上海市11~14岁儿童口腔健康相关生活质量调查分析

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (3): 345-350.

上海市11~14岁儿童口腔健康相关生活质量调查分析

曹轶婷¹,祝策²,徐玮³,陆海霞²,叶玮²

1.上海交通大学医学院附属第九人民医院·口腔医学院儿童口腔科,上海市口腔医学重点实验室,上海 200011;
2. 上海交通大学医学院附属第九人民医院·口腔医学院口腔预防科,上海市口腔医学重点实验室,上海 200011;
3.上海市口腔病防治院口腔预防处,上海 200011

收稿日期:2015-01-02 出版日期:2015-06-20 发布日期:2015-07-24
通讯作者: 叶玮,Tel:021-23271699,E-mail:13621946356@163.com
作者简介:曹轶婷（1986-）,女,硕士,住院医师,E-mail:cytdental99@163.com
基金资助:
上海市自然科学基金（12ZR1446100）

A study about oral health-related quality of Life among 11-14 years old children in Shanghai municipality

CAO Yi-ting¹,ZHU Ce²,XU Wei³,LU Hai-xia²,YE Wei²

1.Department of Pediatric Dentistry, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011;
2.Department of Preventive Dentistry, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011;
3.Department of Preventive Dentistry, Shanghai Stomatological Disease Center. Shanghai 200011, China

Received:2015-01-02 Online:2015-06-20 Published:2015-07-24
Supported by:
Natural Science Foundation of Shanghai Municipality (12ZR1446100)

摘要/Abstract

摘要： 目的:评估上海市11~14岁儿童口腔健康相关生活质量,探讨其影响因素,为进行针对性口腔健康教育、制订公共卫生策略提供依据。方法:采用系统抽样方法,抽取上海4个城区8所学校11~14岁儿童,检查其龋失补牙数和牙龈出血指数。采用儿童口腔健康影响程度量表（CPQ_11-14）,评估目标人群的口腔健康相关生活质量,其他问卷调查内容包括调查对象的社会人口学资料和口腔健康相关行为、知识和态度。采用SPSS21.0软件包对调查结果进行t检验、单因素方差分析和多元线形回归分析。结果:共调查儿童1050人,纳入有效人数955人(市区482人,郊区473人),应答率为91%。CPQ_11-14平均分数为（6.0±5.6）分。DMFT指数较高;有探诊出血的目标人群,其CPQ_11-14平均分数较高,口腔健康相关生活质量较差（P<0.05）。结论:11~14岁儿童的龋病、牙周状况,是其口腔健康相关生活质量的最主要影响因素,今后仍需加强口腔保健工作,包括良好的口腔卫生宣教,并关注该人群的口气和黏膜病等相关疾病。

关键词: 龋病, 牙周病, 口腔健康相关生活质量, CPQ11-14

Abstract: PURPOSE: To assess oral health-related quality of life (OHRQoL) among 11-14 years old children in Shanghai municipality and investigate the influential factors, in order to provide theoretical evidence for pointed oral health education and public health strategies formulation. METHODS: Systematic sampling method was used to extract 11-14 years old children in Shanghai municipality. The decay missing filling tooth (DMFT) and gingival bleeding index (GBI) were examined and recorded. Child oral-health-related quality of life questionnaires(CPQ_11-14) was adopted to assess the OHRQoL. Other enquiry included sociodemographic background and oral health-related behaviors, knowledge and attitudes. Statistical analysis was performed using SPSS 21.0 software package. RESULTS: This study examined 1050 children of 11-14 years old, among which 955 children (urban 482,suburb 473) were enrolled. The response rate was 91%. The mean CPQ_11-14 score was (6.0±5.6). Statistical analysis showed that children with higher DMFT index and bleeding on probing had higher CPQ_11~14 average score and poorer oral health related quality of life (P<0.05). CONCLUSIONS: Caries and periodontal disease have negative effect on OHRQoL of 11-14 years old children. Efforts are needed to strengthen oral health care, including good oral health education, and focusing on halitosis and oral mucosal diseases in children aged 11-14 years old.

Key words: Caries, Periodontal disease, Oral health-related quality of life, CPQ11-14

中图分类号:

R780.1

曹轶婷,祝策,徐玮,陆海霞,叶玮. 上海市11~14岁儿童口腔健康相关生活质量调查分析[J]. 上海口腔医学, 2015, 24(3): 345-350.

