An investigation on the need, the utilization, and the influencing factors of dental services for pre-school children in selected areas in Chongqing province

doi:10.7518/hxkq.2019.02.011

West China Journal of Stomatology ›› 2019, Vol. 37 ›› Issue (2): 187-192.doi: 10.7518/hxkq.2019.02.011

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An investigation on the need, the utilization, and the influencing factors of dental services for pre-school children in selected areas in Chongqing province

Jingxue Wang¹,Zhengyan Yang¹,Xiaoyan Wu¹,Ting Cai¹,Li Deng¹,Xiaoyan Lü²,Xianbin Ding²,Zhi Zhou¹()

1. Dept. of Preventive Dentistry, Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
2.The Center for Chronic and Noncommunicable Disease Control and Prevention of Chongqing Province, Chongqing 401147, China

Received:2018-11-01 Revised:2019-01-06 Online:2019-04-01 Published:2019-04-28
Contact: Zhi Zhou E-mail:500119@hospital.cqmu.edu.cn
Supported by:
Science and Health Joint Medical Research Project in 2018(2018MSXM036);Science and Health Joint Medical Research Project in 2018(2018-QNXM023);The National Natural Science Foundation of China(2018MSXM036);The National Natural Science Foundation of China(2018-QNXM023);Chongqing Municipal Health and Family Planning Commission in 2017(2017ZDXM018);Program for Innovation Team Building at Institutions of Higher Education in Chongqing in 2016(CXTDG-201602006);The Scientific Research Fund of National Health Commission of the People's Republic of China(20-1502002);The Project of Chongqing Key Laboratory of Oral Biomedical Engineering of Higher Education

Abstract

Abstract:

Objective The aim of this study is to survey the need, the utilization, and the influencing factors of dental services for children in selected areas in Chongqing province by investigating their oral health status. The survey will provide references for preventive oral health care in targeted Chongqing areas, which may improve the level of oral health among pre-school children. Methods Random cluster sampling was utilized according to standards of the Fourth National Oral Health Epidemiological sampling survey, and 1 300 children between the ages of three and four years old from 24 kindergartens in 12 subdistricts of three areas in Chongqing were interviewed for free dental checkups and to participate in the survey. The questionnaires were designed according to the Anderson model and were answered by the children’s parents. The results were analyzed utilizing chi-square test logistic regression. Results The prevalence rate of caries among the pre-school children in selected areas of Chongqing was 55.4%, the decay, missing, filled surface (dmfs) was 6 696, the mean dmfs was 5.2, and the caries filling constituent ratio was 2.3%. A total of 1 173 questionnaires were analyzed. The ratio for seeing a dentist for therapeutic reasons was 6.31% (74/1 173) and for prevalence was 22.93% (269/1 173). Conclusion The oral health service needs of pre-school children in selected areas of Chongqing are large and the oral health service utilization rate is low. Oral health care processes are arduous; thus, targeted oral prevention policies should be created.

Key words: pre-school children, need of the dental service, utilization of the dental service, influencing factors

CLC Number:

R780.1

Jingxue Wang,Zhengyan Yang,Xiaoyan Wu,Ting Cai,Li Deng,Xiaoyan Lü,Xianbin Ding,Zhi Zhou. An investigation on the need, the utilization, and the influencing factors of dental services for pre-school children in selected areas in Chongqing province[J]. West China Journal of Stomatology, 2019, 37(2): 187-192.

Figures/Tables 3

Tab 1

Tab 2

Single-factor analysis of using the dental services

变量		有就诊（n=310）	无就诊（n=863）	统计量	P值
诱发因素	孩子日常生活由谁照顾			7.14	0.068
	妈妈	175（56.45）	439（50.87）
	爸爸	7（2.26）	30（3.48）
	爷爷/奶奶/姥姥/姥爷	95（30.65）	324（37.54）
	其他	33（10.65）	70（8.11）
	受教育程度			9.98	0.007
	初中及以下	36（11.61）	89（10.31）
	高中、中专、大专	111（35.81）	398（46.12）
	本科及以上	163（52.58）	376（43.57）
	照顾者本人刷牙次数			13.44	0.004
	1次	29（9.35）	133（15.41）
	2次	249（80.32）	634（73.46)
	2次以上	28（9.03）	62（7.18）
	不能坚持每天刷牙	4（1.29）	34（3.94）
需要	孩子受牙病或口腔问题困扰			67.93	0.000
	是	88（28.39）	80（9.27）
	否	222（71.61）	783（90.73）
	口腔健康对孩子是否重要				0.389
	非常重要/重要	307（99.03）	859（99.54）
	不太重要	3（0.97）	4（0.46）
	孩子每天何时刷牙			26.52	0.000
	早上	25（8.06）	137（15.87）
	睡前	110（35.48）	283（32.79）
	早晚均刷	162（52.26）	355（41.14）
	偶尔或从不刷牙	13（4.19）	88（10.20）
	是否使用含氟牙膏刷牙			10.79	0.005
	使用	101（34.01）	193（24.90）
	不使用	123（41.41）	332（42.84）
	不知道	73（24.58）	250（32.26）
变量		有就诊（n=310）	无就诊（n=863）	统计量	P值
	孩子监护人经常帮孩子刷牙			5.95	0.015
	是	216（72.73）	503（64.90）
	否,因为孩子自己会刷牙	81（27.27）	272（35.10）
	过去1年是否有口腔问题			33.51	0.000
	是	42（13.55）	35（4.06）
	否/不记得	268（86.45）	828（95.94）
	孩子口腔健康状况总体评价			24.56	0.000
	好	104（33.55）	349（40.44）
	中	168（54.19）	476（55.16）
	差	38（12.26）	38（4.40）
促进因素	孩子户籍类型			0.71	0.400
	农户	66（21.29）	204（23.64）
	非农户	244（78.71）	659（76.36）
	家庭人均收入/元			3.20	0.202
	0~2 500	24（7.74）	90（10.43）
	2 500~5 000	82（26.45）	250（28.97）
	5 000以上	204（65.81）	523（60.60）

Tab 2

Tab 3

References 17

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性别	调查人数	患龋人数	患龋率	dmfs	龋面均	充填牙面数	龋齿充填构成比/%
男	631	353	55.9%	3 164	5.0	65	2.1
女	669	367	54.9%	3 532	5.3	87	2.5
合计	1 300	720	55.4%	6 696	5.2	152	2.3

因素	OR值	95%CI	P值
受教育程度（ref=本科及以上）
初中及以下	1.171	0.744~1.842	0.496 0
高中、中专、大专	0.714	0.531~0.961	0.026 1
受口腔问题困扰（ref=否）
是	3.250	2.195~4.813	<0.000 1
每天何时刷牙（ref=偶尔或从不刷牙）
早上	1.364	0.642~2.895	0.419 4
睡前	3.115	1.615~6.011	0.000 7
早晚均刷	3.534	1.852~6.744	0.000 1
过去1年儿童牙疼等口腔问题（ref=否/不记得）
是	2.228	1.257~3.946	0.006 1

An investigation on the need, the utilization, and the influencing factors of dental services for pre-school children in selected areas in Chongqing province

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