Status and influencing factors of dental anxiety among the elderly in Zhejiang province
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摘要: 目的 了解浙江省老年居民牙科焦虑流行现状并分析其影响因素。方法 于2014年5-8月对浙江省4个区县的1803名老年居民,采用汉化Coarh's牙科焦虑量表(DAS)进行调查,并对牙科焦虑影响因素进行分析。结果 1803名老年居民DAS得分为(8.38±3.27)分,牙科焦虑发生率为11.8%(212/1803);牙科焦虑发生率在不同文化程度、月收入、性格、疼痛耐受程度、看牙经历、亲戚朋友看牙经历、自评健康状况的老年居民间差异均有统计学意义(P<0.05);多因素非条件logistic回归分析结果显示,月收入较高、亲戚朋友看牙经历较差、自评健康状况较差是老年居民患牙科焦虑的危险因素(OR=4.590、10.787、2.028、1.938);疼痛耐受程度"好"、"一般"和看牙经历"好"、"一般"是老年居民患牙科焦虑的保护因素(OR=0.380、0.565、0.266、0.211)。结论 浙江省老年居民牙科焦虑发生率较低,月收入、疼痛耐受程度、看牙经历、亲戚朋友看牙经历和自评健康状况是该人群患牙科焦虑的影响因素。Abstract: Objective To explore the status and influencing factors of dental anxiety(DA)among the elderly in Zhejiang province.Methods Totally 1803 people aged 59-87 years were selected from 4 counties(districts)of Zhejiang province with stratified random cluster sampling and investigated by using the Coarh's Dental Anxiety Scale(DAS) from May to August 2014.The status and influencing factors of DA among the elderly were analyzed with single-factor and multi-factor analysis methods.Results For the elderly,the average DAS score was 8.38±3.27 and the prevalence rate of DA was 11.8%,with significant differences in the prevalence rate among the elderly with different education level,monthly income,personality,pain tolerance,experiences of dental care,comprehension about relatives or friends' dental care,and health condition(P<0.05).The results of logistic regression model showed that the risk factors of DA included high monthly income,knowing painful experiences of their relatives or friends' dental care,and poor health condition and the protective factor were good pain tolerance and good experiences of dental care.Conclusion The prevalence rate of DA is low among the elderly in Zhejiang province.Monthly income,pain tolerance,experiences of dental care,comprehension about relatives or friends' dental care,and health condition are impact factors of DA among the elderly.
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Key words:
- elder person /
- dental anxiety /
- influencing factor /
- cross-sectional study
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