Chatrchaiwiwatana Supaporn, Ratanasiri Amornrat, Jaidee Jeeratip, Soontorn Surasak
Department of Community Medicine, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.
J Med Assoc Thai. 2012 Nov;95 Suppl 11:S1-6.
The present study aimed to evaluate the prevalence and factors related to tooth loss due to dental caries among workers in industrial estates in Pathumthani and Phranakhorn Si Ayutthaya provinces in central Thailand.
The present study utilized quantitative and qualitative methodologies. A quantitative study was done using a cross-sectional analytic method with a sample group of 457 adults (283 males; 174 females) between 19 and 53 years. Data were obtained through an oral examination and oral health behavior questionnaire. Data analyses were done using descriptive, bivariate and multivariable logistic regression statistics. In-depth interviews were used to collect qualitative data from 11 subjects.
Most (62.2%) participants had tooth loss due to caries and findings from the final multivariable logistic regression model revealed that such loss was associated with education, residency, use of social security welfare, decayed teeth and filled teeth. Relatedly, the in-depth interview confirmed that tooth loss due to dental caries was related to (1) lack of time to visit a dentist (2) have a negative attitude toward or a phobia regarding dental treatment (3) inability to afford the high cast of dental treatment (4) lack of knowledge in regarding dental caries prevention, root canal treatment and the harmful effects of losing teeth (5) choosing to get an extraction upon having caries exposed pulp and (6) lack of oral health promotion programs provided by either the government or private sectors.
The government and non-government organizations should promote oral health in an industrial estates and provide services and welfare for dental health of workers in an industrial estate appropriate to their socio-economic needs.
本研究旨在评估泰国中部巴吞他尼府和大城府挽那空西阿育他亚县工业园区工人中因龋齿导致牙齿缺失的患病率及相关因素。
本研究采用定量和定性方法。定量研究采用横断面分析方法,样本组为457名年龄在19至53岁之间的成年人(283名男性;174名女性)。通过口腔检查和口腔健康行为问卷获取数据。数据分析采用描述性、双变量和多变量逻辑回归统计。通过深入访谈从11名受试者中收集定性数据。
大多数(62.2%)参与者因龋齿导致牙齿缺失,最终多变量逻辑回归模型的结果显示,这种牙齿缺失与教育程度、居住情况、社会保障福利的使用、龋齿和补牙情况有关。相关地,深入访谈证实,因龋齿导致的牙齿缺失与以下因素有关:(1)没有时间看牙医;(2)对牙科治疗持消极态度或有恐惧症;(3)负担不起高额的牙科治疗费用;(4)缺乏龋齿预防、根管治疗和牙齿缺失有害影响方面的知识;(5)龋齿露髓时选择拔牙;(6)政府或私营部门缺乏口腔健康促进项目。
政府和非政府组织应在工业园区促进口腔健康,并根据工人的社会经济需求,为其提供适合的牙科健康服务和福利。