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中国老年人的龋齿情况:第四次全国口腔健康调查结果

Dental Caries in Chinese Elderly People: Findings from the 4th National Oral Health Survey.

作者信息

Gao Yi Bo, Hu Tao, Zhou Xue Dong, Shao Rui, Cheng Ran, Wang Guo Song, Yang Ying Ming, Li Xue, Yuan Bo, Xu Ting, Wang Xing, Feng Xi Ping, Tai Bao Jun, Hu De Yu, Lin Huan Cai, Wang Bo, Si Yan, Wang Chun Xiao, Zheng Shu Guo, Liu Xue Nan, Rong Wen Sheng, Wang Wei Jian, Yin Wei

出版信息

Chin J Dent Res. 2018;21(3):213-220. doi: 10.3290/j.cjdr.a41077.

Abstract

OBJECTIVE

To investigate the dental caries status and related factors in Chinese elderly people, using data from the 4th National Oral Health Survey of China.

METHODS

In this cross-sectional study, a multistage, cluster strategy was used to recruit 4,431participants (2,222 male and 2,209 female) aged 65 to 74 years from all 31 provinces, autonomous regions and municipalities of the mainland of China. The survey was performed according to the diagnostic standard proposed by the World Health Organization (WHO). Socio-demographic information was collected with a closed questionnaire.

RESULTS

The caries prevalence in 65 to 74-year-olds was rather high; the report shows it was 98.0% (DMFT ≥ 1) among elderly people in China. The mean DMFT, DT, MT and FT was 13.33 ± 9.32, 3.33 ± 4.17, 9.50 ± 8.66 and 0.49 ± 1.41, respectively. The filling rate was very low, assessed as 12.8%. The number of DMFT related to gender, residential district type, educational level, level of annual household income, toothbrushing frequency, consumption frequency of desserts, attitudes to oral health and oral health-related knowledge.

CONCLUSION

The prevalence of dental caries in Chinese elderly people is rather high and a lot of decayed teeth still need to be filled and suitable prevention and treatment for this group is urgently needed.

摘要

目的

利用第四次全国口腔健康流行病学调查的数据,调查我国老年人的龋病状况及相关因素。

方法

在这项横断面研究中,采用多阶段整群抽样方法,从中国大陆31个省、自治区、直辖市招募了4431名65至74岁的参与者(男性2222名,女性2209名)。调查按照世界卫生组织(WHO)提出的诊断标准进行。通过封闭式问卷收集社会人口学信息。

结果

65至74岁老年人的龋病患病率相当高;报告显示,我国老年人中龋病患病率为98.0%(龋失补牙面数≥1)。龋失补牙面数(DMFT)、龋面均(DT)、失补牙面均(MT)和龋面充填构成比(FT)的均值分别为13.33±9.32、3.33±4.17、9.50±8.66和0.49±1.41。充填率非常低,为12.8%。DMFT与性别、居住地区类型、教育程度、家庭年收入水平、刷牙频率、甜品食用频率、口腔健康态度以及口腔健康相关知识有关。

结论

我国老年人龋病患病率相当高,大量龋齿仍需充填,急需针对该群体采取合适的预防和治疗措施。

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