Self-assessed dental health, oral health practices, and general health behaviors in Chinese urban adolescents
Self-assessed dental health, oral health practices, and general health behaviors in Chinese urban adolescents
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DOI：
10.1080/00016350500216982
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发表时间：
2005-11-01
影响因子：
2
通讯作者：
Bian, Z
中科院分区：
文献类型：
--
作者：
Jiang, H;Petersen, PE;Bian, Z
本研究的目的是：描述中国城市青少年的口腔健康状况和口腔健康相关的知识、态度和行为；评估口腔健康变量与社会经济状况和学业成绩的关系；分析社会行为危险因素对感知的牙齿健康、感知的牙科护理需求和牙齿症状体验的相对影响。对中国8个省会城市的2,662名青少年进行了横断面调查，应答率为92%。研究人群采用多阶段整群抽样方法，涵盖11、13、15岁三个年龄段。牙科和一般健康的数据是通过自填式问卷收集的。中国青少年对牙齿健康的自我评估总体良好，只有12%的学生回答自己的牙齿“差”或“很差”，9%的学生声称自己的牙床“差”或“很差”。11%的参与者表示，其他学生取笑他们的牙齿；24%的受访者对他们的牙齿外观不满意，41%的人声称他们在之前的12个月里经历过牙痛或症状。所有年龄段的学生对牙齿护理的态度都很积极；67%的青少年每天至少刷牙两次，48%的学生使用含氟牙膏。在过去的12个月里，只有26%的学生去看过牙医。总体而言，6%的青少年至少尝试过一次吸烟，而41%的青少年报告曾品尝过酒精饮料。多元回归分析显示，感知到的牙齿健康状况和需求与性别、年龄、不健康的生活方式、糟糕的学习成绩和社会经济状况有关。中国迫切需要建立校本健康促进计划，口腔健康生活方式的推广应与其他一般健康行动相结合。
The objectives of this study were: to describe perceived dental health status and oral health-related knowledge, attitudes, and behavior in Chinese urban adolescents; to assess the associations of oral health variables with socio-economic status and school performance; and to analyse the relative effect of socio-behavioral risk factors on perceived dental health, perceived need for dental care, and experience of dental symptoms. A cross-sectional survey of 2662 adolescents was conducted in eight capital cities in China; the response rate was 92%. The study population was chosen by multistage cluster sampling and covered three age groups: 11, 13, and 15 years. Data on dental and general health were collected by self-administered questionnaires. Self-assessment of dental health of Chinese adolescents was generally good, only 12% of the students answered that their teeth were "poor" or "very poor", and 9% claimed having "poor" or "very poor" gums. Eleven percent of participants said that other students made fun of their teeth; 24% of the respondents were dissatisfied with the appearance of their teeth, and 41% claimed that they had experienced toothache or symptoms during the previous 12 months. Positive attitudes towards dental care were found in all age groups; 67% of adolescents brushed their teeth at least twice a day and 48% of the students used fluoridated toothpaste. Only 26% of the students visited a dentist during the previous 12 months. In all, 6% of the adolescents had tried cigarette smoking at least once, while 41% reported having tasted alcohol drinks. Multivariate regression analyses showed that perceived dental health status and needs were associated with gender, age, unhealthy lifestyles, poor school performance, and socio-economic status. The establishment of school-based health promotion programs in China is urgently needed, and promotion of oral health lifestyles should be integrated with other general health actions.