School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China.
Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Gannan Medical University, Ganzhou, 341000, China.
BMC Oral Health. 2024 Feb 28;24(1):289. doi: 10.1186/s12903-024-03994-4.
To identify the patterns and influencing factors of oral health service utilization among college students, and further to provide scientific evidence for policy making on oral health education and behavioral interventions for the college population.
The study population was college students in Southern China. Totally 678 students participated in the survey. A self-designed questionnaire based on Anderson's model (predisposing factors, enabling factors, need factors) was used to survey college students. Descriptive statistics, χ test, and logistic regression were used to analyze influence factors of oral health service utilization among college students.
The utilization rate of oral health service in the past 12 months was 30.2%. The primary type of oral health service was treatment (59.6%), and only 12.8% were for prevention. There were 39% of the participants having oral health diseases, of which dental caries (25.7%) and oral bleeding (22.2%) were the main problems. The results from logistic regression analysis revealed that students with better beliefs (OR = 1.84, 95% CI:=1.02-3.43), frequent consumption of sugary drinks (OR = 2.90, 95% CI:=1.90-4.47), teeth brushing frequency > = 2 times per day (OR = 2.09, 95% CI = 1.24-3.61), frequent floss utilization (OR = 2.63, 95% CI = 1.21-5.76), dental caries (OR = 2.07, 95% CI = 1.35-3.17) used oral health services higher, while those lived in rural areas (OR:0.52, 95% CI = 0.34-0.80), and had only a fair concern (OR = 0.48, 95% CI = 0.31-0.74) or no concern (OR = 0.26, 95% CI = 0.08-0.67) on oral health utilized oral health services lower.
Chinese college students demonstrate some knowledge and attitudes towards oral health. However, they tend to neglect oral hygiene and have limited understanding of their own oral issues. Furthermore, the utilization of oral services, such as treatment, remains remarkably low, despite the availability of long-term and favorable health insurance policies. The utilization of oral health services among college students is influenced by various factors, including residing in rural areas, consuming sugary beverages on a daily basis, brushing teeth at least twice a day, and practicing flossing.
探讨大学生口腔卫生服务利用的模式和影响因素，为大学生口腔健康教育和行为干预政策制定提供科学依据。
以大学生为研究对象，采用安德森模型（倾向因素、促成因素、需求因素）设计调查问卷，对南方某高校 678 名大学生进行问卷调查。采用描述性统计分析、卡方检验和 Logistic 回归分析对大学生口腔卫生服务利用的影响因素进行分析。
大学生口腔卫生服务利用率为 30.2%。主要口腔卫生服务类型为治疗（59.6%），预防仅占 12.8%。39%的大学生存在口腔健康问题，其中龋齿（25.7%）和口腔出血（22.2%）是主要问题。Logistic 回归分析结果显示，信念较好（OR=1.84，95%CI：1.02-3.43）、经常饮用含糖饮料（OR=2.90，95%CI：1.90-4.47）、每天刷牙次数≥2 次（OR=2.09，95%CI：1.24-3.61）、经常使用牙线（OR=2.63，95%CI：1.21-5.76）、患有龋齿（OR=2.07，95%CI：1.35-3.17）的大学生口腔卫生服务利用率较高，而农村地区（OR：0.52，95%CI：0.34-0.80）、口腔健康关注度一般（OR=0.48，95%CI：0.31-0.74）和无关注（OR=0.26，95%CI：0.08-0.67）的大学生口腔卫生服务利用率较低。
中国大学生对口腔健康有一定的认识和态度，但他们往往忽视口腔卫生，对自身口腔问题认识不足。此外，尽管有长期、有利的健康保险政策，但治疗等口腔服务的利用率仍然很低。大学生口腔卫生服务利用受多种因素影响，包括居住在农村地区、每天饮用含糖饮料、每天至少刷牙两次、使用牙线。
