- 期刊
環保人員口腔保健行為與齲齒及牙周病相關性探討
The Relationship of the Oral Care Behavior with Dental Caries and Periodontal Disease of Environmental Workers
摘要
本研究目的是在探討成人口腔保健行為與齲齒及牙週病之相關性，以高雄市一職業團體環保局清潔隊職工為研究對象，共計1982人。男性佔48.69%、女性佔51.31%；年齡50歲以上有40.69%；教育程度以小學畢業居多有34.34%；嚼食檳榔者有19.47%，吸菸者達28.30%。研究結果，齲齒指數、填補率、盛行率各為7.65顆、64.54%、79.91%；社區牙周健康指數小於2者有44.25%，牙結石最多佔51.42%，牙齦附連喪失0-3mm佔90.42%。發現職工的齲齒、牙周狀況，年齡愈大及教育程度愈低者愈不好。 影響口腔健康狀況的相關因素在對數迴歸分析中得知，重要因素有年齡層、職別、刷牙方法、刷牙次數、定期看牙醫及吸菸，尤其是研究結果顯示刷牙次數愈少、年齡愈大及有吸菸的人牙周病罹患隨著上升。未來在推動口腔保健中，首重口腔衛生並適時介入檳榔、菸對健康危害之宣導；但當民眾，對自己的口腔衛生疏於注意時，就另闢管道，如走入社區、主動近入職團體，做口腔檢查，並加強衛生教育推廣，教導具體、正確的潔牙方式，宣導定期看牙醫的重要性，以落實口腔保健行為，實為當務重要之事。
並列摘要
The main objective of the present study was to investigate the relationship among adult oral care behaviors and dental caries and periodontal disease. Study subjects were workers of a Bureau of Environmental Protection in Kaohsiung city. Investigations included check of oral conditions and questionnaire, sample numbers total 1982 individuals. The percentage of males and females was 48.69% and 51.31%, respectively. There was 40.69% of the group members above 50 year-old, 34.34% of the group members were graduated from elementary schools, and 19.47% chewed betel quid and 28.30% smokes. The results showed that for the oral health condition, the DMFT was 7.65, the prevalence rate of caries was 79.91%, the filling rate of caries was 64.54%, the Community Periodontal Index (CPI) less than 2 was 44.25%, the prevalence rate of calculus was 51.42%, and the loss of attachment with 0-3 mm was 90.42%. The study showed the elders and people with lower education level encounter worse oral health care. Analysis showed that the main effects of oral care include age, occupation, teeth-brush method, frequency, period of regular dental visits and smoking. Research results showed that the people who brushed teeth less frequently, with older age and with smoking habits were more likely to have periodontal disease. Based on the study results, one can concluded that people should be notified the damage caused by betel quid chewing and cigarette smoking. Alternative ways will need to be constructed, if people were less care of their own oral hygiene. One should also focus on the oral health care education of occupation groups.