McKittrick T R, Jacobsen K H
Department of Global and Community Health, George Mason University, Fairfax, Virginia, USA.
Department of Global and Community Health, George Mason University, 4400 Drive 5B7, Fairfax VA 22030, USA.
West Indian Med J. 2015 Jun;64(3):266-8. doi: 10.7727/wimj.2014.128. Epub 2015 Mar 6.
To examine the relationship between infrequent toothbrushing and infrequent handwashing among middle school students from 15 Latin American and Caribbean countries (Antigua and Barbuda, Argentina, British Virgin Islands, Cayman Islands, Costa Rica, Grenada, Guatemala, Guyana, Peru, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and Grenadines, Suriname, Trinidad and Tobago, and Uruguay).
A secondary analysis was done of nationally-representative data from 33 174 middle school students who participated in the Global School-based Student Health Survey (GSHS) between 2006 and 2011.
In all 15 countries, the association between rarely brushing or cleaning teeth and rarely handwashing after using the toilet was significant for both boys and girls. The pooled odds ratio for this association was 6.7 (5.8, 7.7).
Healthcare providers who notice signs of poor dental hygiene or infrequent bathing in adolescents should consider providing comprehensive hygiene education to their patients, since infrequent oral and body hygiene behaviours tend to co-exist and both are threats to health.
研究来自15个拉丁美洲和加勒比国家（安提瓜和巴布达、阿根廷、英属维尔京群岛、开曼群岛、哥斯达黎加、格林纳达、危地马拉、圭亚那、秘鲁、圣基茨和尼维斯、圣卢西亚、圣文森特和格林纳丁斯、苏里南、特立尼达和多巴哥以及乌拉圭）的中学生中不经常刷牙与不经常洗手之间的关系。
对2006年至2011年间参与全球学校学生健康调查（GSHS）的33174名中学生的全国代表性数据进行二次分析。
在所有15个国家中，很少刷牙或清洁牙齿与便后很少洗手之间的关联在男孩和女孩中均显著。该关联的合并比值比为6.7（5.8，7.7）。
注意到青少年存在口腔卫生差或不经常洗澡迹象的医疗服务提供者应考虑为其患者提供全面的卫生教育，因为不经常的口腔和身体卫生行为往往并存，且两者均对健康构成威胁。
