Volume 42 Issue 5
May  2021
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HAO Chunxiu, ZHANG Lei, ZHANG Xiaodan, SUN Jiayin, WANG Haiyue, ZHAO Yu. Utilization of oral health services for school-age children in Xiangfang District of Harbin[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 751-755. doi: 10.16835/j.cnki.1000-9817.2021.05.026
Citation: HAO Chunxiu, ZHANG Lei, ZHANG Xiaodan, SUN Jiayin, WANG Haiyue, ZHAO Yu. Utilization of oral health services for school-age children in Xiangfang District of Harbin[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 751-755. doi: 10.16835/j.cnki.1000-9817.2021.05.026

Utilization of oral health services for school-age children in Xiangfang District of Harbin

doi: 10.16835/j.cnki.1000-9817.2021.05.026
  • Received Date: 2020-09-15
  • Rev Recd Date: 2021-02-03
  • Available Online: 2021-05-20
  • Publish Date: 2021-05-25
  •   Objective  To investigate the oral health service demands and utilization among school-age children in Xiangfang district of Harbin, and to explore the related influencing factors.  Methods  A total of 7 944 children aged 6-11 were investigated for oral health status through questionnaire survey in Xiangfang District, Harbin. Descriptive analysis, Chi-square test, nonparametric test and Logistic regression were used to analyze the oral health service demands and utilization of school-age children.  Results  The rate of caries, unfilled caries, malocclusion and traumatic dental injuries were 89.7%, 60.7%, 59.3% and 12.5%, respectively. In the past 12 months, 53.8% of children had toothache. The rate of seeking medical treatment in stomatology department was 31.6%, with the primary reason being treatment (47.6%), while the rate of preventive dental treatment was 15.6%. Multivariate analysis showed that girls, father's education being high school or technical secondary school, father's education higher or equal to junior college, poor oral health evaluation, high score on oral knowledge and oral attitude, brushing teeth once a day, brushing teeth twice a day or more, having attended oral health courses, having toothache experience, having dental trauma experience, suffering from dental caries were more likely to visit the oral clinics (OR=1.11, 1.17, 1.50, 0.80, 1.07, 1.21, 1.60, 2.27, 1.28, 1.49, 1.54, 1.67, P < 0.05).  Conclusion  In Xiangfang District of Harbin, there is a large demand for oral health services for school-age children, however, both of the utilization rate and the preventive medical treatment rate is low. Many factors affect the utilization of oral health services for children. It is suggested that targeted measures should be taken to improve the utilization level of school-age children's health resources.
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  • [1]
    SANADHYA Y K, THAKKAR J P, DIVAKAR D D, et al. Effectiveness of oral health education on knowledge, attitude, practices and oral hygiene status among 12-15-year-old schoolchildren of fishermen of Kutch district, Gujarat, India[J]. Int Marit Health, 2014, 65(3): 99-105. doi: 10.5603/IMH.2014.0022
    [2]
    白英龙, 刘福定, 郭洁, 等. 沈阳市家长对学龄前儿童龋齿的关注与认知现况[J]. 中国学校卫生, 2013, 34(11): 1392-1393. http://www.cjsh.org.cn/article/id/zgxxws201311042

    BAI Y LF, LIU D, GUO J, et al. The present situation of parents' concern and cognition about the dental caries of preschool children in Shenyang[J]. Chin J Sch Health, 2013, 34(11): 1392-1393. http://www.cjsh.org.cn/article/id/zgxxws201311042
    [3]
    王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 12-14.

    WANG X. The fourth national oral health epidemiological survey report[M]. Beijing: People's Medical Publishing House, 2018: 12-14.
    [4]
    王静雪, 杨正艳, 吴晓艳, 等. 重庆市主城区学龄前儿童患龋情况及口腔卫生服务需要、利用情况和影响因素的研究[J]. 华西口腔医学杂志, 2019, 37(2): 187-192. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201902014.htm

    WANG J X, YANG Z Y, WU X Y, et al. An investigation on the need, the utilization, and the influencing factors of dental services for pre-school children in selected areas in Chongqing province[J]. West China J Stomatol, 2019, 37(2): 187-192. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201902014.htm
    [5]
    刘怡然, 沈红, 仇颖莹, 等. 江苏省3~5和12~15岁人群口腔卫生服务利用情况调查及相关因素分析[J]. 口腔医学, 2020, 40(5): 448-452. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX202005012.htm

    LIU Y R, SHEN H, CHOU Y Y, et al. Oral health service utilization patterns and related factors among 3-to 5-year-old children and 12-to 15-year-old students in jiangsu Province[J]. Stomatol, 2020, 40(5): 448-452. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX202005012.htm
    [6]
    邓力. 重庆市12~15岁中学生口腔健康知识、态度、行为的调查分析[D]. 重庆: 重庆医科大学, 2019.

