湖南地区15岁以上居民食物嵌塞流行情况调查及相关因素分析
发布时间：2018-08-13 18:17
【摘要】： 目的：为了解湖南省15岁以上居民食物嵌塞发生情况,探讨其发病的流行病学特征及相关因素,为广大居民食物嵌塞的病因讨论及防治提供流行病学依据。 方法：在湖南省采取整群随机抽样方法,随机抽取5个地区的城乡常住人口2151人。在知情自愿原则下,采用自行设计的问卷进行询问和口腔检查,对居民食物嵌塞发生情况及相关因素做调查统计。结果采用SPSS 13.0统计数据软件包进行分析,包括χ2检验、单因素分析和Logistic回归分析。 结果： 1.在被调查的5个地区15岁以上居民2151人中,出现了食物嵌塞的人数为886人,普通人群食物嵌塞发生率为41.19%。女性食物嵌塞发生率为42.38%,与男性食物嵌塞发生率40.11%间无显著性差异(P0.05)。年龄与食物嵌塞发生情况呈倒U形分布,且各年龄组间食物嵌塞发生率有显著性差异(P0.05)。40岁以前,随着年龄的增长,食物嵌塞发生率呈上升趋势；在40-49岁组食物嵌塞发生率最高达58.45%；≥50岁人群,随年龄增长,食物嵌塞发生率下降。 2.食物嵌塞发生率在口腔卫生情况为好、一般、差组分别为：27.47%、41.53%、45.81%；在从不看牙医组、近5年无看牙医组、近2-5年有看牙医组、每年都有看牙医组分别为：40.83%、36.67%、57.73%、36.36%；在有、无咀嚼槟榔习惯组分别为35.56%、42.32%,且各组别间率的差异均有统计学意义(P0.05)。而不同受教育程度组别间、不同家庭年人均可支配收入组别间、不同的每天刷牙次数组别间食物嵌塞发生率无显著性差异(P0.05)。 3.在所有出现食物嵌塞的被调查者中,所有牙间隙均有发生食物嵌塞的情况,下颌牙间隙嵌塞发生率为5.09%,高于上颌牙间隙嵌塞发生率3.32%(P0.05)。后牙区牙间隙嵌塞发生率为6.03%,高于前牙区牙间隙嵌塞发生率2.11%(P0.05)。左、右侧牙间隙嵌塞发生率无明显差异(P0.05)。 4.经Logistic回归分析(α入=0.05,α出=0.10)结果显示,控制混杂因素后,8个自变量性别、年龄、受教育程度、家庭年人均可支配收入、口腔卫生情况、每天刷牙次数、是否定期看牙医、是否咀嚼槟榔中经各因素间交互筛选后,只有性别、年龄、受教育程度、家庭年人均可支配收入4个自变量进入回归方程,并且是居民发生食物嵌塞的危险因素(回归系数b0)。 5.在出现食物嵌塞的886位被调查者中,仅有0.45%因食物嵌塞而求医,99.55%的被调查者没有求医行为。79.68%有食物嵌塞的被调查者采用牙签清除掉嵌塞的食物,11.96%有食物嵌塞的被调查者采用其他办法,如刷牙、探针、漱口、用手牵扯等,用牙线和牙缝刷处理食物嵌塞的被调查者仅占1.44%。 结论： 1.湖南省15岁以上居民食物嵌塞发生率高,求治率低。40岁以上者为高发人群,15-39岁间人群,年龄越大,食物嵌塞发生率越高。≥50岁人群,随年龄增大,食物嵌塞发生率下降。 2.湖南省15岁以上居民,所有牙间隙均有食物嵌塞情况的发生,不同牙间隙食物嵌塞发生情况呈左右对称特点。其好发牙间隙为四个第一磨牙之间和四个第一磨牙与第二前磨牙之间。上颌前牙区食物嵌塞发生率少。下颌食物嵌塞发生率较上颌高。 3.居民性别、年龄、受教育程度、家庭经济水平、口腔卫生习惯等对食物嵌塞的发生产生影响。
[Abstract]:Objective: To investigate the prevalence of food impaction among residents aged 15 years and over in Hunan Province, and to explore the epidemiological characteristics and related factors of food impaction.
Methods: A cluster random sampling method was adopted in Hunan Province. 2151 permanent residents were randomly selected from 5 districts in urban and rural areas. Under the principle of informed voluntary, questionnaires and oral examinations were conducted to investigate the occurrence of food impaction and related factors. Analysis included chi square test, univariate analysis and Logistic regression analysis.
Result:
1. Among 2151 inhabitants aged 15 years and over, 886 had food impaction and 41.19% had food impaction in the general population. The incidence of food impaction was 42.38% in women and 40.11% in men (P 0.05). There was a significant difference in the incidence of food impaction between age groups (P 0.05). The incidence of food impaction increased with age before 40 years old; the highest incidence of food impaction was 58.45% in 40-49 years old group; and the incidence of food impaction decreased with age in people over 50 years old.
