Peltzer Karl, Tepirou Chher, Pengpid Supa
1ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand; Department of Research Innovation and Development, University of Limpopo, Turfloop Campus, Sovenga, South Africa; HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria, South Africa.
Preventive Medicine Department, Ministry of Health, Phnom Penh, Cambodia.
Nagoya J Med Sci. 2016 Dec;78(4):493-500. doi: 10.18999/nagjms.78.4.493.
The purpose of the study was to investigate perceived teeth health status and oral health behavior, as well as their correlates, among adolescents in Cambodia. The analysis included 3806 Cambodian school children (mean age 15.7 years, SD=1.8 years) who took part in the "Global School-based Student Health Survey" (GSHS) in 2013. Overall, 7.8% of the students reported poor perceived teeth status, 18.0% had missed school in the past year because of a toothache, 26.7% engaged in combined oral health behavior (brushing teeth twice daily or more often = 79.8%, using fluoride toothpaste = 59.9%, and drinking soft drinks less than once a day = 53.6%), and 59.9% had never visited a dentist for a routine examination or other dental work. In the multivariate logistic regression analysis, older age, being female, missing school because of a toothache, having a toothache in the past 12 months, poor oral health behavior and sedentary leisure time were associated with poor perceived teeth status. Older age, good perceived teeth status, having had a dental check-up, washing hands before eating and after toilet use, and not eating fast food were associated with a positive oral health behavior (brushing teeth twice daily or more often, using fluoride toothpaste, and drinking soft drinks less than once a day). Significant proportions of poor perceived teeth status and poor oral health behavior were found among school children in Cambodia. Various risk factors (sociodemographic, dental variables, general health risk behaviors) for perceived poor teeth status, oral health behavior and never having had a dental check-up were identified, which can be utilized for intervention programs.
该研究的目的是调查柬埔寨青少年对牙齿健康状况的认知、口腔健康行为及其相关因素。分析纳入了2013年参加“全球学校学生健康调查”（GSHS）的3806名柬埔寨学童（平均年龄15.7岁，标准差=1.8岁）。总体而言，7.8%的学生报告牙齿状况较差，18.0%的学生在过去一年因牙痛缺课，26.7%的学生采取了综合口腔健康行为（每天刷牙两次或更频繁=79.8%，使用含氟牙膏=59.9%，每天饮用软饮料少于一次=53.6%），59.9%的学生从未因常规检查或其他牙科治疗看过牙医。在多因素逻辑回归分析中，年龄较大、女性、因牙痛缺课、在过去12个月内有牙痛、口腔健康行为不佳以及久坐的休闲时间与牙齿状况较差有关。年龄较大、牙齿状况良好、接受过牙科检查、饭前便后洗手以及不吃快餐与积极的口腔健康行为（每天刷牙两次或更频繁、使用含氟牙膏、每天饮用软饮料少于一次）有关。柬埔寨学童中牙齿状况较差和口腔健康行为不佳的比例较高。确定了牙齿状况较差、口腔健康行为和从未接受过牙科检查的各种风险因素（社会人口统计学、牙科变量、一般健康风险行为），可用于干预项目。
