2017.(in Chinese)
[7] 冯希平.口腔预防医学[M].7版.北京:人民卫生出版社,2020:31.
[8] Wu HJ, Cheng ML, Zhang CZ, et al. Associated factors of oral health-related quality of life in Chinese adolescents aged 12-15 years[J]. Chin J Dent Res, 2021,24(2):105-112.
[9] 张婷婷,刘秋林,于雪婷,等.广西12～15岁青少年口腔健康状况与相关生活质量关系研究[J].广西医科大学学报,2021,38(1):172-177.
Zhang TT, Liu QL, Yu XT, et al. Relationship between oral health status and related quality of daily life among 12-15year-oldadolescents in Guangxi[J]. J Guangxi Med Univ,2021,38(1):172-177.(in Chinese)
[10] Ahmad FC, Azhar I, Danial MK, et al. Validation and reliability testing of the child Oral Impacts on Daily Performances (C-OIDP):Cross-cultural adaptation and psychometric properties in Pakistani school-going children[J]. Children(Basel),2022,9(5):631.
[11] Castro RA, Cortes MI, Leão AT, et al. Child-OIDP index in Brazil: Cross-cultural adaptation and validation[J]. Health Qual Life Outcomes,2008,6(1): 68.
[12] Bianco A, Fortunato L, Nobile CG, et al. Prevalence and determinants of oral impacts on daily performance: Results from a survey among school children in Italy[J]. Eur J Public Health,2010,20(5):595-600.
[13] Ceylan JA, Aslan Y, Ozcelik AO. The effects of socioeconomic status, oral and dental health practices, and nutritional status on dental health in 12-year-old school children[J].Egypt Pediatric Association Gaz,2022,70(1):13.
[14] 黄少宏,吴林梅.龋病患病水平城市低于农村——龋病流行特征城乡变化分析[J].口腔疾病防治,2020,28(5):273-278.
Huang SH, Wu LM. The prevalence of dental caries in urban areas is lower than that in rural areas--analysis of changes in the epidemiological characteristics of caries in urban and rural areas[J].J Prev Treat Stom Dis, 2020,28(5): 273-278.(in Chinese)
[15] Das P, Mishra L, Jena D, et al. Oral health-related quality of life in children and adolescents with a traumatic injury of permanent teeth and the impact on their families: A systematic review[J].Int J Environ Res Public Health,2022,19(5):3087.
[16] Freire-Maia FB, Auad SM, Abreu MH, et al. Oral Health-related quality of life and traumatic dental injuries in young permanent incisors in Brazilian school children: A multilevel approach[J].PLoS One, 2015,10(8):e0135369.
[17] 尹燕飞,李兴杰,张薇,等.饮食习惯在口腔健康管理中的重要性探讨[J].健康体检与管理,2022,3(1):69-72.
Yin YF, Li XJ, Zhang W, et al. The importance of dietary habit in oral health management[J].J Health Exam Manag,2022, 3(1): 69-72.(in Chinese)
[18] 苏淑文,张建明,邓瑞冰,等.佛山市青少年口腔健康相关生活质量及影响因素分析[J].中国学校卫生,2021,42(4):560-564.
Su SW, Zhang JM,Deng RB, et al. Oral health-related quality of life and associated factors of Chinese adolescents in Foshan City[J].Chin J Sch Health, 2021,42(4):560-564.(in Chinese)
[19] 蔡楠,王桂茹,侯丹丹,等.小学生口腔健康知、信、行现状及口腔健康教育研究进展[J].中国妇幼保健,2016,31(9):2002-2004.
Cai N, Wang GR, Hou DD, et al. The current status of elementary school students' oral health knowledge, beliefs and behaviors and the progress of oral health education research[J].Matern Child Health Care China,2016,31(9): 2002-2004.(in Chinese)
[20] 刘金保, 张雷, 陈斌. 小学生口腔健康预防意识现状及对口腔健康状况的影响[J].实用预防医学,2023,30(6): 744-747.
Liu JB,Zhang L,Chen B. Current status of awareness of oral health prevention and its impact on oral health status among pupils[J].Pract Prev Med, 2023, 30 (6): 744-747.(in Chinese)
基金
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)
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