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伊朗德黑兰成年人群中的牙痛及其决定因素,城市心脏研究-2

Dental pain and its determinants in an adult population in Tehran, Iran, Urban HEART-2.

作者信息

Momeni Z, Pakdaman A, Asadi-Lari M, Vaez-Mahdavi M R, Shamshiri A R, Hessari H

机构信息

Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Department of Epidemiology and Oncopathology Research Centre, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Community Dent Health. 2016 Sep;33(3):232-236. doi: 10.1922/CDH_3818Momeni05.

DOI:10.1922/CDH_3818Momeni05
PMID:28509520
Abstract

OBJECTIVE

To assess the prevalence of dental pain in the past year among adults in Tehran-Iran, and its determinants.

BASIC RESEARCH DESIGN

Cross-sectional population study.

PARTICIPANTS

A sample of 20,322 adults (18-64 years old).

METHODS

A questionnaire survey was conducted across the 22 districts using the multi-stage random sampling method. Data were analysed applying the complex samples method. Multiple logistic regression analysis was used to adjust the effects of other variables on the outcome variable as dental pain in the past year.

RESULTS

Overall, 19,645 individuals with a mean age of 39.9 (SD=12.5) years responded. Dental pain in the past year was reported by about one sixth (14%) of subjects and associated with being widowed/divorced (OR 1.45, 95%CI 1.07-1.97, p=0.016), married (OR 1.24, 95%CI 1.04-1.47, p=0.016), Azari minority (OR 1.2, 95%CI 1.05-1.37, p=0.009) and having dental visit in the past year (OR 2.6, 95%CI 2.29-2.95,p⟨0.001). Older subjects (OR 0.76, 95%CI 0.59-0.97, p= 0.029), those with a high economic status (OR 0.84, 95%CI 0.72-0.98, p=0.03), good (OR 0.75, 95%CI 0.58-0.96, p=0.023) or moderate oral health behaviour (OR 0.79, 95%CI 0.62-0.99, p=0.042), and good self-perceived oral health (OR 0.52, 95%CI 0.45-0.61, pp⟨0.001) were less likely to report dental pain.

CONCLUSIONS

Dental pain in the past year was associated with being married/widowed, being a minority, and visiting a dentist in the past year. Older subjects and those with a high socio-economic status, good/moderate oral health behaviour, and good self-perceived oral health were less likely to report dental pain.

摘要

目的

评估伊朗德黑兰成年人过去一年中牙痛的患病率及其决定因素。

基础研究设计

横断面人群研究。

参与者

20322名成年人(18 - 64岁)的样本。

方法

采用多阶段随机抽样方法在22个区进行问卷调查。运用复杂样本方法分析数据。采用多元逻辑回归分析来调整其他变量对过去一年牙痛这一结果变量的影响。

结果

总体而言,19645人做出回应,平均年龄为39.9岁(标准差 = 12.5)。约六分之一(14%)的受试者报告过去一年有牙痛,且与丧偶/离婚(比值比1.45,95%置信区间1.07 - 1.97,p = 0.016)、已婚(比值比1.24,95%置信区间1.04 - 1.47,p = 0.016)、阿扎里少数民族(比值比1.2,95%置信区间1.05 - 1.37,p = 0.009)以及过去一年看过牙医(比值比2.6,95%置信区间2.29 - 2.95,p<0.001)有关。年龄较大的受试者(比值比0.76,95%置信区间0.59 - 0.97,p = 0.029)、经济状况良好者(比值比0.84,95%置信区间0.72 - 0.98,p = 0.03)、口腔健康行为良好(比值比0.75,95%置信区间0.58 - 0.96,p = 0.023)或中等(比值比0.79,95%置信区间0.62 - 0.99,p = 0.042)以及自我感觉口腔健康良好(比值比0.52,95%置信区间0.45 - 0.61,p<0.001)的人报告牙痛的可能性较小。

结论

过去一年的牙痛与已婚/丧偶、属于少数民族以及过去一年看过牙医有关。年龄较大的受试者以及社会经济地位较高、口腔健康行为良好/中等、自我感觉口腔健康良好的人报告牙痛的可能性较小。

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引用本文的文献

1
A crossectional investigation of the relationship between complementary health insurance and frequency of dental visits in 15 to 64 years old of Tehran population, Iran, a secondary data analysis (urban HEART-2).伊朗德黑兰人群中 15 至 64 岁人群中补充性健康保险与牙科就诊频率之间关系的横断面调查,伊朗,二次数据分析(城市 HEART-2)。
BMC Health Serv Res. 2019 Sep 18;19(1):678. doi: 10.1186/s12913-019-4526-y.