对河北邢台农村高氟区氟牙症患者社会心理状况的评价

目的通过评价高氟区不同程度氟牙症患者的社会心理状况,探讨氟牙症对人们社会心理的影响。方法多阶段分层整群随机抽取河北省邢台农村高氟区12、15及35—44岁当地居民共416名进行Dean氏氟牙症指数（DI）的调查,筛选不同程度氟牙症患者178例进行问卷调查,涉及6个五度分法的心理分量表（对牙齿看法、主观幸福感、生活满意度、交往焦虑、自尊影响、行为改变）。结果随着DI记分的增加,受检样本“对牙齿看法”及“主观幸福感”分量表得分呈上升趋势,不同程度氟牙症患者间差异有统计学意义,且主要存在于对照组与重度患者间（P〈0．01）。结论高氟区氟牙症患者在“对牙齿看法”及“主观幸福感”两方面的心理状况受到氟牙症程度的一定影响,并且主要表现在重度患者中。

Evaluation of the psychosocial status of fluorosis patients in fluorosis epidemic areas

OBJECTIVE: To explore the psychosocial effect of fluorosis on patients in fluorosis epidemic areas. METHODS: Multistage, stratified, clustered and random sampling method was used in this survey. Totally 416 inhabitants of 12, 15 and 35-44 years of age from rural fluorosis epidemic areas in Hebei province were selected. Dental fluorosis was classified by Dean's index (DI). A total of 178 patients with different types of fluorosis were involved in a psychosocial questionnaire investigation which included six five-point subscales, including attitude to teeth, subjective well-being, life satisfaction, interpersonal or social anxiety, effect of self-esteem, impact on behavior. RESULTS: Fluorosis prevalence in fluorosis epidemic areas of Xingtai in Hebei province was 71.20%, and significant difference existed among three age groups (Pearson Chi-square value = 167.51, P < 0.01). With the increase of DI score, the average value of subscale "attitude to teeth" rising, ranging from 2.58 to 3.51, and value of "subjective well-being" was also increasing, ranging from 2.35 to 2.9. Statistical difference of subscale average value was found only in these two subscales ("attitude to teeth": F = 4.787, P < 0.01; "subjective well-being": F = 2.538, P < 0.05). "Attitude to teeth" was significantly different between control group and moderate group (F = 0.52, P < 0.01) and between control group and severe group (F = 0.72, P < 0.01). While significant difference of "subjective well-being" could only be found between control group and severe group (F = 0.56, P < 0.01). According to the bivariate correlation analysis, strong correlation could be found between the degree of fluorosis and the average value of sub-scales. CONCLUSIONS: The psychosocial impact of fluorosis on patients in fluorosis epidemic areas mainly appeared in two aspects, i.e. attitude to teeth and the perception of well-being, especially in severe group.