冀中地区某煤矿工人口腔健康状况调查与分析

Investigation on dental caries and periodontal condition,knowledge and behaviour of oral health in miners in Jizhong area

  • 摘要: 目的 了解冀中地区某煤矿工人的龋病和牙周病患病情况及口腔卫生保健意识和行为,为制订该人群口腔疾病预防和保健措施提供依据。方法 采用整群抽样方法,对冀中某煤矿井下1 116名工人,进行龋病、牙周病以及胃反酸的检查并对口腔卫生保健知识和行为进行问卷调查。结果 该地区煤矿工人平均患龋率为80.02%,龋均为3.62±2.89,龋充填比为12.33%,牙龈出血检出率为88.53%,牙石检出率为98.92%,牙周炎患病率为56.0%,牙周健康率为9.32%。其中,患龋率、牙龈出血检出率和牙周炎患病率随着年龄增加有明显升高趋势,龋充填比和牙周健康率随着年龄增长有下降趋势(Pfor trend<0.05)。胃反酸工人的患龋率(83.92%)明显高于无反酸病史工人(78.18%)(P=0.041)。口腔问卷调查结果显示,采用Bass法刷牙的工人只有10.06%,52.28%的工人从来不洁牙。每天刷牙2 ~ 3次的工人占比随着年龄增长明显减少(Pfor trend=0.000),其中35岁以下占32.13%,35 ~ 44岁占22.72%,45岁以上占18.34%。35 ~ 44岁工人口腔健康知识知晓率明显低于同年龄段一般人群(据我国第四次全国口腔流行病学调查报告),其中37.29%的工人认为牙龈出血不正常,63.38%的工人知道吃糖可导致龋齿,51.71%的工人知道细菌导致牙龈炎,52.85%的工人知道细菌导致龋齿,44.21%的工人了解刷牙可以预防牙龈出血,63.76%的工人认为口腔疾病会影响全身健康。结论 煤矿工人口腔健康状况不容乐观,口腔健康知识知晓率不高,应加强口腔疾病预防宣教工作,尽快制订煤矿工人口腔疾病防治策略。

     

    Abstract: Objective To investigate the prevalence of caries,periodontal diseases,as well as the awareness and behaviors of oral health care among coal miners in Jizhong area,in order to provide evidence for the development of oral health care. Methods Caries,periodontal disease,gastroesophageal reflux (GER),the awareness and behavior of oral health care in 1 116 workers in a coal mine in Jizhong area were investigated using cluster sampling method. Results The prevalence rate of caries was 80.02%,and the mean decayed-missing-filled tooth (DMFT) was 3.62±2.89,with the caries filled ratio of 12.33%.The detection rates of gingival bleeding,calculus periodontitis and periodontal health were 88.53%,98.92%,56.0%,and 9.32%,respectively.The prevalence of caries,gingival bleeding and periodontitis increased with age,whereas caries filling ratio and periodontal health rate decreased with age(Pfor trend<0.05).The caries prevalence rate in miners with GER was significantly higher than that of minors without GER (83.92% vs 78.18%,P=0.041).The results of oral questionnaire survey showed that only 10.06% of the workers brushed their teeth with Bass method,and 52.28% of them never did teeth scaling.The number of workers who brushed their teeth for 2-3 times per day decreased significantly with age (Pfor trend=0.000),with age under 35 year-old accounting for 32.13%,35 to 44 year-old accounting for 22.72%,and over 45 year-old accounting for 18.34%.The awareness of oral health knowledge in workers was generally low:37.29% of workers thought that gingival bleeding was abnormal,63.38% knew that sugar could cause dental caries,51.71% knew that bacteria could cause gingivitis,52.85% knew that bacteria could cause dental caries,41.22% knew that brushing teeth could prevent gum bleeding,and 63.76% believed that oral diseases could affect overall health. Conclusion The oral health of coal miners in Jizhong area is poor,and urgent measures for prevention and treatment of oral diseases are required.

     

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