伊朗士兵口腔健康的决定因素：一项结构方程模型研究。

Determinants of oral health among Iranian soldiers: a structural equation modeling study.

机构信息

Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Oral Health. 2024 Oct 25;24(1):1288. doi: 10.1186/s12903-024-05052-5.

DOI:10.1186/s12903-024-05052-5

PMID:39456005

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11515288/

Abstract

BACKGROUND

Military personnel often face unique challenges in maintaining optimal oral health. This study investigated the oral health status, caries experience, and associated factors among a sample of Iranian soldiers, employing a structural equation modeling (SEM) approach to explore the complex interplay of socioeconomic and behavioral determinants.

METHODS

A cross-sectional study was conducted among 658 male soldiers aged 18-30 years from three military barracks in Fars province, Iran. Data were collected through a structured instrument and clinical oral examinations. The study employs the DMFT index, which measures caries experience based on decayed, missing, and filled teeth, along with the Simplified Oral Hygiene Index (OHI-S) to assess overall oral health status. Structural equation modeling was employed to analyze the complex relationships between socioeconomic factors, oral health behaviors, and oral health outcomes.

RESULTS

The mean DMFT score was 3.57 ± 5.91, and the mean OHIS score was 0.56 ± 1.42. SEM analysis revealed that socioeconomic status (SES) indirectly influenced DMFT and oral hygiene scores, mediated by drug use, oral hygiene practices, dietary sugar consumption, and dental visit frequency. Lower toothbrushing frequency was significantly associated with higher DMFT (Estimate = -0.064, p < 0.001) and OHIS scores (Estimate = -0.637, p < 0.001). Drug use (smoking, qalyan, alcohol) was linked to poorer oral health outcomes, while more frequent dental visits were associated with lower DMFT and OHIS scores.

CONCLUSION

This study reveals the complex interplay between socioeconomic conditions, oral health behaviors, and oral health outcomes among Iranian soldiers. The findings highlight the need for targeted interventions to address modifiable risk factors and improve access to preventive dental care within military settings. Future longitudinal studies are warranted to elucidate further the causal pathways between these factors and oral health outcomes in military populations.

摘要

背景

军人在维护最佳口腔健康方面经常面临独特的挑战。本研究采用结构方程模型（SEM）方法，调查了伊朗士兵样本的口腔健康状况、龋齿经历和相关因素，以探讨社会经济和行为决定因素的复杂相互作用。

方法

对伊朗法尔斯省三个军事营地的 658 名 18-30 岁的男性士兵进行了横断面研究。通过结构化工具和临床口腔检查收集数据。该研究采用 DMFT 指数衡量龋齿经历，基于龋齿、缺失和填充的牙齿，以及简化口腔卫生指数（OHI-S）评估整体口腔健康状况。采用结构方程模型分析社会经济因素、口腔健康行为和口腔健康结果之间的复杂关系。

结果

DMFT 平均得分为 3.57±5.91，OHIS 平均得分为 0.56±1.42。SEM 分析表明，社会经济地位（SES）通过药物使用、口腔卫生习惯、饮食中糖的消耗和看牙医的频率间接影响 DMFT 和口腔卫生评分。刷牙频率较低与 DMFT（估计值=-0.064，p<0.001）和 OHIS 评分（估计值=-0.637，p<0.001）较高显著相关。药物使用（吸烟、qalyan、酒精）与较差的口腔健康结果相关，而更频繁的看牙医与较低的 DMFT 和 OHIS 评分相关。