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
Status and strategies of oral health service demand and medical treatment utilization among 3- to 5-year-old preschool children in Jiangxi province
作者:欧晓艳,曾艺旋,闻健琼,周尹,曾利伟
Author:Xiaoyan Ou,Yixuan Zeng,Jianqiong Wen,Yin Zhou,Liwei Zeng
收稿日期:2018-04-25 年卷(期)页码:2018,36(6):650-650-655
期刊名称:华西口腔医学杂志
Journal Name:West China Journal of Stomatology
关键字:儿童,口腔疾病,卫生服务需求,就诊,
Key words:children,oral diseases,health service demand,seek medical advice,
基金项目:江西省科技计划重大项目(20152ACG70023);国家卫计委科教司2015年度公益性行业科研专项项目(201502002)
中文摘要
目的 了解江西省3~5岁儿童口腔卫生服务需求与就诊利用现状,为制定相关的口腔保健政策,提高口腔卫生服务利用及就诊率,优化口腔人力及服务资源提供数据支持。方法 采用分层整群抽样法随机抽取2 880名儿童进行口腔检查,并对家长进行问卷调查。检查方法和诊断标准参照第四次全国口腔健康流行病学调查方案的规定。用Excel 2007和SPSS 19.0软件对数据进行处理,主要方法为统计描述,卡方检验与Logistic回归分析。结果 2 880例3~5岁儿童乳牙患龋率为49.13%(1 415/2 880),53.37%(1 537/2 880)的儿童有口腔卫生服务需求,低年龄儿童家长对孩子的口腔状况评价好于高年龄儿童(PP结论 江西省3~5岁儿童患龋率低于全国水平,有口腔卫生服务需要而主动寻求就诊服务的比例较低,就诊目的以治疗为主,预防咨询较少。相关部门应加强口腔健康教育宣传并建议纳入幼师培训计划,以提高居民就诊意识和儿童口腔健康水平。
英文摘要
ObjectiveThis study aimed to investigate the oral health service needs and dental treatment among 3-year-old to 5-year-old preschool children in Jiangxi province and provide data to support the development of relevant oral health policies, enhance the oral health service utilization and visit rate, and optimize oral manpower and service resources.MethodsA total of 2 880 preschool children were selected via stratified cluster sampling. Dental examination methods and criteria according to the fourth national oral health epidemiological survey were adopted. Excel 2007 and SPSS 19.0 softwares were used for statistics analysis. Chi-square test and logistic regression analysis were performed.ResultsThe caries prevalence was 49.13% (1 415/2 880) among the 2 880 cases of 3-year-old to 5-year-old preschool children in Jiangxi province, approximately 53.37% (1 537/2 880) of which possessed oral health service needs. The parents of younger children assessed the oral situation better in older age than in their younger years (PPConclusionThe prevalence of caries in 3-year-old to 5-year-old preschool children in Jiangxi province is at a lower level than that in the national level. The proportion of the population actively seeking medical services is low, and their main purpose of treatment is to treat rather than prevention. Oral health education should be strengthened, and it should be incorporated to the contents of the kindergarten teacher training program to improve residents’ awareness regarding children’s oral health.
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