Objective To investigate oral health related quality of life and associated factors of adolescents between 12 and 15 years old, and to provide countermeasures and suggestions for oral health promotion of adolescents.
Methods This cross-sectional study recruited 3 840 adolescents aged 12–15 through multi-stage stratified cluster sampling method. The oral clinical examination and oral health questionnaire were conducted. Descriptive analysis, non-parametric testing and logistic regression analysis were used to analyze the oral health-related quality of life and associated factors.
Results Oral problems showed moderate to severe impact on quality of life, especially on eating (27.1%). Ordinal Logistic regression analysis showed that low sugar intake frequency, few teeth with gingival bleeding, no history of dental pain in the past 12 months, no history of tooth injuries, and administrative region of residence (Nanhai, Shunde) were associated with higher oral health-related quality of life, ( OR = 0.6–0.8, P<0.05).
Conclusion The oral health-related quality of life of adolescents in Foshan was slightly better than the average national level. It is recommended to accurately formulate and ensure the full implementation of oral public health measures based on the comprehensive analysis of the local area, and combine various efforts to strengthen education on reducing excessive intake of sugar, prevent gingival bleeding, relieve and treat toothache in time, pay attention to adolescents with histories of dental trauma, and update the concepts of receiving oral health examination for the adolescents themselves, parents and teachers, and help adolescents develop the habit of regular oral examinations.
【摘要】 目的 调査佛山市 12~15 岁青少年口腔健康相关生活质量, 并探索其影响因素, 为青少年的口腔健康促进提供 对策建议。 方法 采用多阶段分层等容量随机抽样的方式招募佛山市 3 840 名 12~15 岁青少年, 对青少年口腔健康进行 横断面研究。采用口腔临床检査和口腔健康问卷调査收集信息, 并利用描述性分析、非参数检验和等级 Logistic 回归分析 法对青少年口腔健康相关生活质量及相关影响因素进行分析。 结果 口腔问题对佛山地区青少年生活质量的中等至严重 程度影响主要反映在进食方面 (27.1%)。等级 Logistic 回归分析结果显示, 低糖摄人频率、牙龈出血牙数较少, 无过去 12 个月内牙疼及牙齿碰伤或摔伤史、居住地（南海、顺德）等因素与口腔健康相关生活质量呈正相关 ( OR = 0.6~0.8, P 值均<0.05)。 结论 佛山地区青少年口腔健康相关生活质量略优于全国总体平均水平。建议根据细分区域的综合情况精准制 定实施口腔公共卫生措施, 联合多方力量加强青少年人群饮食限糖, 预防牙龈出血, 及时缓解并治疗牙痛, 重点关注有牙外 伤史的青少年人群, 并且改变青少年自身、家长和教师有关口腔检査的就医观念, 帮助其养成定期进行口腔检査的习惯。