    DENG L. Investigation of oral health knowledge, attitude, behavior of 12-15 years old children in Chongqing[D]. Chongqing: Chongqing Medical University, 2019.
    [7]
    欧晓艳, 曾艺旋, 闻健琼, 等. 江西省3~5岁儿童对口腔卫生服务需求与就诊利用的现状及对策[J]. 华西口腔医学杂志, 2018, 36(6): 650-655. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201806020.htm

    OU X Y, CENG Y X, WEN J Q, et al. Status and strategies of oral health service demand and medical treatment utilization among 3-to 5-year-old preschool children in Jiangxi Province[J]. West China J Stomatol, 2018, 36(6): 650-655. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201806020.htm
    [8]
    陈龙, 赵恬, 张佐, 等. 海原城乡6~12岁在校学生龋病现况调查[J]. 宁夏医学杂志, 2016, 38(7): 636-637. https://www.cnki.com.cn/Article/CJFDTOTAL-NXYX201607032.htm

    CHEN L, ZHAO T, ZHANG Z, et al. An epidemiological investigation of dental caries of students aged 6-12 years in urban and rural areas in Haiyuan[J]. Ningxia Med J, 2016, 38(7): 636-637. https://www.cnki.com.cn/Article/CJFDTOTAL-NXYX201607032.htm
    [9]
    李梦源. 宁夏中卫市6~12岁儿童口腔健康状况调查及12岁儿童口腔健康状况相关因素分析[D]. 银川: 宁夏医科大学, 2017.

    LI M Y. An Epidemiological investigation of oral health in 6-12 year-old pupils in Zhongwei, Ningxia and relevant factors analysis on 12 year-old children[D]. Yinchuan: Ningxia Medical University, 2017.
    [10]
    刘雯雯, 邹静. 儿童替牙期常见错畸形的防治[J]. 口腔医学, 2012, 32(2): 118-119. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201805002.htm

    LIU W W, ZOU J. Prevention and treatment of common malocclusion in children during dental replacement period[J]. Stomatology, 2012, 32(2): 118-119. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201805002.htm
    [11]
    张晓东. 蚌埠市部分儿童青少年牙外伤患病情况分析[J]. 中国学校卫生, 2012, 33(6): 702-703. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201206028.htm

    ZHANG X D. Prevalence of traumatic dental injuries among children and adolescent in Bengbu[J]. Chin J Sch Health, 2012, 33(6): 702-703. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201206028.htm
    [12]
    World Health Organization. Oral health surveys: basic methods[M]. 5th ed. Geneva: World Health Organization, 2013.
    [13]
    傅民魁, 张丁, 王邦康, 等. 中国25392名儿童与青少年错畸形患病率的调查[J]. 口腔正畸学, 2002, 37(5): 371-377. https://www.cnki.com.cn/Article/CJFDTOTAL-KQQZ200204001.htm

    FU M K, ZHANG D, WANG B K, et al. Prevalence of malocclusion in 25392 children and adolescents in China[J]. Chin J Orthod, 2002, 37(5): 371-373. https://www.cnki.com.cn/Article/CJFDTOTAL-KQQZ200204001.htm
    [14]
    WHO. Oral health surveys: basic method[M]. 4th ed. Geneva: World Health Organization, 1997: 40-44.
    [15]
    傅民魁. 口腔正畸学[M]. 6版, 北京: 人民出版社, 2015: 6-9.

    FU M K. Orthodontics[M]. 6th ed. Beijing: People's Publishing House, 2015: 6-9.
    [16]
    关绮华, 莫莹莹, 梁自勉. 佛山市儿童牙痛发生情况及影响因素的相关性分析[J]. 中国儿童保健杂志, 2018, 26(8): 916-920. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201808030.htm

    GUAN Q H, MO Y Y, LIAN Z M, et al. Analysis of current status and influential factors on toothache among children in Foshan city[J]. Chin J Child Health Care, 2018, 26(8): 916-920. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201808030.htm
    [17]
    MOYNIHAN P J, KELLY S A. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines[J]. J Dent Res, 2014, 93(1): 8-18. doi: 10.1177/0022034513508954
    [18]
    姜玲玲, 曹玉慧, 刘占帅, 等. 哈尔滨市12 087名学龄儿童错畸形患病率及影响因素研究[J]. 口腔医学, 2019, 39(10): 931-935. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX201910016.htm

    JIANG L L, CAO Y H, LIU Z S, et al. An epidemiological investigation of 12 087 school children malocclusion in Harbin[J]. Stomatology, 2019, 39(10): 931-935. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX201910016.htm
    [19]
    李雪琦, 王泳仪, 余红兵, 等. 深圳市南山区1838名儿童主要照顾者的口腔健康知识和态度及与儿童口腔健康保健行为的关系[J]. 中国慢性病预防与控制, 2018, 26(8): 584-587. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201808006.htm

    LI X Q, WANG Y Y, YU H B, et al. Relationship among knowledge, attitude and behavior for children's oral health in 1838 primary caregivers of Nanshan district in Shenzhen[J]. Chin J Prev Contr Chron Dis, 2018, 26(8): 584-587. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201808006.htm
    [20]
    蔡楠. 长春市五~六年级小学生口腔健康知信行与牙龈出血的调查分析[D]. 长春: 吉林大学, 2016.

