在日缅甸居民口腔健康状况及口腔保健服务利用情况

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摘要

摘要本研究旨在了解在日缅甸居民的口腔健康状况及口腔保健服务的使用情况。对日本东京的152名年龄在18至67岁的缅甸居民进行了横断面流行病学研究。于2017年6 - 7月进行临床口腔检查及问卷调查。所有参与者的龋患病率为70.4%,平均蛀牙、缺牙和补牙(DMFT)为2.72±2.91。所有参与者的牙周病患病率(社区牙周指数- CPI代码为93.4%)。共有67名参与者(44.1%)有在日本牙科就诊的经历。大多数参与者(84.2%)有日本健康保险,有健康保险的参与者的补牙数量明显高于没有健康保险的参与者(p=0.036)。有健康保险的参与者DMFT (p=0.020)和牙周病患病率(p=0.049)显著低于没有健康保险的参与者。此外,有健康保险的参与者自我感知的口腔健康状况优于没有健康保险的参与者(p=0.001)。健康保险状况对口腔健康状况有影响。为了促进在日缅甸居民的口腔健康,促进他们拥有健康保险,还应该进行口腔健康教育,提高他们的口腔健康知识。
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Oral Health Status and Oral Health Services Utilization of Myanmar Residents in Japan
The purpose of this study was to investigate oral health status and oral health care services utilization among Myanmar residents in Japan. A crosssectional epidemiological study was performed among 152 Myanmar residents aged 18 to 67 years in Tokyo, Japan. Clinical oral examinations and questionnaire surveys were conducted from June to July, 2017. Caries prevalence for all participants was 70.4% with mean decayed, missing, and filled teeth (DMFT) of 2.72±2.91. The prevalence of periodontal disease (Community Periodontal Index - CPI code 1) for all participants was 93.4%. A total of 67 participants (44.1%) had the experience of dental visits in Japan. Most participants (84.2%) had Japanese health insurance, and the participants with health insurance had a significantly higher number of filled teeth than those without (p=0.036). DMFT (p=0.020) and the prevalence of periodontal disease (p=0.049) were significantly lower in participants with health insurance than in those without. Further, self-perceived oral health was better in participants with health insurance than those without (p=0.001). The status of health insurance was indicated to influence on oral health status. In order to promote oral health and facilitate on owning health insurance to Myanmar residents in Japan, oral health education also should be provided to enhance their oral health knowledge.
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