Gao Jianghong, Ruan Jianping, Zhao Lin, Zhou Hong, Huang Ruizhe, Tian Jiangang
Department of Oral Prevention, School of Stomatology, Xi'an JiaoTong University Health Science Center, #98 Xiwu Road, Xi'an 710004, Shaanxi Province, China.
BMC Oral Health. 2014 Nov 29;14:144. doi: 10.1186/1472-6831-14-144.
The current oral health status and possible dental risk factors among children in rural Shaanxi Province, western China are unreported. This study aimed to describe the oral health status and to analyze the possible risk factors for the oral health status in this population.
A multi-stage cluster sampling method was used to survey 12- to 15-year-olds and 4- to 6-year-olds in villages in Shaanxi Province. The structured questionnaires were provided to the 12- to 15-year-olds and to the caregivers of the 4- to 6-year-olds to collect information on the subjects' oral health knowledge, attitudes and behavior. A clinical examination was performed to assess dental caries and gingival bleeding (only 12- to 15-year-olds). SPSS 17.0 statistical software was used to analyze the data.
The decayed, missing, filled teeth (DMFT) index scores of 12- to 15-year-olds and 4-to 6-year-olds averaged 0.45 and 3.05, respectively. The caries prevalence was 23.9% in 12- to 15-year-olds and 67% in 4-to 6-year-olds. Additionally, 45.2% of the 12- to 15-year-olds had gingival bleeding and 62.8% had calculus. The oral health knowledge of the subjects was generally poor, whereas they held very positive attitudes toward oral health. A low number of participants reported that they brushed their teeth at least twice daily. Moreover, a statistically significant relationship was found between oral health knowledge scores, tooth brushing frequency and DMFT scores as well as gingival bleeding in the 12- to 15-year-olds. Frequency of sweets consumption was strongly related to dmft scores in the 4- to 6-year-olds.
The oral health status, oral health knowledge and behaviors among village children in Shaanxi Province are poor. Oral health education to improve oral health knowledge and to increase the frequency of tooth brushing should be undertaken in the rural schools in western China.
中国西部陕西省农村儿童目前的口腔健康状况及可能的口腔危险因素尚无报道。本研究旨在描述该人群的口腔健康状况,并分析口腔健康状况的可能危险因素。
采用多阶段整群抽样方法对陕西省农村12至15岁及4至6岁儿童进行调查。向12至15岁儿童及4至6岁儿童的照料者发放结构化问卷,收集受试者口腔健康知识、态度和行为方面的信息。进行临床检查以评估龋齿和牙龈出血情况(仅针对12至15岁儿童)。使用SPSS 17.0统计软件分析数据。
12至15岁儿童和4至6岁儿童的龋失补牙(DMFT)指数得分平均分别为0.45和3.05。12至15岁儿童的龋齿患病率为23.9%,4至6岁儿童为67%。此外,45.2%的12至15岁儿童有牙龈出血,62.8%有牙结石。受试者的口腔健康知识普遍较差,而他们对口腔健康持非常积极的态度。较少参与者报告他们每天至少刷牙两次。此外,在12至15岁儿童中,口腔健康知识得分、刷牙频率与DMFT得分以及牙龈出血之间存在统计学上的显著关系。4至6岁儿童的甜食食用频率与dmft得分密切相关。
陕西省农村儿童的口腔健康状况、口腔健康知识和行为较差。中国西部农村学校应开展口腔健康教育,以提高口腔健康知识并增加刷牙频率。