Srikandi T W, Carey S E, Clarke N G
Community Dent Oral Epidemiol. 1983 Apr;11(2):90-4. doi: 10.1111/j.1600-0528.1983.tb01361.x.
The pattern of dental service utilization, the perception of periodontal disease, and the oral hygiene habits among 642 industrial employees were evaluated using a self-administered questionnaire against background variables of age, sex, and socioeconomic strata. Of the study population, 50.5% had their most recent dental visit within the previous 12 months and 42.5% claimed to seek regular check ups. There was no significant association between time intervals since the last dental visit and age, sex, occupation, income or education. Regular visits were made more often by subjects in the higher occupation and income level. Multivariate analyses of the number of missing teeth simultaneously considering age, sex, socioeconomic level, regularity and frequency of dental visits revealed that except for age and sex, no other factors were significant. The most common reason for not seeing a dentist in the previous 12 months was an assumption that "nothing was wrong". A large majority of the group surveyed were unaware of the presence of periodontal disease or the need for its treatment, despite the high prevalence in all subgroups. Periodontal status was not significantly associated with sex, socioeconomic levels, regularity of frequency of dental visits, but there was a significant regression on age. The study population's pattern of service utilization was found to be similar to that reported for the general population, and it was anticipated that the hygiene habits of the group was representative of the total community. If that assumption is true the high prevalence of periodontal disease of the study population probably exists in the general community.
采用自填式问卷,针对642名产业工人的年龄、性别和社会经济阶层等背景变量,评估了他们的牙科服务利用模式、对牙周疾病的认知以及口腔卫生习惯。在研究人群中,50.5%的人在过去12个月内进行了最近一次牙科就诊,42.5%的人声称会定期进行检查。自上次牙科就诊后的时间间隔与年龄、性别、职业、收入或教育程度之间无显著关联。职业和收入水平较高的人群更常进行定期就诊。对缺失牙数量进行多变量分析,同时考虑年龄、性别、社会经济水平、牙科就诊的规律性和频率,结果显示除年龄和性别外,无其他因素具有显著性。在过去12个月内未看牙医的最常见原因是认为“没有问题”。尽管所有亚组中牙周疾病的患病率都很高,但接受调查的大部分人群并未意识到牙周疾病的存在或其治疗的必要性。牙周状况与性别、社会经济水平、牙科就诊的规律性或频率无显著关联,但与年龄存在显著回归关系。研究人群的服务利用模式与一般人群的报告相似,预计该人群的卫生习惯代表了整个社区。如果该假设成立,那么研究人群中牙周疾病的高患病率可能在一般社区中也存在。