Reasons for dental visits and needs for oral health/disease after 50 years in the arsenic poisoning patients caused by dried milk

奶粉砷中毒患者50年后看牙原因及口腔健康/疾病需求

• 批准号: 18592279
• 负责人: KAWAMURA Makoto
• 金额: $ 1.31万
• 依托单位: Hiroshima University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2006
• 资助国家: 日本
• 起止时间: 2006 至 2007
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18592279/
• 关键词: arsenic poisoning patients; questionnaire; Reasons for dental visits and needs; oral health; causal analysis

To clarify causal relationships between health promotion activities in the Hikari association and the after-50-year oral health of the arsenic poisoning patients caused by dried milk using the PRECEDE-PROCEED (P-P) model. 523 patients answered the questionnaire regarding oral health and health promotion activities in the association (recovery rate 60%). Methods: The present data regarding oral health circumstances of the patients were compared with those of 1987. The P-P model was tested by a linear structural relations (LISREL) program. Results: More than 80% of the participants reported that they put off going to the dentist until they had toothache in the 1987 survey, whereas 66% agreed with this statement in the 2007 survey. The percent of this irregular attendance pattern decreased from 80% in 1987 to 66% in 2007. 36% of the participants reported that they brush each of their teeth carefully in the 1987, whereas 47% agreed with this statement. The P-P model was not found initially … More , to be consistent with the actual data collected from study participants. The “enabling factors " did not have significant effects on “environment" and/or “health behavior". Similarly, neither “health behavior" nor “environment" had significant effects on health (problem). LISREL diagnostic information revealed that the “predisposing factors" affected “health" and QOL, and that the “environment" affected the “reinforcing factors", “enabling factors" to affect “health". In the light of these findings, changes to the P-P model were made. The overall fit of the modified model was improved and judged to be satisfactory (GFI=0.973, AGFI=0.935, RMSEA=0.075). Conclusions: The modified P-P model showed that the QOL would be improved by strengthening health behavior and/or the predisposing factors within the community. Under the conditions of this study, health promotion activities might not fit the reality of patient's behavioral change without consideration to re-orienting the variables within the P-P model. Less

为了澄清Hikari协会中的健康促进活动与使用PREC-PROCEED（P-P）模型引起的砷中毒患者的50年后的砷中毒患者的严重关系。 523名患者回答了有关协会口腔健康和健康促进活动的问卷（恢复率为60％）。方法：将有关患者口腔健康状况的目前数据与1987年的患者进行了比较。P-P模型通过线性结构关系（LISREL）计划进行了测试。结果：超过80％的参与者报告说，他们推迟去牙医，直到他们在1987年的调查中有牙痛，而66％的人在2007年的调查中同意了这一说法。这种不规则出勤方式的百分比从1987年的80％提高到2007年的66％。有36％的参与者报告说，他们在1987年仔细刷了每种牙齿，而47％的参与者同意了这一说法。最初没有发现P-P模型与研究参与者收集的实际数据一致。 “启示因素”对“环境”和/或“健康行为”没有重大影响。同样，“健康行为”和“环境”都不对健康产生重大影响（问题）。利斯雷尔诊断信息表明，“诱发的因素”影响了“健康”和QOL，并且“环境”影响了“加强因素”，“使因素”影响“健康”。根据这些发现，对P-P模型进行了更改。改进了修改模型的整体拟合，并判断为满足（GFI = 0.973，AGFI = 0.935，RMSEA = 0.075）。结论：修改后的P-P模型表明，通过加强社区内的健康行为和/或诱发因素，可以改善QOL。在这项研究的条件下，如果不考虑重新定位P-P模型中的变量，则健康促进活动可能不符合患者行为改变的现实。较少的