Yamaguchi Megumi, Kayaba Kazunori, Ojima Toshiyuki, Takaku Satoru, Shinmura Hiromi, Yanagawa Hiroshi
Department of Health Sciences, Saitama Prefectural University, Japan.
Nihon Koshu Eisei Zasshi. 2007 Feb;54(2):107-14.
The purpose of this study was to access the present situation regarding implementation of dental health promotion activities of Health Japan 21 in municipalities.
Of 1,446 local municipalities that had established local plans for the Health Japan 21 project in 2003, 953 were eligible because these had not been consolidated nor were plan had for consolidation by March 2006. A questionnaire form was mailed to the municipalities in July 2005 with items for assessment of the present status, setting goals for the project, and expectations regarding accomplishment of the local project for Health Japan 21.
A total of 788 local municipalities responded by September 2005 (response rate 82.7%). Of them, 638 had already finished development of the local plan. As to the present status, 94% covered dental caries screening for 3 year old children. In contrast, only 25% included screening for adult paradentitis. Two thirds of municipalities set goals for dental health of 3 year old children. However, only had set any goal for the participation rate with regard to periodic dental examinations for school children (6.8%) or the prevalence of advanced paradentitis (16.3%). Proportions of municipalities that expected difficulty in accomplishing the goals were 10.1% for dental caries prevention for 3 year old children, and 30.1% for facilitation of use of dental and periodontal care equipment.
This nationwide survey revealed dental health programs in municipalities to be relatively well implemented for dental caries prevention, but with low rates for adoption and implementation of the periodontal disease prevention program of Health Japan 21.
本研究旨在了解日本各自治市实施“健康日本21”牙科健康促进活动的现状。
在2003年制定了“健康日本21”项目地方计划的1446个地方自治市中，953个符合条件，因为这些计划截至2006年3月既未合并，也没有合并计划。2005年7月向这些自治市邮寄了一份问卷，内容包括对现状的评估、项目目标设定以及对“健康日本21”地方项目完成情况的期望。
截至2005年9月，共有788个地方自治市做出回应（回应率82.7%）。其中，638个已经完成了地方计划的制定。就现状而言，94%的自治市对3岁儿童进行了龋齿筛查。相比之下，只有25%的自治市包括成人牙周炎筛查。三分之二的自治市为3岁儿童设定了牙齿健康目标。然而，只有少数自治市设定了关于学童定期牙科检查参与率（6.8%）或重度牙周炎患病率（16.3%）的目标。预计难以实现目标的自治市比例，3岁儿童龋齿预防为10.1%，促进牙科和牙周护理设备使用为30.1%。
这项全国性调查显示，各自治市的牙科健康项目在预防龋齿方面实施得相对较好，但“健康日本21”牙周病预防项目的采用和实施率较低。
