Marzec-Koronczewska Z
Zakładu Stomatologii Zachowawczej Pomorskiej Akademii Medycznej.
Ann Acad Med Stetin. 1992;38:35-50.
The performed studies covered 1100 subjects being 18 years old (both girls and boys) representing large and small towns as well as villages situated in 13 provinces. The material and methods were based on the instruction provided by "WHO Basic Methods 1986". Answers given to questionnaire inquiries in the area of nutrition and oral cavity hygiene furnished an image of health consciousness and behaviours of 18-agers in Poland. Dental state and stomatologic treatment requirement jointly with the effects of stomatologic care were evaluated on the basis of the results established by epidemiological studies. The accomplished analysis encompassed the influence of sex, living environment, type of schools and variable content of fluoride in water, exerted on the pattern of the investigated epidemiological parameters. No correlation was recorded between health consciousness and behaviours in 18-year-old youth on the one hand, and the dental state as well as the therapeutic requirements on the other. The questionnaire responses and the epidemiologic studies made it possible to disclose some drawbacks in transmitting and introducing the education-health principles, which was reflected by not the best results concerning the health consciousness and behaviours particularly in male youth and in rural inhabitants. The dental condition is unsatisfactory in the studied population, despite being provided, in most instances, with permanent stomatological care. This indicates that optimization of adequate stomatological service is indispensable. A low percentage of youth with dentition does not predict good prognosis for them to achieve 3-rd health objective set up by WHO for the year 2000. The studies have confirmed the influence of big urban environment, with complete profile of stomatological care and water fluoridation, being exerted on the state of dental therapeutic requirements in 18-year-old youth. Difficult as it appeared was the detection of the sugars consumption role and that of oral cavity hygiene, in the course of one-stage investigation.
所开展的研究涵盖了1100名18岁的受试者(包括女孩和男孩),他们来自13个省份的大城镇、小乡镇及村庄。材料和方法基于《世界卫生组织1986年基本方法》所提供的指导。对营养和口腔卫生领域问卷询问的回答展现了波兰18岁人群的健康意识和行为情况。根据流行病学研究结果,对牙齿状况、口腔治疗需求以及口腔护理效果进行了评估。完成的分析涵盖了性别、生活环境、学校类型以及水中氟化物含量变化对所调查的流行病学参数模式的影响。一方面,18岁青年的健康意识和行为与另一方面的牙齿状况及治疗需求之间未发现相关性。问卷回答和流行病学研究使得有可能揭示在传播和引入教育 - 健康原则方面的一些缺陷,这体现在特别是男性青年和农村居民的健康意识和行为方面并非最佳的结果上。在所研究的人群中,尽管大多数情况下都能获得永久性的口腔护理,但牙齿状况仍不尽人意。这表明优化适当的口腔服务是必不可少的。牙列完整的青年比例较低,这预示着他们实现世界卫生组织为2000年设定的第三个健康目标的预后不佳。研究证实了具备完整口腔护理和水氟化的大城市环境对18岁青年牙齿治疗需求状况的影响。在单阶段调查过程中,很难检测到糖分摄入作用和口腔卫生的作用。