首页|上海市嘉定区老年人牙周健康状况及影响因素分析

上海市嘉定区老年人牙周健康状况及影响因素分析

Analysis of periodontal health status and influencing factors of elderly people in Jiading District of Shanghai

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目的:了解上海市嘉定区65~74岁老年人牙周健康状况及影响因素,为嘉定区老年人牙周预防保健工作提供数据支持.方法:采用多阶段、分层、等容量、随机抽样方法,对常住嘉定区的961名65~74岁老年人进行口腔检查及问卷调查.采用SPSS 22.0软件包对调查结果进行描述统计及多因素logistic回归分析.结果:961名老年入中,牙周袋检出率为58.9%,牙龈探诊出血检出率为85.3%,牙结石和软垢检出率分别为90.5%和88%.平均缺牙数为(6.25±5.94)颗,平均牙龈指数为1.82±0.706,平均牙石指数为1.26±0.632,平均软垢指数为1.17±0.620.单因素分析显示,性别、学历、吸烟、糖尿病、心血管疾病、口腔卫生习惯(刷牙次数、洁牙频率)是嘉定区老年人患牙周炎的危险因素.Logistic回归分析显示,吸烟、糖尿病、口腔卫生习惯(洁牙频率)是嘉定区老年人牙周炎患病的独立危险因素.结论:嘉定区65~74岁老年人牙周健康状况较差,应从多方面、多环节进行综合防治.
PURPOSE:To investigate the periodontal health status and influencing factors of the elderly aged 65-74 years in Jiading District of Shanghai,and to provide data support for periodontal prevention and health care for the elderly in Jiading District.METHODS:A total of 961 elderly people aged 65-74 years old in Jiading District were selected by multi-stage,stratified,equal size and random sampling method,and oral examination and questionnaire survey were con-ducted.SPSS 22.0 software package was used for descriptive statistics and multivariate logistic regression analysis.RESULTS:Among 961 elderly people,the detection rate of periodontal pockets,bleeding on gingival probing,dental cal-culus and debris were 58.9%,85.3%,90.5%and 88%,respectively.The mean number of missing teeth was 6.25±5.94.The average number of gingival index,calculus index and debris index were 1.82±0.706,1.26±0.632,1.17±0.620,respec-tively.The results of univariate analysis showed that gender,education level,smoking,diabetes,cardiovascular disease,oral hygiene habits(frequency of brushing teeth and frequency of cleaning teeth)were risk factors for periodontitis in the elderly in Jiading District.Multivariate logistic regression analysis showed that smoking,diabetes and oral hygiene habits(tooth cleaning frequency)were independent risk factors for periodontitis in the elderly in Jiading District.CONCLU-SIONS:The periodontal health status of the elderly aged 65-74 years in Jiading District is poor,and comprehensive pre-vention and treatment from various aspects and links should be earried out.

Elder peoplePeriodontal healthPrevalenceInfluencing factors

汤玉红、朱倩、武钊、冉幸

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上海市嘉定区牙病防治所,上海 201899

老年人 牙周健康 患病率 影响因素

2024

上海口腔医学
上海交通大学医学院附属第九人民医院

上海口腔医学

CSTPCD
影响因子:0.776
ISSN:1006-7248
年,卷(期):2024.33(6)