| 摘要: |
| 目的 了解重庆市12岁儿童口腔健康状况及个体和背景水平上的影响因素，为制定和完善重庆市儿童口腔健康干预政策提供参考依据。方法 利用2015年《重庆市儿童口腔疾病综合干预项目效果评估》调查数据，采用多水平logistic回归模型，对儿童口腔健康状况及影响因素进行分析。结果 重庆市12岁儿童的龋患率为45.5%（922/2 025），儿童的口腔健康情况在学校水平呈现聚集性（Ωu=0.412，P=0.091，α=0.1）。多水平logistic回归分析发现，性别、每周进食糖果/巧克力1次及以上、是否同意“口腔健康对自己的生活很重要”是影响12岁儿童龋患情况的个体变量，所在学校的城乡差异是影响12岁儿童龋患情况的背景变量（P<0.05，α=0.05）。结论 儿童的性别、口腔健康认知、行为习惯和儿童所在学校间的城乡差异是影响重庆市12岁儿童龋患率的重要因素，应有针对性地开展儿童口腔疾病综合防治工作。 |
| 关键词: 口腔卫生 儿童 影响因素 多水平模型 |
| DOI：10.16781/j.0258-879x.2016.11.1426 |
| 投稿时间：2016-03-14修订日期：2016-07-06 |
| 基金项目:国家自然科学基金（81270756），重庆市民健康状况分析研究报告（2014kxkt04）. |
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| Multi-level analysis of oral health and its influencing factors in 12-year-old children in Chongqing |
| DAI Jia-nan1,DING Xian-bin2,LÜ Xiao-yan2,YI Jing1* |
(1. Department of Health Statistics and Information Management, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China;
2. Department of Chronic Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, China
*Corresponding author.) |
| Abstract: |
| Objective To understand the status of oral health and its influencing factors among 12-year-old children in Chongqing, so as to provide evidence for setting up the intervention policy of oral health for children. Methods The data obtained from "the assessment on the comprehensive intervention effect for oral health among children in Chongqing" in 2015 were used in the present study; multi-level logistic regression model was used to analyze the status of oral health and its influencing factors among children in Chongqing. Results The prevalence of dental caries among 12-year-old children was 45.5% (922/2 025) in Chongqing, and the status of oral health was clustered at school level (Ωu=0.412, P=0.091, α=0.1). Multi-level logistic regression analysis indicated that the gender, sugar or chocolate intake once a week and above, and "whether children recognizing that oral health is very important for their life" were the individual variables affecting the dental caries incidence in 12-year-old children, and the difference between urban and rural schools was its background variable (P<0.05, α=0.05). Conclusion The gender, cognition to oral health, behavioral habit and the difference between urban and rural schools where children study are important factors influencing the oral health of 12-year-old children in Chongqing, and pertinent measures should be taken to improve the oral health among children. |
| Key words: oral hygiene children influencing factor multi-level model |
