德阳市成年人的口腔健康知识、态度及行为调查

目的　调查四川省德阳市城市、农村和城郊成年人的口腔健康知识、态度和行为,分析影响人群牙科卫生服务使用的因素。方法　采用世界卫生组织基本口腔保健成年人问卷对1 010名德阳市城市、城郊和农村的35~44岁成年人进行面对面访谈,评价德阳市成年人的口腔健康知识、态度及行为,分析影响成年人2年内看牙医行为的因素。结果　约半数成年人过去1年牙齿或口腔有疼痛,多数成年人的口腔健康态度较好,但对氟防龋的认识不足。城市成年人使用含氟牙膏的比例(61·3%)明显高于城郊及农村(6·9%、16·8%)。从来没有看过牙医的比例农村及城郊最高61·0%,71·5%,城市只有32·0%。Logistic回归分析表明,影响2年内看牙医行为的因素有地区类别和上1年有无牙痛。有牙痛成年人看牙医的OR值是无牙痛成年人的2·84倍。结论　德阳市成年人对口腔健康知识认识不足,态度较好,牙科卫生服务使用较低,口腔健康知识和行为亟待改进。

Oral Health Knowledge, Attitude and Behavior in Adults of Deyang City, PR China

OBJECTIVE: To investigate the oral health knowledge, attitudes and behavior of urban, rural and suburban adults in Deyang, PR China, and analyze the influence of several variables on the utilization of dental services. METHODS: 1010 adults with 35-44 years old from urban, rural and suburban areas were interviewed by Questionnaire for Adults, WHO Integrated Package for Basic Oral Care. RESULTS: More than half of the surveyed adults claimed "having pain of mouth during the last 1 year". More urban adults (61.3%) used fluoridate toothpaste than suburban and rural adults (6.9%, 16.8%). 61.0% and 71.5% of rural and suburban adults had never seen a dentist, compared with 32.0% of urban adults. Logistic regression analysis showed that urban adults having pain in mouth during the last year were more likely to visit a dentist in the last 2 years. CONCLUSION: Although the oral health attitude is good among the people in Deyang, the knowledge is poor. Dental service utilization was not enough and the situation was also worse for rural adults.