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目的了解中国≥18岁糖尿病患者口腔保健行为,为国家制定口腔健康教育政策提供依据。方法资料来源于2010年中国慢性病及其危险因素调查数据,对其中10 473名糖尿病患者的口腔卫生行为进行分析。结果 11.9%的糖尿病患者在1年内看过牙医,33.7%的患者在5年内看过牙医,46.3%的患者从未看过牙医;2.3%的患者在1年内洗过牙,7.3%的患者在5年内洗过牙,87.6%的患者从来没有洗过牙;33.1%的患者能够做到每天早晚2次刷牙,87.4%的患者能够做到每天刷牙(至少每天1次);女性患者1年口腔就医比例、5年口腔就医比例均高于男性,男性5年内洗牙比例高于女性(P<0.01),刷牙情况性别差异无统计学意义;城市患者各项口腔行为指标均好于农村患者(P<0.01);东部地区5年口腔就医比例、早晚刷牙率和每天刷牙比例均明显高于中西部地区(P<0.01),洗牙情况地区差异无统计学意义;口腔就医行为、洗牙行为随年龄增长呈上升趋势,早晚刷牙比例、每天刷牙比例呈下降趋势(P<0.01)。结论中国糖尿病患者口腔就医、洁治、刷牙等口腔卫生保健行为均较差,急需对糖尿病患者开展有效的口腔健康教育。
Objective To understand the oral health care behaviors of diabetic patients ≥18 years old in China and provide the basis for the development of oral health education policies in China. Methods Data were collected from survey data of chronic diseases and risk factors in China in 2010, and the oral health behaviors of 10 473 diabetics were analyzed. Results 11.9% of diabetics saw dentists in 1 year, 33.7% of them saw dentists in 5 years, 46.3% never saw dentists, 2.3% in 1 year and 7.3% in In 5 years, teeth were cleaned, 87.6% of the patients never had teeth washed, 33.1% of patients could brush twice a day morning and evening, 87.4% of patients could brush their teeth daily (at least once a day), 1 year in female patients The proportions of doctors and dentists in five years were significantly higher than those in men (P <0.01). There was no significant difference in sex of brushing between male and female P <0.01). The proportions of oral medical care in five years in the eastern region were higher than those in the central and western regions (P <0.01), and there was no significant difference in the area of dental scaling With the increase of age, the proportion of brushing teeth in morning and evening tends to decrease (P <0.01). Conclusions Oral health care behaviors of diabetic patients in China such as oral medical treatment, neatness treatment and brushing are poor, and effective oral health education for diabetics is urgently needed.