    CAI N. The investigation and analysis of grade 5-6 students' oral health the relevant knowledge, attitude, behavior and gingival bleeding in Chang Chun[D]. Changchun: Jilin University, 2016
    [21]
    MOLARIUS A, ENGSTRM S, FLINK H, et al. Socioeconomic differences in self-rated oral health and dental care utilisation after the dental care reform in 2008 in Sweden[J]. BMC Oral Health, 2014, 14: 134. DOI: 10.1186/1472-6831-14-134.
    [22]
    BELL J F, HUEBNER C E, REED S C. Oral health need and access to dental services: evidence from the National Survey of Children's Health, 2007[J]. Matern Child Health J, 2012, 16(Suppl 1): S27-34. http://europepmc.org/abstract/MED/22456986
    [23]
    XU M, YUAN C, SUN X G, et al. Oral health service utilization patterns among preschool children in Beijing, China[J]. BMC Oral Health, 2018, 18(1): 31. doi: 10.1186/s12903-018-0494-6
    [24]
    李忠, 张亮. 新时代下的健康需要、卫生服务需求与利用: 一个新的分析框架[J]. 中国卫生政策研究, 2019, 12(9): 5-11. doi: 10.3969/j.issn.1674-2982.2019.09.002

    LI Z, ZHANG L. Health need, healthcare demand and utilization in the new era: a new analytical framework[J]. Chin J Health Policy, 2019, 12(9): 5-11. doi: 10.3969/j.issn.1674-2982.2019.09.002
    [25]
    夏刚. 从我国口腔卫生服务需要需求和利用现状看我国目前口腔卫生工作中存在的问题和今后的工作思路[J]. 中华老年口腔医学杂志, 2018, 8(2): 65-67. doi: 10.3969/j.issn.1672-2973.2010.02.001

    XIA G. Problems in oral health work and future work ideas from the needs and utilization of oral health services in China[J]. Chin J Geriat Dent, 2010, 8(2): 65-67. doi: 10.3969/j.issn.1672-2973.2010.02.001
    [26]
    BADRI P, SALTAJI H, FLORES-MIR C, et al. Factors affecting children's adherence to regular dental attendance: a systematic review[J]. J Am Dent Assoc, 2014, 145(8): 817-28. doi: 10.14219/jada.2014.49
    [27]
    CURI D S C, FIGUEIREDO A C L, JAMELLI S R, Factors associated with the utilization of dental health services by the pediatric population: an integrative review[J]. Cien Saude Colet, 2018, 23(5): 1561-1576. doi: 10.1590/1413-81232018235.20422016
    [28]
    FINLAYSON T L, ASGARI P, DOUGHERTY E, et al. Child, caregiver, and family factors associated with child dental utilization among Mexican migrant families in California[J]. Commun Dent Health, 2018, 35(2): 89-94. http://europepmc.org/abstract/MED/29645407
    [29]
    CIANETTI S, LOMBARDO G, LUPATELLI E, et al. Dental caries, parents educational level, family income and dental service attendance among children in Italy[J]. Eur J Paediatr Dent, 2017, 18(1): 15-18. http://www.ncbi.nlm.nih.gov/pubmed/28494596
    [30]
    LIN M, SAPPENFIELD W, HERNANDEZ L, et al. Child-and state-level characteristics associated with preventive dental care access among U.S. children 5-17 years of age[J]. Matern Child Health J, 2012, 16(Supple 2): 320-329. http://www.ncbi.nlm.nih.gov/pubmed/22935910
    [31]
    GRANVILLE-GARCIA A F, CLEMENTINO M A, GOMES M C, et al. Influence of oral problems and biopsychosocial factors on the utilization of dental services by preschool children[J]. J Dent Child (Chic), 2015, 82(2): 76-83. http://www.ncbi.nlm.nih.gov/pubmed/26349794
    [32]
    白玥, 江虹, 曲美霞, 等. 宁夏小学生口腔健康促进效果评估[J]. 中国学校卫生, 2014, 35(1): 28-30. http://www.cjsh.org.cn/article/id/zgxxws201401010

    BAI Y, JIANG H, QU M X, et al. Effects of comprehensive oral health promotion among primary school students in Ningxia Province[J]. Chin J Sch Health, 2014, 35(1): 28-30. http://www.cjsh.org.cn/article/id/zgxxws201401010
    [33]
    刘奕君, 周平, 王琳, 等. 兰州市8所高校大学生口腔健康知识及行为调查[J]. 中国学校卫生, 2010, 31(12): 1479-1480. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201012033.htm

    LIU Y J, ZHOU P, WANG L, et al. Oral health recognition and practice among college students in 8 universities in Lanzhou[J]. Chin J Sch Health, 2010, 31(12): 1479-1480. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201012033.htm
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