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

杨从艳; 周英; 周小梅; 张夏婉; 柳雯; 李建成; 李秀川

doi:10.16835/j.cnki.1000-9817.2023.07.011

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

doi: 10.16835/j.cnki.1000-9817.2023.07.011

1.
蚌埠医学院第一附属医院护理部，安徽 233000
2.
蚌埠医学院护理学院
3.
蚌埠医学院第一附属医院中医科
4.
蚌埠医学院第一附属医院口腔科

基金项目:

安徽省教育厅人文社科重点项目 SK2019A0194

安徽高校合作公关和公共卫生协同创新项目 GXXT-2020-021

详细信息

作者简介:
杨从艳(1977-)，女，安徽凤阳人，硕士，主任护师，主要研究方向为口腔卫生保健和健康服务管理

通讯作者:
李秀川，E-mail：lixiuchuan2005@yeah.net

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R780.1 R179 R193
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- PDF下载量: 59
- 被引次数: 0
出版历程
- 收稿日期: 2023-03-01
- 修回日期: 2023-05-12
- 网络出版日期: 2023-07-25
- 刊出日期: 2023-07-25

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

1.
Nursing Department, the First Affiliated Hospital of Bengbu Medical College, Bengbu(233000), Anhui Province, China

摘要

摘要: 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1 760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χ²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。
- 口腔卫生 /
- 生活质量 /
- 回归分析 /
- 健康教育 /
- 学生
Abstract: 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 1 760 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.
- Oral hygiene /
- Quality of life /
- Regression analysis /
- Health education /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 小学高年级学生Child-OIDP量表各题目不同程度报告率(n=1 760)

Table 1. Reporting rates of different degree for questions in the Child-OIDP Scale among senior primary school students(n=1 760)

题目	轻微	一般	严重
进食	349(19.83)	314(17.84)	357(20.28)
发音	211(11.99)	264(15.00)	242(13.75)
刷牙或漱口	227(12.90)	271(15.40)	254(14.43)
做家务	135(7.67)	196(11.14)	109(6.19)
上学	186(10.57)	213(12.10)	240(13.64)
睡眠	184(10.45)	210(11.93)	278(15.80)
露齿微笑	228(12.95)	232(13.18)	298(16.93)
容易烦恼	231(13.13)	238(13.52)	261(14.83)
人际交往	181(10.28)	245(13.92)	255(14.49)
总影响	666(37.84)	301(17.10)	265(15.06)
注： ()内数字为报告率/%。

下载: 导出CSV

表 2 小学高年级学生Child-OIDP报告率单因素分析

Table 2. Univariate analysis of the reporting rates of Child-OIDP in senior primary school students

组别	选项	人数	影响人数	χ²/Z值	P值	组别	选项	人数	影响人数	χ²/Z值	P值
出生地	城镇	688	461(67.01)	4.82	0.03	是否使用牙线	是	51	29(56.86)	4.32	0.04
	农村	1 072	771(71.92)				否	1 709	1 203(70.39)
是否为独生子女	是	226	143(63.27)	5.59	0.02	自评牙齿及口腔状况	很好	526	338(64.26)	4.71^*	< 0.01
	否	1 534	1 089(70.99)				较好	428	294(68.69)
父亲学历	初中及以下	1 228	883(71.91)	7.19	0.03		一般	696	508(72.99)
	高中或中专	323	214(66.25)				较差	99	83(83.84)
	大专及以上	209	135(64.59)				很差	11	9(81.82)
母亲学历	初中及以下	1 258	909(72.26)	12.95	< 0.01	牙齿有无摔伤或碰伤	有	161	132(81.99)	12.13	< 0.01
	高中或中专	285	191(67.02)				无	1 599	1 100(68.79)
	大专及以上	217	132(60.83)			过去1年内牙疼情况	经常	57	47(82.46)	5.13^*	< 0.01
是否每天刷牙	是	1 707	1 187(69.54)	5.44	0.02		偶尔	692	533(77.02)
	否	53	45(84.91)				从不	1 011	652(64.49)
甜饮料摄入	很少或从不	545	354(64.95)	9.87	0.01	过去2周牙龈有无出血	有	243	196(80.66)	15.25	< 0.01
	每周1~6次	626	448(71.57)				无	1 517	1 036(68.29)
	每天≥1次	589	430(73.01)
注： *为Z值；()内数字为报告率/%。

下载: 导出CSV

表 3 小学高年级学生Child-OIDP发生率与相关影响因素的二元Logistic回归分析(n=1 760)

Table 3. Binary Logistic regression analysis of Child-OIDP incidence and related influencing factors in senior primary school students (n=1 760)

自变量与常量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)
母亲学历	高中或中专	0.62	0.29	4.52	0.03	1.86(1.05~3.30)
	大专及以上	0.76	0.31	5.92	0.02	2.13(1.16~3.91)
自评牙齿及口腔状况	较好	0.46	0.30	2.35	0.13	1.58(0.88~2.85)
	一般	0.67	0.29	5.41	0.02	1.95(1.11~3.42)
	较差	1.35	0.45	8.80	＜0.01	3.84(1.58~9.36)
	很差	1.61	0.47	11.97	＜0.01	5.00(2.01~12.43)
牙齿有无摔伤或碰伤	有	1.47	0.23	40.71	＜0.01	4.36(2.77~6.86)
过去1年内牙疼情况	偶尔	0.64	0.31	4.24	0.04	1.89(1.03~3.47)
	经常	1.19	0.43	7.76	＜0.01	3.30(1.42~7.64)
过去2周牙龈有无出血	有	1.30	0.24	29.10	＜0.01	3.67(2.29~5.89)
常量		-1.35	0.20	46.04	＜0.01	0.26

下载: 导出CSV

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