透過您的圖書館登入
IP:34.201.19.151
  • 學位論文

學童口腔保健行為與新齲齒發生之探討-10個月追蹤研究

The Relationship between Oral Health Behavior and Caries Incidence of School Children-A Ten Months Follow-up Study

指導教授 : 楊奕馨

摘要


中文摘要 研究背景: 台灣國小學童高齲齒率在校園內儼然是學童健康的一大問題,以DMFT分析是與累積的危險因素有關,然而兒童在不同時期造成齲齒的危險因子應不全然相同;齲齒形成的複雜性和多成因的特質,評估齲齒的危險因子應以追蹤研究來加以分析,採追蹤研究(prospective follow-up study)可將當期新齲齒的發生與當時期那些影響因素作分析比較。 研究目的: 了解學童口腔健康狀況與口腔保健行為關係及影響新齲齒發生之相關因素。 研究方法: 本研究為追蹤研究(prospective follow-up study),研究對象以高雄縣某公立小學1至5年級學童為對象,每個年級3個班級,共完成問卷及口腔檢查人數為504人;經過10個月後之後測剔除未能全程參與或中途轉學者剩餘475人,其中男生261人、女生214人,後測完成率94.25%。 研究結果: 在10個月的追蹤研究發現DMFT index平均增加了0.35; DMFS index平均增加了0.45(p<.0001﹐p<.0001 ),恆牙填補率增加5.00(p=0.0450), DMFT index 在9歲時增加呈現高峰0.46,之後隨年齡的增加逐漸趨於平緩,整體而言達統計上的顯著性差異,性別方面發現女生比男生有較高的DMFT index及DMFS index,其齲齒狀況則隨年齡增加而遞增。在多變項迴歸分析調整過前測DMFT指數、性別、年級、父親教育程度、甜食習慣、潔牙時機與看牙醫的經驗等重要影響因素之後,發現父親教育程度與前後改變量的恆牙填補率有顯著性相關。而研究中也發現主要影響學童口腔健康來自於家庭因素。 討論及結論: 整體而言恆牙齲齒經驗指數男生優於女生,盛行率方面亦發現同樣的結果;在填補數上結果顯示女生的填補數則較男生高,研究發現學童的潔牙行為可有效減少齲齒的發生。餐後潔牙及攝取甜食後有潔牙行為其齲齒經驗指數較低,齲齒發生率亦較少 建議: 口腔保健是一個連續性、長遠性、必然性的推展工作,因此健康促進不只注重於健康及與健康有關的行為,也應該致力於健康及健康行為與環境之間的關係。

並列摘要


Abstract Background: High caries prevalence is still a major problem for Taiwanese pupils. The phenomenon, analyzed by DMFT, was related to the accumulated risk factors. However, caries risk factors in different growing periods would be various. Prospective follow-up study was used to analyze the risk factors of caries owing to the complex of forming and the multi-origin characteristics. The researcher adopted prospective follow-up study to compare and analyze the new contemporaneous incidence of caries and the influence factors. Aim: The aim of this study was to evaluate the relationship among new oral incidence of caries, oral health behavior, and related factors. Methods: Prospective follow-up study was assumed in this study. Study participants were recruited from first grader to fifth grader of a primary school in Kaohsiung County .For each grade, 3 classes were randomly selected, questionnaired, and orally examined with finally a total of 504 subjects. After 10 months of following-up, students who couldn’t participate thoroughly or transferred to other schools during the study were excluded. A total of 475 subjects (male: 261; female:214) remained with the completion rate of 94.25% of the posttest. Result: The result showed an increase of 0.35 on mean DMFT index, 0.45 (p < .0001, p < .0001) on DMFS index, and 5.00 (p = 0.0450) on filling rate of permanent teeth in this 10-month prospective follow-up study. The increase of DMFT index reached the peak of 0.46 at the age of 9, and then gently steadied by the addition of age. Overall, a statistically significant difference showed in the study. On the aspect of gender, higher DMFT index and DMFS index were presented on girl students, whose caries status augmented when the age increased. After the adjustment of important influence factors the pretest of DMFT index, gender education, sweet habit, timing of cleaning teeth, and the dental clinic experience in the Multiple Regression Analysis, the researcher found a strong relation between father’s education and the filling rates of the caries of permanent teeth on pretest and posttest. Meanwhile, domestic factors were the key to influence oral health of school children. Discussion and Conclusion: The DMFT index of permanent teeth was higher on boys than on girls, same as the prevalence. The result of filling rate indicated girls’ filling rate was higher than boys’. The behavior of cleaning teeth on school children could effectively lessen the occurring of caries. Cleaning teeth after meal and after sweet lowered the DMFT index and the caries incidence. Suggestion: Oral health was an inevitable, long-term, and continual promotion job.Therefore, health promotion should focus not only on physical condition and health-related behaviors but also on the relationship among health, health-related behaviors, and environment.

並列關鍵字

Oral health caries incidence follow-up study

參考文獻


參考文獻
1.Jones S, Burt BA, Petersen PE, Lennon MA. The effective use of fluorides in public health. Bull World Health Organ. 2005; 83:670-676.
2.Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: the WHO approach. Community Dent Oral Epidemiol 2004; 32:319-321.
3.Petersen PE, Peng B, Tai B, Bian Z, Fan M. Effect of a school-based oral health education programme in Wuhan City, Peoples Republic of China. Int Dent J 2004; 54:33-41.
4.楊奕馨、胡素婉、謝天渝、黃純德、周明勇、潘文涵。「台灣地區國小學童營養健康狀況調查2001-2002」-甜食和乳製品與齲齒狀況關係之研究。中華牙誌 2006;25:169-181。

被引用紀錄


林靜君(2008)。探討影響使用「兒童牙齒預防保健服務」之因素〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831%2fTMU.2008.00094

延伸閱讀