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目的分析母亲知识态度行为对小学生使用含氟牙膏的影响,为制定口腔健康教育措施提供科学依据。方法采用分层整群抽样方法,对北京市房山区1~3年级学生母亲进行问卷调查。采用SAS 9.3统计软件进行数据整理和统计分析,采用复杂抽样分析方法调整权重。结果小学生含氟牙膏使用率为29.7%,城镇小学生与农村小学生含氟牙膏使用率经比较差异无统计学意义(χ2=95.000,P>0.05)。多因素logistic回归分析表明,母亲不使用含氟牙膏或不知道所使用牙膏是否为含氟牙膏(OR=83.974,95%CI:32.734~215.424)、母亲不了解含氟牙膏对人体的益处(OR=2.076,95%CI:1.328~3.244)、母亲在购买牙膏时最注重品牌(OR=2.806,95%CI=1.508~5.219)、母亲在购买牙膏时最注重价格(OR=2.422,95%CI=1.265~4.235)是影响小学生使用含氟牙膏的最重要的危险因素。结论小学生母亲的知、信、行对小学生含氟牙膏使用有显著影响,对小学生母亲开展健康教育和行为干预是促进儿童使用含氟牙膏的有效措施。
Objective To analyze the impact of maternal knowledge and attitude on the use of fluoride toothpaste by pupils and to provide a scientific basis for the development of oral health education measures. Methods A stratified cluster sampling method was used to investigate the mothers of grade 1 to 3 students in Fangshan district of Beijing. Using SAS 9.3 statistical software for data sorting and statistical analysis, using complex sampling analysis method to adjust the weight. Results The primary school students’ use of fluoride toothpaste was 29.7%. There was no significant difference in the use rate of fluoride toothpaste between urban primary school students and rural primary school children (χ2 = 95.000, P> 0.05). Multivariate logistic regression analysis showed that mothers did not know the beneficial effects of fluoride toothpaste on the human body (OR = 83.974, 95% CI: 32.734-215.424), and did not know whether the toothpaste used was fluoride-containing toothpaste or not = 2.076, 95% CI: 1.328 ~ 3.244) .Mothers pay more attention to the brand when buying toothpaste (OR = 2.806,95% CI = 1.508-5.219) = 1.265 ~ 4.235) is the most important risk factor for primary school students to use fluoride toothpaste. Conclusions Primary, secondary school students ’knowledge, letter and practice have a significant impact on primary school students’ use of fluoride toothpaste. Health education and behavior intervention for primary school mothers are effective measures to promote children’s use of fluoride toothpaste.