The Analysis Of 12-year-old Children's Oral Health And The Relevant Knowledge, Attitude And Behavior In GuangZhou

Objective:In recent years, chronic non-communicable diseases become a major health problem around the world, in addition to the social environment factors, changes in the way of life around the world are also closely related with changes in disease patterns. Because oral disease prevalence and incidence is particularly high,which is one of the major public health problem. As the focus of oral diseases-dental caries, dental caries as the World Health Organization to cardiovascular disease and cancer is second only to the three major non-communicable diseases.Guangdong Province participated in the three national oral health epidemiological survey, the capital city,Guangzhou, as the inclusion of these three oral health epidemiological survey showed that two oral epidemiological caries, periodontal disease are in high prevalence, people's oral health care knowledge is not enough.12-year-old children is a more important group in the dental caries epidemiological surveys, the World Health Organization (WHO) provides the level of the prevalence of dental caries in 12-year-old DMFT as a measure of standard, so 12-year-old children's oral health has its special significance.Good oral health behavior, can prevent dental caries. Oral health education is a means to promote education initiative to help people to oral health behavior in order to achieve the establishment of their own oral health, and maintain oral health. Since parents are children's access to oral health knowledge, one of the most important ways, the most reasonable way to raise awareness of child health care is so that parents have accurate knowledge of oral health, and then pass on to children.DIfferent level of education of parents on the attitude of children eating sweets and the self-diagnosis of behavior are have significantly different,and the incidence of dental caries there are significant differences.Throughout this stage of the domestic situation, with access to relevant documents, found that 12-year-old children's oral health-reported factor analysis isn't too much, only the oral health status of more cross-sectional Survey reported. Guangzhou,12-year-old specific oral health factors is virtually nonexistent. The Guangzhou City, as the capital city of Guangdong Province, with its economic develop, people's living standards raise, to 12-year-old children the effective factors of oral health of special study in 12-year-old children is necessary.This study selected 12-year-old children in Guangzhou, as the research object, the main focus of dental caries in Guangzhou 12 years and includes basic information, oral health-related KAP and other factors. During one of which special emphasis on analysis of the status of dental caries among the links between its various-factors, focusing on assessment of status characteristics and intervention needs, especially children's oral health behavior as the main factors-the family situation, is this research's key consideration, because it will be the key to prevention education.Participant:Seven hundred and twenty 12-year-old children from the six selected dictricts of Guangchou including Yue-xiu, Hai-zhu, Baiyun, Huadu, Zeng-cheng and Cong-hua, all of whom are attending the primary education in 48 schools. Method:Based on geographical distribution and landscape characteristics, disease surveillance is generally 12 in Guangzhou City is divided into three parts, namely, central city, fringe urban areas and suburban city, the epidemiology of the disease has certain implications. Therefore, this study also here classifications in each category were selected two urban city, a total of six urban areas. The choice four for each city streets, each street selected two schools each, each primary schools of 15 selected in the survey, a total of 720.Application of "The Third National Oral Health Checklist," (12-year-olds) from dentists using the WHO, "Oral Health Surveys Basic Methods," Fourth Edition recommended CPI probe and plane mouth mirror, in accordance with the Third National Oral Health Epidemic investigation on the standard examination of caries examination of dental caries of permanent teeth.Using self-administered questionnaire survey method, applied "Third National Oral Health Survey" (12-year-olds) investigation on the survey to include basic information, oral health behavior, dietary habits, oral health knowledge, oral health attitudes, etc.First independent evaluation of the various pre-factors for caries, and then carrying out multivariate analysis. Then removed from the multivariate analysis of factors that interact with modified analysis to further explore some of the environment, knowledge, attitudes and behavior and so the association. Since the majority of caries disease epidemiology with the economic and cultural areas, the region is further analyzed the characteristics of the various considerations in order to achieve the accuracy of survey analysis and decision support targeted.Software used epidata input, dual input method, and using logic check and double-entry check check correction correction to ensure data accuracy.χ2 test using the single factor analysis, using logistic regression multivariate analysis. In association with a typical correlation time still advanced statistical methods. All the statistical analysis using SPSS13.0 package, test level is 0.05.Result:The survey of 720 children 12 years of age.217 the number of caries, permanent tooth caries was 30.1%, caries were 0.57.Boy caries was 26.4%, girls 33.9%, significantly higher than boys, girls (χ2= 4.809, P=0.028). Urban children's caries was 22.8%, significantly lower than suburban children,52.2%(χ2= 55.588, P= 0.001).Univariate analysis found:Child's caries rate significantly lower than non-only child (χ2=31.350, P= 0.001). The educational level of parents surveyed also affect the prevalence of caries, which the education level of parents of children with high caries was low (χ2=19.593, P=0.001 andχ2=12.523, P=0.006).brushing frequency in two or more children, lower prevalence of dental caries (χ2= 13.635, P=0.001), use of dental floss in children and lower rates of caries (χ2= 5.252, P = 0.022). Consumption of milk/yogurt/milk on caries rate the frequency of impact, the frequency was higher, lower prevalence of dental caries (χ2= 30.031, P=0.001); Heard of fluoride toothpaste for children with lower caries rate (χ2=23.726, P= 0.001). Agree "to prevent dental problems first on their own," the low rate of children suffering from dental caries(χ2= 7.567, P=0.023).Multivariate analysis showed that only a child to drink milk/yogurt/milk of frequency, are heard of fluoride toothpaste and other factors and the incidence of dental caries has a clear link. Non-only child, never heard of fluoride toothpaste is a risk factor for dental caries (P<0.05, and OR> 1), Non-caries child's probability is 1.998 times the only child (95%CI=1.375～2.901), Never heard of fluoride toothpaste is the probability of caries heard of 1.544 times (95%CI= 1.043～2.285). The milk/yogurt/milk high frequency of 12-year-old permanent teeth caries protective factor (P<0.05, and OR<1).Correlation analysis showed that high education level of children their parents brushing and flossing behavior standards are high. Parental education on children's oral health attitudes significantly affected mainly:(1) that the oral examination is necessary; (2) Denied teeth are natural to say good or bad; (3) That the prevention of dental first on their own.The survey also found that a number of urban oral health-related KAP were significantly higher than the suburban counties, significantly higher than the one-child only childConclusion:Children's oral health-related KAP community by the double impact of the environment and family. The former include health beliefs and health behavior in the environment, economic levels and diet, health education, information and communication level, the latter focuses on the families of children with their parents care and guidance of children to improve the level of cognitive behavior related to the key.The closest influence caries factors are related to children and their parents about KAP, even for some of the sociological factors influence positive change for the main body of the children's parents. Such as the child's identity can not be changed, but parents of children if the increase of concern about healthy diet and oral health behavior and guidance, can also reduce the incidence of dental caries. Such as feeding the dairy issue, if the parents in the prevention of dental caries increased cognitive level, the food situation will be improved. Indeed, the study found that parental education level and dental caries and associated factors have more links, which reflect the child from the other side of the oral health-related KAP level of improvement, the key is the parents.The dairy intake and the level of fluoride toothpaste and even use the level of awareness, but also more than just a behavior factor, as studies prove the importance of caries prevention, to advocate moderate consumption of dairy products and the use of fluoride toothpaste.