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研究生:梁惠芳
研究生(外文):Huei-Fang Liang
論文名稱:探討國小中高年級學童齲齒影響因素:以高雄市小港區為例
論文名稱(外文):Factors Associated with Dental Caries in Grade 3-6 Elementary Schools Students:An Example of Xiaogang District in Kaohsiung City.
指導教授:黃曉靈黃曉靈引用關係
指導教授(外文):Hsiao-Ling Huang
學位類別:碩士
校院名稱:高雄醫學大學
系所名稱:口腔衛生學系碩士在職專班
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:111
中文關鍵詞:學童齲齒狀況口腔保健
外文關鍵詞:childrencariesoral hygiene
相關次數:
  • 被引用被引用:2
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背景:
乳牙齲齒對於兒童混合齒列、恆齒列及全身健康均有很大的影響。依據國民健康署臺灣兒童口腔及衛生狀況調查顯示,兒童齲齒盛行率隨年齡增加而上升,5歲齲齒率高達79.3%。由此可知,近年我國學童之齲齒狀況並未因國人生活水平及醫療水準的提升而有所改善,因此有必要了解學齡兒童齲齒影響因素。
目的:
探討高雄市小港區國小中高年級學童齲齒影響因素。
方法:
採橫斷性研究設計,以立意取樣方式收集國小3-6年級學童齲齒及相關因素資料,總共完成學生樣本數546人。學童齲齒資料取自各校口腔檢查數據,以結構式自填式問卷收集影響因素資料。最後使用迴歸模式分析齲齒的影響因素。
結果:
小港區國小中高年級9-12歲學童的dft index分別為: 3.05、2.63、0.77、0.19。9-12歲學童的DMFT index 分別為0.73、1.53、1.83、2.25。 9-12歲學童之乳齒齲齒盛行率分別為:69.4%、64.3、22.0%、9.1%。9-12歲學童之恆齒齲齒盛行率分別為:28.2%、47.8%、40.2、46.2%。於控制干擾因素後,影響學童齲齒之顯著因素為:吃完甜食後沒有刷牙習慣(aOR=7.89,95%CI=1.38-35.04);甜食攝取頻率每週2~3次(aOR=5.78,95%CI=2.19-15.29)及每週4次以上(aOR=6.77,95%CI=1.47-31.21);含糖飲料攝取頻率每週2~3次(aOR=4.18,95%CI=1.48-11.83)及每週4次以上(aOR=4.69,95%CI=1.59-13.83);迴避牙科就診(aOR=8.62,95%CI=1.04-41.31);牙科定期檢查間隔時間一年(aOR=6.68,95%CI=1.60-27.84)及一年以上(aOR=5.06,95%CI=1.23-20.87)。
結論:
建議提供國小學童適切性的口腔衛生教育,教導飲食攝取後的潔牙習慣,減少甜食攝取頻率及定期牙科拜訪重要性。


Background:
Caries have great impact on children mixed dentition, permanent dentition and systemic health. According to Department of Health and Children''s Oral Health Survey in Taiwan, caries prevalence increased with the growing age of children and the rate of dental caries of 5-year-old children is up to 79.3%. The problem of dental caries of children has not been improved with the growing of living standard and improved medical care. It is necessary to understand the factors associated with caries of school-age children. Our aim is to explore the factors related to dental caries in elementary school students in Xiaogang district.
Method:
We used a cross-sectional design. Totally 546 samples were collected from a purposive sampling. Data of caries of children were from the dental examination in school, and the influencing factors were collected from a structure self-administered questionnaire. Finally, the influenced factors of caries were analyzed by the regression models .
Results:
The status of caries of 9 to 12-year-old students in elementary school, the dft index are respectively indicated as follows: 3.05、2.63、0.77、0.19;the DMFT index are respectively indicated as follows: 0.73、1.53、1.83、2.25。The prevalence of baby teeth caries is: 69.4%、64.3、22.0%、9.1%。The prevalence of permanent teeth caries is: 28.2%、47.8%、40.2、46.2%。After controlling for confounding factors, significant factors affect children’s caries are not brushing teeth after eating sweets (aOR=7.89,95%CI=1.38-35.04), sweets intake frequency 2 to 3 times a week (aOR = 5.78,95%CI=2.19-15.29) and more than four times a week (aOR = 6.77,95/%CI=1.47-31.21), the frequency of intake of sugary drink 2 to 3 times a week (aOR=4.18,95%CI=1.48-11.83) and more than 4 times a week(aOR=4.69,95%CI=1.59-13.83) ,avoiding
dental visit (aOR=8.62,95%CI=1.04-41.31), no regular dental check-ups(aOR=6.68,95%CI=1.60-27.84)and over one year (aOR= 5.06,95%CI=1.23-20.87).
Conclusion:
The results suggest that the school should provide students appropriate oral health education to teach them cleaning teeth after eating, reduce the frequency of intake of sweets and inform the importance of regular dental visits.


