Cheng Feng-Chou, Lee Ming-Chung, Wang Ling-Hsia, Lin Wen-Juain, Lin Tzu-Chiang, Liu Shiang-Yao, Chiang Chun-Pin
School of Life Science, National Taiwan Normal University, Taipei, Taiwan.
Science Education Center, National Taiwan Normal University, Taipei, Taiwan.
J Dent Sci. 2022 Oct;17(4):1510-1519. doi: 10.1016/j.jds.2022.06.004. Epub 2022 Jun 18.
BACKGROUND/PURPOSE: : Taiwanese get use to drinking hand-shaken beverages. However, excessive sugar intake is strongly associated with the occurrence of dental caries. This study evaluated the correlation between the beverage serving activities and the dental use of National Health Insurance (NHI) for common oral diseases in 2016.
Data on the population, the beverage serving activities, and the dental records of NHI were obtained from the related websites of government. These data were divided by cities and counties to investigate the beverage serving activities and the dental use of NHI for common oral diseases in 2016.
In Taiwan, the value of beverage consumption per person had a moderate to high positive correlation with the dental use rate, the number of out-patient visits per 1,000 people, and the medical expenses per person for common oral diseases. For dental caries, diseases of pulp & periapical tissues, and gingivitis & periodontal diseases, their Pearson's r values were 0.52-0.61, 0.18-0.40, and 0.58-0.65, respectively. These results indicate that the higher the beverage consumption per capita, the higher the dental use per capita.
There is a long-term benefit for oral health and systemic health through reducing or avoiding unnecessary excessive sugar intake. Therefore, from a cost-effectiveness viewpoint, Taiwan government should develop a better oral health care policy including a health education strategy of appropriate sugar intake to prevent dental caries and other non-communicable diseases in Taiwanese people.
背景/目的:台湾民众习惯饮用手摇饮料。然而,过量摄入糖分与龋齿的发生密切相关。本研究评估了2016年饮料消费活动与全民健康保险(NHI)用于常见口腔疾病的牙科费用之间的相关性。
从政府相关网站获取人口、饮料消费活动及NHI牙科记录的数据。这些数据按县市划分,以调查2016年饮料消费活动及NHI用于常见口腔疾病的牙科费用情况。
在台湾,人均饮料消费量与牙科使用率、每千人门诊就诊次数以及常见口腔疾病的人均医疗费用呈中度到高度正相关。对于龋齿、牙髓及根尖周组织疾病以及牙龈炎和牙周疾病,其皮尔逊相关系数r值分别为0.52 - 0.61、0.18 - 0.40和0.58 - 0.65。这些结果表明人均饮料消费量越高,人均牙科使用量越高。
通过减少或避免不必要的过量糖分摄入,对口腔健康和全身健康有长期益处。因此,从成本效益的角度来看,台湾政府应制定更好的口腔保健政策,包括开展适当糖分摄入的健康教育策略,以预防台湾民众的龋齿和其他非传染性疾病。