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里约热内卢成年人群中牙科检查常规就诊与自我感知口腔健康之间的关联:健康促进研究

Association between routine visits for dental checkup and self-perceived oral health in an adult population in Rio de Janeiro: the Pró-Saúde Study.

作者信息

Afonso-Souza G, Nadanovsky P, Chor D, Faerstein E, Werneck G L, Lopes C S

机构信息

Department of Epidemiology, Institute of Social Medicine - Rio de Janeiro State University (IMS-UERJ), Rio de Janeiro, Brazil.

出版信息

Community Dent Oral Epidemiol. 2007 Oct;35(5):393-400. doi: 10.1111/j.1600-0528.2006.00343.x.

Abstract

OBJECTIVE

To investigate the association between routine visits for dental checkup and self-perceived oral health.

METHODS

Cross-sectional data from a study of university employees in Rio de Janeiro - The Pró-Saúde Study. Self-perceived oral health and the reported pattern and frequency of visits to the dentist were obtained through a multidimensional self-administered questionnaire.

RESULTS

Data were obtained from 3252 participants. When compared with individuals who reported self-perceived oral health as good ('very good', 'good' or 'fair') individuals who reported self-perceived oral health as bad ('bad' or 'very bad') were significantly more likely to be older, male, less educated, poorer; they also reported more frequently to have lost more teeth and not visiting the dentist for routine dental 'checkup'. Among those who reported visiting for dental checks at least annually, 3% reported bad oral health, as opposed to 15% among those who reported visiting the dentist only when in trouble. Compared with those who reported visiting the dentist at least annually, odds ratio of bad oral health was 3.9 (95% CI, 2.68-5.67) for subjects who reported visiting only when in trouble, 2.6 (95% CI, 1.51-4.62) who reported visiting for dental checks less frequently than once every 2 years, and 1.4 (95% CI, 0.77-2.52) for subjects who reported visiting for dental checks once every 2 years, after controlling for sex, age, education, income and tooth loss.

CONCLUSIONS

Not visiting the dentist for a routine dental check increased the chance of reporting one's own oral health as bad. In any case, the habit of visiting for dental 'checkup, once per year or once every 2 years was associated with nearly all the individuals perceiving his/her oral health positively. However, in order to gather more solid scientific data to guide public policies it is necessary to perform longitudinal studies, especially experiments in different populations focused mainly on the socioeconomic characteristics and dental clinical conditions.

摘要

目的

探讨定期进行口腔检查与自我感知口腔健康之间的关联。

方法

来自里约热内卢大学员工健康研究的横断面数据。通过多维自填问卷获取自我感知的口腔健康状况以及报告的看牙医模式和频率。

结果

共获得3252名参与者的数据。与自我感知口腔健康状况良好(“非常好”“好”或“一般”)的个体相比,自我感知口腔健康状况差(“差”或“非常差”)的个体年龄更大、男性居多、受教育程度更低、更贫困;他们还更频繁地报告有更多牙齿缺失且未进行常规口腔“检查”。在报告至少每年进行一次口腔检查的人群中,3%的人报告口腔健康状况差,而在报告仅在有问题时才看牙医的人群中这一比例为15%。在控制了性别、年龄、教育程度、收入和牙齿缺失情况后,与报告至少每年看一次牙医的人群相比,仅在有问题时才看牙医的受试者口腔健康状况差的比值比为3.9(95%可信区间,2.68 - 5.67),每两年看牙检查次数少于一次的受试者为2.6(95%可信区间,1.51 - 4.62),每两年看一次牙检查的受试者为1.4(95%可信区间,0.77 - 2.52)。

结论

不进行常规口腔检查会增加自我报告口腔健康状况差的几率。无论如何,每年或每两年进行一次口腔“检查”的习惯与几乎所有自我感知口腔健康良好的个体相关。然而,为了收集更可靠的科学数据以指导公共政策,有必要进行纵向研究,尤其是针对不同人群的实验,主要关注社会经济特征和口腔临床状况。

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