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新北市瑞芳區國小高年級學童口腔保健行為及其相關因素研究

Oral Health Behaviors and the Related Factors among Fifth and Sixth Grade Elementary School Students in Ruifang District, New Taipei City

摘要


本研究運用健康信模式加入自我效能理論,進行新北市瑞芳區國小高年級學童口腔保健行為現況調查及其相關因素探討。研究對象為110學年上學期就讀新北市瑞芳區之市立國小高年級學童,依分層集束抽樣法,採自填式問卷施測,共得有效之樣本210份,有效回收率為89.3%。重要研究結果有:一、研究對象「口腔保健知識」、「自覺齲齒罹患性」、「自覺齲齒嚴重性」、「自覺口腔保健利益性」、「口腔保健行動線索」、「口腔保健行為」均為中上程度認知,而「自覺口腔保健障礙性」為中下程度認知。二、研究對象對於採取口腔保健自我效能有50%.-75%的把握度,偏中上程度。三、研究對象「自覺齲齒罹患性」、「自覺齲齒嚴重性」、「自覺口腔保健利益性」、「自覺口腔保健障礙性」、「口腔保健自我效能」半年內有看牙醫者優於半年內沒有看牙醫者;「口腔保健行動線索」男生優於女生;「女生」、學業成績「90-100分」、「高社經」、「看牙醫後有心生警惕」口腔保健行為表現最好。四、經由複迴歸分析結果,研究對象「半年內(6個月)是否看牙醫」、「自覺齲齒嚴重性」、「口腔保健行動線索」、「口腔保健自我效能」、「甜食攝取狀況」等變項,共可解釋口腔保健行為變異量的56.3%,其中以「口腔保健自我效能」之影響力最大。最後,根據研究結果,提出具體建議,以作為之後學童口腔保健促進活動及研擬相關計畫之參考。

並列摘要


This research applied the Health Belief Model in an oral health behavior questionnaire survey for 5th and 6th-grade elementary school students in Ruifang District of New Taipei City. Research participants were 5th and 6th-grade students enrolled in an elementary school in the Ruifang District of New Taipei City during 2021 fall semester. The data were collected with a self-administered questionnaire using random stratified cluster sampling method. A total of 210 valid samples were collected with an effective return rate of 89.3%. The following results were obtained from this research: 1. The participants received above average scores in "oral health knowledge", "perceived caries susceptibility", "perceived caries severity", "perceived oral health benefits", "oral health action cue" and "oral health behaviors", but only "perceived oral health barriers" was below average. 2. The participants' self-efficacy of oral health behavior were in middle-high level ranging 50% and 75% confidence in adopting oral health behavior. 3. Participants who visited the dentist in six months had higher scores in "perceived caries susceptibility", "perceived caries severity", "perceived oral health benefits", "perceived oral health barriers", and "oral health self-efficacy" than those did not visit dentist. Male students performed better than female students in "oral health action cue". Female students, students with academic performance score between 90 and 100, students in high social economics families, and students who were alerted after visiting the dentist, performed better in oral health behavior. 4. Multiple regression analysis results showed "visiting the dentist within 6 months", "perceived caries severity", "oral health action cue", "oral health self-efficacy", "sweets intake amount" and "oral health knowledge" can explain 56.2% of the variance of oral health behavior. Self-efficacy of oral health had the most significant influence among them.

參考文獻


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