2. The incidence of food impaction in oral hygiene was better, generally, the poor group was 27.47%, 41.53%, 45.81%; in the group of never visiting dentist, in the group of not visiting dentist in the last five years, in the group of visiting dentist in the last two to five years, every year there were 40.83%, 36.67%, 57.73%, 36.36%; in the group of no chewing betel nut habits, 35.56%, 42.32%, and in each group, respectively. There was no significant difference in the incidence of food impaction among different educational level groups, per capita disposable income groups in different family years, and different times of brushing teeth every day (P 0.05).
3. Food impaction was found in all the patients with food impaction. The incidence of mandibular space impaction was 5.09%, which was higher than that of maxillary space impaction (3.32% (P 0.05). The incidence of posterior space impaction was 6.03%, and that of anterior space impaction was 2.11% (P 0.05). There was no significant difference in the incidence of impaction (P0.05).
4. Logistic regression analysis (alpha = 0.05, alpha = 0.10) showed that after controlling the confounding factors, the eight independent variables were sex, age, education level, family annual disposable income, oral hygiene, daily brushing frequency, whether to visit dentist regularly, whether to chew betel nut, only gender, age, education. Four independent variables of annual per capita disposable income entered the regression equation and were the risk factors of food impaction (regression coefficient b0).
5. Of the 886 respondents with food impaction, only 0.45% sought medical treatment because of food impaction, 99.55% did not seek medical treatment. 79.68% of the respondents with food impaction used toothpicks to remove the impacted food, 11.96% of the respondents with food impaction used other methods, such as brushing teeth, probes, rinsing, hand pulling and so on. Only of respondents who had food impaction were treated with thread and dental brush.
Conclusion:
1. The incidence of food impaction is high and the treatment rate is low in the residents over 15 years old in Hunan Province. People over 40 years old are high-risk groups. The older the population between 15 and 39 years old, the higher the incidence of food impaction.
2. Food impaction occurred in all teeth spaces of residents over 15 years old in Hunan Province. Food impaction in different teeth spaces was left and right symmetrical. Higher than the upper jaw.
3. Residents'gender, age, education level, family economic level, oral hygiene habits and other factors have an impact on the occurrence of food impaction.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R781.2;R181.3
[Abstract]:Objective: To investigate the prevalence of food impaction among residents aged 15 years and over in Hunan Province, and to explore the epidemiological characteristics and related factors of food impaction.
Methods: A cluster random sampling method was adopted in Hunan Province. 2151 permanent residents were randomly selected from 5 districts in urban and rural areas. Under the principle of informed voluntary, questionnaires and oral examinations were conducted to investigate the occurrence of food impaction and related factors. Analysis included chi square test, univariate analysis and Logistic regression analysis.
Result:
1. Among 2151 inhabitants aged 15 years and over, 886 had food impaction and 41.19% had food impaction in the general population. The incidence of food impaction was 42.38% in women and 40.11% in men (P 0.05). There was a significant difference in the incidence of food impaction between age groups (P 0.05). The incidence of food impaction increased with age before 40 years old; the highest incidence of food impaction was 58.45% in 40-49 years old group; and the incidence of food impaction decreased with age in people over 50 years old.
2. The incidence of food impaction in oral hygiene was better, generally, the poor group was 27.47%, 41.53%, 45.81%; in the group of never visiting dentist, in the group of not visiting dentist in the last five years, in the group of visiting dentist in the last two to five years, every year there were 40.83%, 36.67%, 57.73%, 36.36%; in the group of no chewing betel nut habits, 35.56%, 42.32%, and in each group, respectively. There was no significant difference in the incidence of food impaction among different educational level groups, per capita disposable income groups in different family years, and different times of brushing teeth every day (P 0.05).
3. Food impaction was found in all the patients with food impaction. The incidence of mandibular space impaction was 5.09%, which was higher than that of maxillary space impaction (3.32% (P 0.05). The incidence of posterior space impaction was 6.03%, and that of anterior space impaction was 2.11% (P 0.05). There was no significant difference in the incidence of impaction (P0.05).
4. Logistic regression analysis (alpha = 0.05, alpha = 0.10) showed that after controlling the confounding factors, the eight independent variables were sex, age, education level, family annual disposable income, oral hygiene, daily brushing frequency, whether to visit dentist regularly, whether to chew betel nut, only gender, age, education. Four independent variables of annual per capita disposable income entered the regression equation and were the risk factors of food impaction (regression coefficient b0).
5. Of the 886 respondents with food impaction, only 0.45% sought medical treatment because of food impaction, 99.55% did not seek medical treatment. 79.68% of the respondents with food impaction used toothpicks to remove the impacted food, 11.96% of the respondents with food impaction used other methods, such as brushing teeth, probes, rinsing, hand pulling and so on. Only of respondents who had food impaction were treated with thread and dental brush.
Conclusion:
1. The incidence of food impaction is high and the treatment rate is low in the residents over 15 years old in Hunan Province. People over 40 years old are high-risk groups. The older the population between 15 and 39 years old, the higher the incidence of food impaction.
2. Food impaction occurred in all teeth spaces of residents over 15 years old in Hunan Province. Food impaction in different teeth spaces was left and right symmetrical. Higher than the upper jaw.
3. Residents'gender, age, education level, family economic level, oral hygiene habits and other factors have an impact on the occurrence of food impaction.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R781.2;R181.3
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