高雄縣國中小學生齲齒狀況之城鄉差距

Disparities in the Incidences of Dental Caries of Primary and Junior High School Students between Urban and Rural Areas of Kaohsiung County

劉仁義(Jen-Yi Liu) ； 林雯君(Wen-Chun Lin) ； 黃純德(Shun-Te Huang)

《中華牙醫學雜誌（中文版）》 25卷3期 (2006/09) Pp. 190-196

https://doi.org/10.7106/CJD.200609.0190

摘要

本研究為瞭解高雄縣國中小學生的齲齒狀況在城鄉間的差異。研究對象係針對7-15歲兒童共計1671位。抽樣採分層集束隨機抽樣調查法。城鄉學童的DMFT index及填補率在統計上皆有顯著的差異。以12歲學童之DMFT index而言，市區為2.30；鄉鎮為2.67；山地為4.59。以第一大臼齒而言，其DMFT index和盛行率在市區為1.68、66.67%；在鄉鎮為1.24、52.83%；在山地為2.27、82.13%。研究結果發現高雄縣國中、小學童齲齒狀況在市區，偏遠地區及原住民區仍存有城鄉之差異。在牙齒的健康狀況，特別是原住民區學童的第一大臼齒，其牙科醫療需求有顯著的較高。

關鍵字

齲齒指數 ； 填補率 ； 齲齒盛行率 ； 城鄉

並列摘要

To evaluate the dental health status of children in primary and junior high schools of Kaohsiung County and analyze disparities between rural and urban areas, 1671 children aged 7 to 15 years participated in this study. They were sampled using a stratified cluster sampling design and a probability proportional to size. There were statistically significant differences noted among the DMFT index and filling rates of urban, rural, and aboriginal areas. Values of the DMFT index of 12-year-old school children in the urban, rural, and aboriginal areas were 2.30, 2.67, 4.59, respectively. For the first molar, values of the DMFT index of the urban, rural, and aboriginal areas were 1.68, 1.24, and 2.27, while the caries prevalence rates were 66.67%, 52.38%, and 82.13%, respectively. Disparities in the dental health statuses of the primary and junior high schools in the urban, rural, and aboriginal mareas in Kaohsiung County were evident. The dental health status, especially for the first molars, of children in the aboriginal area was very poor, and high dental treatment needs exist there.

並列關鍵字

DMFT index ； filling rate ； caries prevalence ； rural and urban