致謝 1
中文摘要 2
英文摘要 4
第一章 緒論 10
第一節 研究背景 10
第二節 研究動機 13
第三節 研究目的 13
第二章 文獻探討 14
第一節 國內外學齡兒童口腔健康流行病學探討 14
第二節 學齡兒童齲齒與人口學因素探討 18
第三節 學齡兒童齲齒與口腔保健行為相關性探討 21
第三章 材料與方法 29
第一節 研究對象 29
第二節 研究設計 30
第三節 研究架構 31
第四節 研究工具 32
第五節 研究步驟 39
第六節 資料分析 41
第四章 研究結果 42
第一節 學童基本資料 42
第二節 小港區9-12歲各年齡層學童口腔健康狀況 42
第三節 中高年級學童在口腔清潔習慣、飲食習慣及牙科就醫行為之分佈情形 45
第四節 學童口腔健康狀況與口腔清潔習慣、飲食習慣及牙科就診行為之比較分析 48
第五節 影響國小中高年級學童口腔健康狀況之重要因素之迴歸分析 51
第五章 討論 59
第一節 國小中高年級學童齲齒之顯著影響因素 59
第二節 研究限制 66
第六章 結論與建議 67
第七章 對學校衛生的意義 68
參考文獻 69
中文表格目錄
表1.學童基本人口學分怖 ………………………………773
表2.學童乳齒齲齒與性別、年齡、家庭背景之分析 75
表3.學童恆齒齲齒與性別、年齡、家庭背景之分析 76
表4.學童混合齒列乳恆齲齒與性別、年齡、家庭背景之析 77
表5.學童刷牙習慣之分佈狀況 78
表6.學童甜食攝取習慣之分佈狀況 79
表7.學童牙科就診行為之分佈狀況 80
表8.學童口腔健康狀況與刷牙習慣之分析 81
表9.學童口腔健康狀況與甜食攝取習慣之分析 82
表10.學童口腔健康狀況與牙科就診行為之分析 83
表11-1.影響國小中高年級學童dt+DT因素之單變項迴歸分析 84
表11-2.影響國小中高年級學童dt+DT因素之單變項迴歸分析 85
表12-1.影響國小中高年級學童dt+DT因素之多變項迴歸分析 86
表12-2.影響國小中高年級學童dt+DT因素之多變項迴歸分析 87
表13-1.影響國小中高年級學童dft+DMFT index因素之單變項迴歸分析 88
表13-2.影響國小中高年級學童dft+DMFT index因素之單變項迴歸分析 89
表14-1.影響國小中高年級學童dft+DMFT index因素之多變項迴歸分析 90
表14-2.影響國小中高年級學童dft+DMFT index因素之多變項迴歸分析 91
表15.影響國小中高年級學童齲齒之重要因素對數逐步(forward)迴歸分析 92





英文表格目錄
Table 1.Distribution of students'' social demographic data 93
Table 2. Analysis of children caries status of primary dentition, sex and family background 94
Table 3.Analysis of children permanent dentitio, sex and family background 95
Table 4.Analysis of children’s caries of primary and permanent dentition, sex, age and family background. 96
Table 5.Distribution of children’s habit of brushing teeth 97
Table 6. Distribution of children’s habit of eating sweets 98
Table 7. Distribution status of children’s dental visits behaviors 99
Table 8 .Analysis of children’s oral health status and habit of brushing teeth 100
Table 9. Analysis of children’s oral health and habit of eating sweets 101
Table 10 .Analysis of children’s oral health statusand behaviors of dental visits 102
Table 11-1 Simple regression analysis on risk factors associated with dt+DT of intermediate and higher grade students of primary school 103
Table 11-2 Simple regression analysis on risk factors associated with dt+DT of intermediate and higher grade students of primary school 104
Table 12-1 Multiple regression analysis on risk factors associated with dt+DT of intermediate and higher grade students of primary school 105
Table 12-2 Multiple regression analysis on risk factors associated with dt+DT of intermediate and higher grade students of primary school 106
Table 13-1 Simple regression analysis on risk factors associated with dft+DMFT index of intermediate and higher grade students of primary school 107
Table 13-2 Simple regression analysis on risk factors associated with dft+DMFT index of intermediate and higher grade students of primary school 108
Table 14-1 Multiple regression analysis on risk factors associated with dft+DMFT of intermediate and higher grade students of primary school 109
Table 14-2 Multiple regression analysis on risk factors associated with dft+DMFT of intermediate and higher grade students of primary school 110
Table 15 Stepwise regression analysis on risk factors of intermediate and higher grade students of primary school 111



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