上海口腔医学

上海口腔医学 ›› 2019, Vol. 28 ›› Issue (6): 622-626.doi: 10.19439/j.sjos.2019.06.013

• 论著 • 上一篇    下一篇

上海市65~74岁老年人失牙状况流行病学调查和危险因素分析

卞添颖1,2, 张皓1,2, 毛艳敏2,3, 董华4, 华敏5, 江一巍1,2, 王艳1,2   

  1. 1.上海市口腔病防治院 口腔预防科,上海 200001;
    2.复旦大学附属口腔医院 口腔生物医学工程实验室,上海 200001;
    3.上海市口腔病防治院 正畸科,上海 200001;
    4.嘉定区牙病防治所 口腔预防科,上海 201800;
    5.黄浦区牙病防治所 口腔预防科,上海 200002
  • 收稿日期:2019-03-29 出版日期:2019-12-25 发布日期:2020-01-14
  • 通讯作者: 王艳,E-mail：serene2000@163.com
  • 作者简介:卞添颖（1990-）,女,博士,医师,E-mail：btwing@126.com
  • 基金资助:
    第四次全国口腔健康流行病学调查项目（201502002）

Epidemiological investigation and analysis of risk factor of tooth loss in older people aging 65-74 years in Shanghai

BIAN Tian-ying1,3, ZHANG Hao1,3, MAO Yan-min2,3, DONG Hua4, HUA Min5, JIANG Yi-wei1,3, WANG Yan1,3   

  1. 1.Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
    2.Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
    3.Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
    4.Department of Preventive Dentistry, Jiading District Odontopathy Dispensary. Shanghai 201800;
    5.Department of Preventive Dentistry, Huangpu District Odontopathy Dispensary. Shanghai 200002, China
  • Received:2019-03-29 Online:2019-12-25 Published:2020-01-14

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摘要： 目的 了解上海市65~74岁老年人失牙状况分布特征,并分析失牙相关危险因素及其与牙周状况的关系,为今后开展口腔卫生保健工作提供依据。方法 按照第4次全国口腔健康流行病学调查要求,采取随机抽样方法,于2015年对上海市776名65~74岁年龄段老年人进行问卷调查和口腔检查。所得数据采用SPSS 21.0软件包进行非参数检验,对危险因素进行单因素分析,并通过Logistic回归模型进行独立危险因素分析。结果 上海市65~74岁年龄组老年人平均失牙数为5.94,平均缺失磨牙数为2.59。有牙周袋的老年人占42.3%,附着丧失≥4 mm的检出率为83.0%。男性失牙数和缺失磨牙数显著高于女性（P<0.05）。吸烟是非功能牙列的危险因素,吸烟量≥6支/d时,无法维持功能牙列的危险度是不吸烟人群的1.881倍（95%CI为1.231~2.872,P<0.01）。受教育年限≤6年及从事重体力劳动也是牙缺失的重要危险因素。结论 性别、口腔卫生习惯、吸烟、受教育程度、职业等因素是影响上海市65~74岁年龄组老年人牙缺失状况的重要因素。

关键词: 老年人, 牙缺失, 流行病学调查, 危险因素

Abstract: PURPOSE: To investigate tooth loss status and associated risk factors in older adults aging 65-74 years in Shanghai. METHODS: Seven hundred and seventy-six participants aging between 65-74 years were randomly selected in a cross-sectional study according to the requirements of the fourth national oral health epidemiological investigation of China. Data was obtained via questionnaires and clinical examination. Non-parametric analysis was performed to compare the numbers of lost teeth and molars between groups. Logistic regression analysis was performed to assess risk factors for tooth loss with SPSS 21.0 software package. RESULTS: The average numbers of lost teeth and lost molars were 5.94 and 2.59, respectively. 42.3% subjects had periodontal pockets and 83.0% had at least 4 mm attachment loss. Males lost more teeth and molars than females (P<0.05). Smoking was a risk factor for maintaining functional dentition, especially when the smoking amount reached 6/d (odds ratio=1.88, 95% confidence interval: 1.231-2.872, P<0.01). Less than 6 years schooling and occupation requiring hard physical labor were also important risk factors for tooth loss. CONCLUSIONS: Gender, oral hygiene habits, smoking, educational level and occupation are important risk factors for tooth loss in 65-74 year old adults in Shanghai.

Key words: Older people, Tooth loss, Epidemiological investigation, Risk factor

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