| 深圳市12~15岁儿童牙科畏惧症流行现状及影响因素分析 |
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| 引用本文： | 张紫阳,宣鹏,胡潇文,李菊红. 深圳市12~15岁儿童牙科畏惧症流行现状及影响因素分析[J]. 中国学校卫生, 2021, 42(3): 404-407. DOI: 10.16835/j.cnki.1000-9817.2021.03.021 |
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| 作者姓名： | 张紫阳 宣鹏 胡潇文 李菊红 |
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| 作者单位： | 广东省深圳市慢性病防治中心口腔疾病防控科，518000 |
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| 基金项目： | 深圳市卫生计生系统科研项目SZGW2018002 |
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| 摘 要： | 目的 了解深圳市12~15岁儿童牙科畏惧症(children's dental fear, CDF)流行现状及影响因素，为改善儿童牙科畏惧情况和开展专项口腔健康促进提供依据。 方法 2018年10月—11月，在深圳市采用多阶段分层等容随机抽样方法抽取5 509名12~15岁儿童作为调查对象，采用儿童畏惧调查-牙科分量表(Children's Fear Survey Schedule-dental Subscale, CFSS-DS)进行调查及口腔健康检查等。 结果 深圳市12，13，14和15岁儿童牙科畏惧症检出率分别为30.3%，30.5%，33.6%和26.9%，差异有统计学意义(χ2=11.97，P=0.01)，CFSS-DS得分分别为(29.86±13.23，29.72±13.59，31.23±14.47，29.79±13.24)分，差异有统计学意义(F=3.60，P=0.01)。男生和女生CFSS-DS得分分别为(27.92±13.69)和(32.62±13.12)(t=-12.97，P < 0.01)，CDF检出率分别为23.8%和38.8%(χ2=159.29，P < 0.01)。多因素非条件Logistic回归分析表明，性别、刷牙频次、就诊经历、口腔知识水平、口腔保健态度、口腔健康和全身健康状态与CDF相关均有统计学意义(P值均 < 0.05)。 结论 深圳市12~15岁儿童牙科畏惧症流行情况应引起重视，应开展综合干预措施，提升儿童口腔健康。
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| 关 键 词： | 牙科治疗焦虑 精神卫生 口腔卫生 回归分析 儿童 |
| 收稿时间： | 2020-09-30 |
Prevalence and influencing factors of dental fear among 12-15-year-old children in Shenzhen |
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| Affiliation: | Oral Disease Control Department, Shenzhen Center for Chronic Disease Prevention, Shenzhen(518000), Guangdong Province, China |
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| Abstract: | Objective To understand the prevalence and influencing factors of Children's Dental Fear (CDF) among 12-15-year-old children in Shenzhen city, so as to provide a framework to alleviate CDF and promote oral health. Methods Multi-stage stratified random sampling was used to select 5 509 children, aged 12-15 years, to participate in this study, which was carried out from October to November, 2018. The Children's Fear Survey Scheduling-Dental Subscale (CFSS-DS) and oral health examinations were conducted in Shenzhen. Results The prevalence of dental fear in children aged 12, 13, 14, and 15 years in Shenzhen was 30.3%, 30.5%, 33.6%, and 26.9%, respectively(χ2=11.97, P=0.01). The CFSS-DS scores were(29.86±13.23)(29.72±13.59)(31.23±14.47)(29.79±13.24), respectively(F=3.60, P=0.01). The CFSS-DS scores of male and female participants were (27.92±13.69) and (32.62±13.12)(t=-12.97, P < 0.01), respectively, and the CDF prevalence rates were 23.8% and 38.8%, respectively(χ2=159.29, P < 0.01). Multivariate Logistic regression analysis showed that gender, brushing frequency, visiting experience, oral knowledge level, oral health attitude, oral health and general health status were correlated with CDF (P < 0.05). Conclusion Attention should be paid to the prevalence of dental phobia among children aged 12-15 years in Shenzhen, and comprehensive intervention measures should be taken to improve children's oral health. |
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