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匈牙利东北部贫困学校的口腔卫生与生活方式

Oral Hygiene and Lifestyle in Disadvantaged Schools in North-Eastern Hungary.

作者信息

Faragó Ildikó, Egri Tímea, Kovács Mihály, Rucska Andrea

机构信息

Faculty of Humanities, University of Miskolc, Miskolc, Hungary.

Faculty of Humanities, University of Miskolc, Miskolc, Hungary.

出版信息

Int Dent J. 2025 Jun;75(3):1499-1507. doi: 10.1016/j.identj.2025.02.013. Epub 2025 Mar 22.

DOI:10.1016/j.identj.2025.02.013
PMID:40121846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11982458/
Abstract

INTRODUCTION

Oral hygiene and the development of good health habits play an important role in maintaining overall health and achieving a good quality of life, thereby influencing self-confidence and psychological and somatic well-being. The aim of our research was to draw attention to the poor oral hygiene indicators of marginalised and disadvantaged groups and to look for correlations between different health behaviours and lifestyles.

METHODS AND DATA

Our research covered the prevalence of dental caries (decayed, missing, and filled teeth [DMFT] value), their dental visits and brushing habits, their lifestyle, psychosomatic state, and self-evaluation.

RESULTS

Sample characteristics: n = 429 (318 primary school students + 111 high school students), mean age 11.5 (SD:3.2) years. One-third of the students lived in overcrowded, uncomfortable homes, 33.3% of which had no piped water supply. Nearly 40% of students reported that there was a dentist in their village, but 73% only visited a dentist when they had a toothache. Nearly half of students brush their teeth every morning and evening, but only a third receive more than 1 toothbrush a year. Many do not even have a toothbrush or only get one if their family can afford it. More than two-thirds of students consume sugary drinks and snacks after brushing their teeth in the evening. A high percentage (51.6%) were found to have acute gingivitis, and 47.8% of students were diagnosed with chronic gingivitis. The DMFT value was high at 6 (SD: 3.2), with a significant positive correlation between these values and post-toothbrush evening meals (p < .019). A total of 24% of the study group consumed alcohol regularly, and there was a high prevalence of smoking. The DMFT index showed a significant correlation (P < .036) with alcohol consumption.

CONCLUSION

The cumulatively disadvantaged youngsters' oral hygiene and health behavioural habits show serious arrears, where unmotivated family background, low income, lack of dental education, and unavailable health care/preventive services all play an important role.

摘要

引言

口腔卫生和良好健康习惯的养成在维持整体健康和实现高质量生活方面发挥着重要作用,进而影响自信心以及心理和躯体健康。我们研究的目的是引起人们对边缘化和弱势群体不良口腔卫生指标的关注,并寻找不同健康行为与生活方式之间的相关性。

方法与数据

我们的研究涵盖了龋齿患病率(龋失补牙[DMFT]值)、他们的看牙就诊情况和刷牙习惯、生活方式、身心状态以及自我评估。

结果

样本特征:n = 429(318名小学生 + 111名高中生),平均年龄11.5(标准差:3.2)岁。三分之一的学生生活在拥挤、不舒适的家中,其中33.3%没有自来水供应。近40%的学生表示他们村里有牙医,但73%的学生只有在牙痛时才去看牙医。近一半的学生每天早晚刷牙,但只有三分之一的学生每年能收到不止一支牙刷。许多学生甚至没有牙刷,或者只有在家庭负担得起时才能得到一支。超过三分之二的学生在晚上刷牙后会饮用含糖饮料和吃零食。发现有很高比例(51.6%)的学生患有急性牙龈炎,47.8%的学生被诊断患有慢性牙龈炎。DMFT值较高,为6(标准差:3.2),这些值与刷牙后晚餐之间存在显著正相关(p < 0.019)。共有24%的研究组学生经常饮酒,吸烟率也很高。DMFT指数与饮酒之间存在显著相关性(P < 0.036)。

结论

累积处于不利地位的青少年的口腔卫生和健康行为习惯存在严重不足,其中家庭背景不佳、收入低、缺乏牙科教育以及无法获得医疗保健/预防服务都起到了重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af7/11982458/18e31eac9398/gr8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af7/11982458/4ae9e0fb8122/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af7/11982458/2e3dca68d142/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af7/11982458/b89a105717b8/gr3.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af7/11982458/185fb1c441e9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af7/11982458/a3655bf049c1/gr6.jpg
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The impact of COVID-19 lockdown on maintenance of children's dental health: A questionnaire-based survey.COVID-19 封锁对儿童口腔健康维护的影响:基于问卷调查的研究。
J Am Dent Assoc. 2022 May;153(5):440-449. doi: 10.1016/j.adaj.2021.10.004. Epub 2021 Oct 19.
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How COVID-19 deepens child oral health inequities.
新冠疫情如何加剧儿童口腔健康的不平等。
J Am Dent Assoc. 2020 Sep;151(9):643-645. doi: 10.1016/j.adaj.2020.05.015. Epub 2020 May 23.
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Access to Oral Health Care: A National Crisis and Call for Reform.口腔医疗保健的可及性:一场全国性危机与改革呼声
J Dent Hyg. 2017 Feb;91(1):6-14.