- 期刊
燕巢鄉幼、托兒所幼童齲齒狀況及其影響因素之探討
A Study of Caries and Its Affecting Factors of Kindergarten Children in Yen Chau Village
摘要
本研究乃希望瞭解高雄縣燕巢鄉之幼、托兒所幼童的齲齒狀況。調查方法採分層集束抽樣調查法，並利用抽取率與學校單位大小成比例之抽樣設計。考慮代表性及各校大小不等之實際情況，依各層人數比例抽出5所學校317人，共有311名幼童接受調查，完成率98.1%。 研究結果：齲齒盛行率平均為82.6%，以四歲以下組與五歲組相差達21.9%最多，deft指數平均為5.5±4.5顆；家中子女數愈多、學童排行愈後面，其deft愈多。填補率偏低只有21.3%，不因性別、幼稚園所在地、公私立別而有所差異。 此外；學校人員口腔衛生知識、態度、行為均較家長好。但知識不等同行為，有高達54%的老師仍認為“小孩的齲齒可以不必理會，因為將來會換永久齒”，顯示學校老師並未重視幼童的乳齒齲蝕問題，對學童齲齒預防並未發揮應有功能。故應加強幼稚園（所）老師口腔衛生教育與實務推廣技巧，並結合學校、社區牙醫師以及家長共同肩負起幼童口腔照護之責，如此方能真正促進幼童之口腔健康。
並列摘要
This study was conducted to understand the caries status of the children in the nursery schools and kindergarten in Yen Chau Village. Five schools with a total of 317 children were selected using a stratified cluster sampling with PPS design. A total of 311 young children participated in the study, with completion rates of 98.1%. Study results revealed that the average dental caries prevalence rate was 82.6%. The most significant percentage difference appeared between the group aged 4-and-below and the group aged 5, which was as high as 21.9%. The mean deft of the all children subjects was 5.5±4.5. The bigger the sibling number and the birth ranking of the young children, the higher the deft index. The mean filling rate was a little bit low: only 21.3%. The sex of the children, location of the school, and public or private ownership made no difference in the filling rates. As high as 54% of the teachers still deemed that ”no special attention should be paid to children's decayed teeth, because the permanent teeth will replace the decayed teeth in the future.” This revealed that the teachers neither took seriously the issue of children's dental caries nor did they play the due role of helping to prevent the children's dental caries. Hence, we should improve the teachers' oral health education and practical promotion techniques. In addition, schools, community dentists and parents should assume together the responsibility of young children's oral health care so as to really promote young children's oral health.