依類型 族群 主題   
 
 
2001.06.01 ~ 2002.06.01
屏東縣居民口腔保健及牙科就醫行為之探討
族群: 跨族群  
主題: 學術研究、醫療保健  
作者 方淑娜
學校系所 高雄醫學大學口腔衛生科學研究所碩士在職專班
地點 屏東縣 全部    
研究內容

[ 摘要 ]

中文摘要

本研究之目的探討屏東縣年滿十八歲以上成年人口腔保健及牙科就醫行為,利用問卷調查方式獲得樣本數共730人(非原住民423人、原住民307人),進而分析了解居民基本資料、口腔保健行為、牙科就醫行為之需求及影響相關因素等,口腔保健調查結果發現:一天刷牙次數以早、晚兩次為最多(64.45﹪),三餐飯後、吃東西後均有刷牙漱口者只佔10.64﹪,其中女性及年齡層18-34歲者比較注重口腔清潔,老年人一天刷牙次數深受長年習慣之影響,有無嚼食檳榔、吸菸者與一天刷牙次數統計上有顯著性的差異。刷牙有超過三分鐘者以女性比男性居多,進食後有漱口者年齡層以65歲以上居多(因為老人無牙及裝假牙居多)。常吃含糖點心及零食者,刷牙經常有超過三分鐘佔72.49﹪,自覺身體健康狀況「好者」口腔清潔較好,如果從小養成刷牙、漱口習慣,那麼口腔健康狀況則可大幅改變。使用其他工具清潔口腔以牙籤最多(60.12﹪),其次使用牙線(30.30﹪),對於使用齒間牙刷及電動牙刷因推動不普遍,所以使用率低,教育程度及職業類別與使用其他工具清潔牙齒有顯著性相關。居民常使用刷牙方法以橫擦法居多(66.44﹪),雖然牙醫界近年來積極推動教導貝式刷牙法,但使用率不高只佔28.54﹪,年齡層以18-34歲使用居多;教育程度、職業類別及一天刷牙次數與最常使用刷牙方式,統計上有顯著性相關。針對需加強口腔保健知識需求率佔79.02﹪,其年齡層18-34歲者希望從郵寄資料、傳播媒體得知者居多,而年齡較高者及原住民比較希望從社區講座得知,至於期望獲得的口腔保健知識主題以「牙齒保健」為多,口腔癌自我檢查及牙周病預防次之。有關自覺牙齒健康狀況「好」或「不好」與吃飲食、飲料有相關。

民眾對牙科就醫行為偏低,有定期看牙者只佔19.32﹪,沒看牙科的原因大部分是牙齒很好從沒牙痛,原住民區比非原住民區不看牙的原因是因醫療資源缺乏、交通不便,有無嚼食檳榔、吸菸與一年內有看牙次數統計上有顯性差異。研究調查顯示一年內有看過三次以上牙醫者,以牙齒不舒服才就醫者佔最多,定期檢查習慣者佔22.79﹪,一年內有看牙醫者在教育程度以專科以上比國小以下者較高,自覺身體、牙齒健康狀況與有定期檢查習慣者統計上有顯著性的差異。有此可見居民對定期看牙醫的觀念十分薄弱,只有在牙齒不舒服時才就醫,因此對屏東縣居民在衛生教育上必要加強口腔保健之觀念。

關鍵字:1.口腔保健2.牙科就醫行為3.刷牙方法



[ 英文摘要 ]

Abstract

To investigate the oral health care and dental visit behavior, we studied 730 adult subjects (including 307 aboriginals and 423 non-aboriginals) by questionnaires in Ping-Tung County stratified cluster sampling design with selection probability proportional to size was designed for this study. The clinical characteristics, oral methods, needs for dental clinics and oral health care behavior were collected through guestionnaire. The results revealed that most residents brushed their teeth twice daily (64.45%), and only 77 subjects (10.6%) brushed their teeth after each meal. Women in the age group of 18-34 years old paid more attention to oral hygiene. There were significant difference in teeth-brushing frequency between betel quid chewers and non-chewers, and between smokers and non-smokers. Non-betel quid chewers and non-smokers brushed their teeth more frequently than the respective controls. The most teeth cleaning utensils used in the study subjects other than toothbrush were teeth picks (60.12%) followed by dental floss (30.30). Auto toothbrush was rarely used. The most prevalent tooth brushing procedure used was horizontal brushing method (66.44%, and two hundred and twenty-one subjects (28.5%) used Bas method in spite of the aggressive promotion by the dental society. There are significant relations among educational level, occupation, daily toothbrush frequency, and tooth brushing method. One hundred and forty-one subjects (19.32%) had regular dental treatment. The tooth brushing frequencies of aboriginals were less frequently than that of non-aboriginals. The differences may be due to medical resource insufficiency and less accessibility. Only 22.79% of the participants had regular dental treatments habits. Most of the people had 3 or more treatments when they felt teeth uncomfortable. Self-recognition of physical and dental health situations were statistically significant related to regular dental treatments habit. Accordingly, the participants lacked of regular dental treatment concepts. They went to dental clinic in only when they felt uncomfortable. Hence, the oral prevention concepts and methods should be emphasized in the public dental health educations for the residents of Ping-Tung County.

Keywords: oral health care, dental visit behavior, tooth brushing methods