CAO Yi-ting,ZHU Ce,XU Wei,LU Hai-xia,YE Wei. A study about oral health-related quality of Life among 11-14 years old children in Shanghai municipality[J]. Shanghai Journal of Stomatology, 2015, 24(3): 345-350.

参考文献

[1] Slade GD, Strauss RP, Atchison KA, et al. Conference summary: assessing oral health outcomes-measuring health status and quality of life [J]. Community Dent Health, 1998, 15(1): 3-7.
[2] The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization [J]. Soc Sci Med, 1995, 41(10): 1403-1409.
[3] Slade GD. Measuring oral health and quality of life [M]. Chapel Hill: University of North Carolina, 1997.
[4] 王阿丹, 黄航敏, 凌均棨. 儿童口腔健康相关生存质量量表的验证研究 [J]. 中华口腔医学研究杂志(电子版), 2012, 6(6): 503-507.
[5] WHO. Oral health surveys: basic methods[M]. 4th Ed. Geneva: WHO,1997.
[6] Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque [J]. Int Dent J, 1975, 25(4): 229-235.
[7] Locker D,Allen PF. Developing short-form measures of oral health-related quality of life[J].J Pubic Health Dent, 2002, 62(1): 13-20.
[8] Jokovic A, Locker D, Stephens M, et al. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life [J]. J Dent Res, 2002, 81(7): 459-463.
[9] Jokovic A, Locker D, Guyatt G. Short forms of the Child Perceptions Questionnaire for 11-14-year-old children（CPQ 11-14 ）：development and initial evaluation[J]. Health Qual Life Outcomes, 2006, 4: 4.
[10] Brown A, Al-Khayal Z.Validity and reliability of the Arabic translation of the child oral-health-related quality of life questionnaire (CPQ 11-14 ) in Saudi Arabia[J]. Int J Paediatr Dent, 2006, 16(6): 405-411.
[11] Goursand D, Paiva SM, Zarzar PM, et al. Cross-cultural adaptation of the Child Perceptions Questionnaire 11-14 (CPQ 11-14 ) for the Brazilian Portuguese language[J]. Health Qual Life Outcomes, 2008, 6: 2.
[12] Wogelius P, Gjørup H, Haubek D, et al. Development of Danish version of child oral-health-related quality of life questionnaires (CPQ8-10 and CPQ11-14) [J]. BMC Oral Health, 2009,9: 11.
[13] Barbosa TS, Gavião MB. Oral health-related quality of life in children: part II. Effects of clinical oral health status. A systematic review [J]. Int J Dent Hyg, 2008, 6(2): 100-107.
[14] Do LG, Spencer A. Oral health-related quality of life of children by dental caries and fluorosis experience[J]. J Public Health Dent, 2007, 67(3): 132-139.
[15] Barbosa TS, Tureli MC, Gavião MB. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children[J]. BMC Oral Health, 2009, 9: 13.
[16] Levin KA, Currie C. Adolescent toothbrushing and the home environment: sociodemographic factors, family relationships and mealtime routines and disorganisation [J]. Community Dent Oral Epidemiol, 2010, 38(1): 10-18.
[17] Locker D. Disparities in oral health-related quality of life in a population of Canadian children[J]. Community Dent Oral Epidemiol, 2007, 35(5): 348-356.
[18] Piovesan C, Antunes JL, Guedes RS, et al. Impact of socioeconomic and clinical factors on child oral health-related quality of life [J]. Qual Life Res, 2010, 19(9): 1359-1366.
[19] Foster Page LA, Thomson WM, Jokovic A, et al. Epidemiological evaluation of short-form versions of the Child Perception Questionnaire [J]. Euro J Oral Sci, 2008, 116(6): 538-544.
[20] Wogelius P, Gjørup H, Haubek D, et al. Development of Danish version of child oral-health-related quality of life questionnaires (CPQ 8-10 and CPQ 11-14 ) [J].BMC Oral Health, 2009, 9:11.
[21] Torres CS, Paiva SM, Vale MP. Psychometric properties of the Brazilian version of the child perceptions questionnaire (CPQ 11-14 ) short forms [J]. Health Qual Life Outcomes, 2009, 7: 43.
[22] Rodd HD, Marshman Z, Porritt J. Oral health-related quality of life of children in relation to dental appearance and educational transition [J]. Br Dent J, 2011, 211(2): E4.