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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1 803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 1 803名老年居民DAS得分为(8.38±3.27)分,牙科焦虑发生率为11.8%(212/1 803);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。
Objective To understand the prevalence of dental anxiety among elderly residents in Zhejiang Province and analyze its influencing factors. Methods A total of 1 803 elderly residents from 4 districts and counties of Zhejiang Province from May to August in 2014 were investigated with Chinese-made Coarh’s Dental Anxiety Scale (DAS), and the influencing factors of dental anxiety were analyzed. Results The scores of DAS in 1 803 aged residents were (8.38 ± 3.27) points and the incidence of dental anxiety was 11.8% (212/1 803). The prevalence of dental anxiety was significantly higher in different education level, monthly income, personality and pain tolerance Dental experience, relatives and friends dental experience, self-rated health status of elderly residents were statistically significant differences (P <0.05); multivariate non-conditional logistic regression analysis showed that higher monthly income, relatives and friends dental experience than Poor, self-rated poor health status of elderly residents suffering from dental anxiety risk factors (OR = 4.590,10.787,2.028,1.938); degree of pain tolerance “good ”, “general ” and dental experience Good “, ” General "is a protective factor for elderly residents suffering from dental anxiety (OR = 0.380,0.565,0.266,0.211). Conclusion The prevalence of dental anxiety is lower in elderly residents in Zhejiang province. The monthly income, the degree of pain tolerance, dental experience, dental experience of dental friends and relatives and friends, and self-rated health status are the influencing factors of dental anxiety.