Haresaku Satoru, Chishaki Akiko, Hatakeyama Junko, Yoshinaga Yasunori, Yoshizumi Junko, Yamamoto Mito, Matsuzaki Etsuko, Hamanaka Ippei, Tsutsumi Takashi, Taniguchi Yusuke, Ohgi Kimiko, Yoneda Masahiro
Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan.
Department of Nursing, Fukuoka Nursing College, Fukuoka, Japan; Medical Examination Center, Fukuoka Dental College, Medical and Dental General Hospital, Fukuoka, Japan.
Int Dent J. 2025 Apr;75(2):502-513. doi: 10.1016/j.identj.2024.07.002. Epub 2024 Jul 23.
This study aimed to investigate the effects of a developed school-based online health education programme with a periodontal examination results sheet for high school students on their subjective oral symptoms, knowledge and attitudes regarding oral health, and oral health behaviours.
The participants were first- and second-year students aged 15 to 17 years (n = 847) at a high school in Japan. The students underwent a periodontal examination and were divided into periodontal condition (PC) and nonperiodontal condition (non-PC) groups. The students participated in the online oral health education programme, which included a periodontal examination results sheet after the examination. The data for identifying the effect of the programme were collected via questionnaire surveys at the periodontal examination (baseline), after 3 months, and after 1 year, and they were compared between baseline and 3 months later and between baseline and 1 year later by the chi-square test. Logistic regression analysis was used to determine the associations between the measured variables related to oral health at 3 months or 1 year and the presence/absence of periodontal conditions after adjustment for sex and variables at baseline.
A total of 628 students (74.1%) participated in this study. The percentages of individuals with knowledge of how many teeth they had, knowledge of periodontal disease, and experience with toothbrushing instruction increased significantly after 1 year in both groups (p < .05). The awareness of gingival swelling and bleeding and the use of fluoride toothpaste at 3 months were positively associated with the presence of periodontal conditions.
This study showed that an online oral health education programme contributed to improving oral health knowledge and behaviours among high school students and that the awareness of periodontal conditions according to the periodontal examination results sheet might improve the awareness of gingival swelling and bleeding at 3 months.
本研究旨在调查一项为高中生开发的、配有牙周检查结果表的校本在线健康教育项目对学生主观口腔症状、口腔健康知识与态度以及口腔健康行为的影响。
参与者为日本一所高中15至17岁的一、二年级学生（n = 847）。学生们接受了牙周检查，并被分为牙周状况（PC）组和非牙周状况（非PC）组。学生们参与了在线口腔健康教育项目，该项目在检查后提供牙周检查结果表。通过在牙周检查时（基线）、3个月后和1年后进行问卷调查来收集确定该项目效果的数据，并通过卡方检验比较基线与3个月后以及基线与1年后的数据。采用逻辑回归分析来确定在对性别和基线变量进行调整后，3个月或1年后与口腔健康相关的测量变量与牙周状况的有无之间的关联。
共有628名学生（74.1%）参与了本研究。两组学生在1年后知晓自己牙齿数量、知晓牙周疾病以及接受过刷牙指导的比例均显著增加（p < .05）。3个月时牙龈肿胀和出血的知晓情况以及含氟牙膏的使用情况与牙周状况呈正相关。
本研究表明，在线口腔健康教育项目有助于提高高中生的口腔健康知识和行为，并且根据牙周检查结果表对牙周状况的知晓可能会提高3个月时牙龈肿胀和出血的知晓率。
