台灣地區2001年及2005年成人及兒童口腔保健行為與牙科就診原因之比較

The Relationship between Oral Health Behaviors and Dental Visits among Adults and Children in Taiwan: A Transitional Comparison between 2001 and 2005

吳秀英(Shiow-Ing Wu) ； 賴辛癸(Shin-Kuei Lai) ； 張粹文(Tsui-Wen Chang) ； 林宇旋(Yu-Hsuan Lin) ； 洪百薰(Baai-Shyun Hurng) ； 蕭美玲(Mei-Ling Hsiao)

《台灣公共衛生雜誌》 27卷1期 (2008/02) Pp. 25-31

https://doi.org/10.6288/TJPH2008-27-01-03

摘要

目標：本研究藉由分析比較2001年及2005年進行之「國民健康訪問暨藥物濫用調查」資料，以了解國人口腔保健行為及牙科就診原因之變化，並探討二者之關係。方法：資料來源分別為2001年及2005年「國民健康訪問暨藥物濫用調查」完訪實料，兩年度分析之總樣本數分別為劉21.571及22.087。結果：2005年國人每日至少刷2次牙的比率已達73.9%由2001年至加2005年國人口腔保健行為在每日至少潔牙2次、每日平均刷牙次數、使用口腔清潔用品之比率皆有進步，每日至少潔牙2次之比率尤以12歲以小孩進步最多，但其睡前刷牙之比率卻仍不到7成。比較這4年間之牙科就診原因之變化，12歲以上者，2005年洗牙之排序都高於200l年，另分析口腔保健行為和牙科就診原因之關係，顯示每日潔牙至少2次、有睡前刷牙、有使用牙線／棒或漱口水者其較會因預防性原因而至牙科就診，口腔保健行為不好者較不會至牙科就診。結論：雖然這4年間，國人整體口腔狀況是改進了，但是每日平均刷牙次數仍不到二次，小孩睡前刷牙比率亦不到七成，另過去一年未曾就診者，可以列為未來在社區中，公共衛生護士篩檢民眾是否需要進行口腔檢查及口腔衛生教育之指標。

關鍵字

口腔保健行為 ； 刷牙次數 ； 牙科就診原因 ； 國民健康訪問調查

並列摘要

Objectives: In view of the high prevalence of dental caries in Taiwan and the paucity of representative data on oral health practices in the past, we used recent data from a population-based National Health Interview Survey (NHIS) series to analyze the change in people's oral health behaviors, reasons for dental visits, and the relationship between these two variables over a 4-year period. Methods: Comparable data were collected from two NHIS surveys conducted in 2001 and 2005, with effective sample sizes of 21,571 and 22,087, respectively. Subsequent statistical analyses of relevant variables involved cross-tabulation and logistic regression with SAS version 1.9.3. Results: The overall rate of typical toothbrushing (at least twice per day) of the entire survey population reached 73.9% in 2005. The rate of typical toothbrushing, the average frequency of toothbrushing per day, and the proportion of respondents using various dental cleaning materials all rose moderately from 2001 to 2005. Although the rate of typical toothbrushing for children under age 12 showed a noticeable improvement over the 4-year period, the proportion of children who typically brushed their teeth at bedtime remained less than 70%. Regarding the reasons for dental visits, the proportion of respondents reporting a need for scaling increased significantly between 2001 and 2005 among those over age 12 years. Analysis of the relationship between oral health behaviors and reasons for dental visits showed that frequent toothbrushing, toothbrushing at bedtime, use of dental floss, and gargling were strongly associated with the use of preventive dental services, while poor oral health practices were associated with a lower frequency of dental service use. Conclusions: Although the overall oral health behaviors of the population improved significantly from 2001 to 2005. the most recent data still show that toothbrushing habits ate less than ideal among both adults and children. We suggest that people who have not used dental services in the preceding year be identified as the highest-priority target group for the provision of dental examination or oral health education by public health nurses.

並列關鍵字

dental health behaviors ； frequency of tooth-brushing ； Reasons for dental clinic visits ； National Health Interview Survey NHIS

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