Utilisation of Oral Health Services and Economic Burden of Oral Diseases in China
Utilisation of Oral Health Services and Economic Burden of Oral Diseases in China
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DOI：
10.3290/j.cjdr.a41086
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发表时间：
2018-12-01
影响因子：
0.9
通讯作者：
Si, Yan
中科院分区：
文献类型：
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作者：
Cheng, Meng Lin;Xu, Meng Ru;Si, Yan
目的：为了解我国居民口腔卫生服务的利用情况、口腔疾病的经济负担及其影响因素，采用多阶段、分层、等比例、随机抽样的方法，对2015 - 2016年开展的第四次全国口腔健康调查进行调查。年龄分别为35岁、12~15岁、35~44岁、55~64岁和65~74岁的居民被招募、临床检查和回答问卷。评估所有年龄组的口腔健康服务使用情况，并评估3至5岁和35至74岁年龄组过去12个月口腔疾病的经济负担。采用卡方检验、t检验、相关分析和单因素方差分析等方法，分析不同因素与口腔卫生服务利用率和口腔疾病经济负担的关系。在3至5岁的受试者组中，12至15岁及35至74岁-在过去12个月使用口腔健康服务的普遍率为14.6%。（5，876/40，353）、23.6%（27，936/118，592）和20.1%（2，708/13，461）。在所有三组中，接受牙科治疗是受试者最近牙科就诊的最常见原因。35岁儿童12个月平均牙科费用为403.43 CNY（中位数= 100），35~74岁成人12个月平均牙科费用为850.83 CNY（中位数= 300）。社会经济影响因素主要为地区、教育程度和家庭人均年收入。口腔健康状况、口腔卫生状况、对口腔卫生的态度和知识影响口腔卫生服务的利用率和口腔疾病的经济负担。结论：口腔卫生服务利用率较低，口腔疾病的经济负担较高。口腔卫生服务利用率和口腔疾病经济负担的相关因素包括居住地区、教育程度、家庭收入、口腔健康状况和口腔卫生。
Objective: To evaluate the use of oral health services, the economic burden of oral diseases and related influential factors in China.Method: Using the multistage, stratified, equal proportion, random sampling method in the 4th National Oral Health Survey of China conducted in 2015 to 2016. residents aged 3 to 5 years, 12 to 15 years, 35 to 44 years, 55 to 64 years, and 65 to 74 years respectively were recruited, clinically examined and answered a questionnaire. Utilisation of oral health services were assessed in all the age groups and the economic burden of oral diseases in the past 12 months were assessed in the 3 to 5 years and 35 to 74 year-old groups. Chi-squared tests, t tests, correlation analysis and a one-way ANOVA were used to determine the relationships of different factors with utilisation of oral health services and the economic burden of oral diseases.Results: In the subject groups - 3 to 5 years, 12 to 15 years and 35 to 74 years - the prevalence of the utilisation of oral health services in the past 12 months was 14.6% (5,876/40,353), 23.6% (27,936/118,592), and 20.1% (2,708/13,461), respectively. In all three groups, receiving dental treatment was the most common reason for subjects 'recent dental visit. The average dental cost in the past 12 months was 403.43 CNY (median = 100) for 3 to 5-year-old children and 850.83 CNY (median = 300) for adults aged 35 to 74 years old. Area, education and annual household income per person were the socio-economic influential factors. Oral health status, oral hygiene and attitudes to and knowledge of oral health affected the utilisation of oral health services and the economic burden of oral diseases.Conclusion: The percentage of dental service utilisation was relatively low, and the economic burden was high. The related factors for both utilisation of oral health services and the economic burden of oral diseases included living in area, educational attainment, household income, perceived oral health status, and oral hygiene.