刘娅, 赖晋锋, 弓瑞琼, 陈建国, 陈映翰, 冷竹红, 张成全, 钟邦海, 叶运莉. 地氟病区中学生氟斑牙患病现状及其与心理健康的关系[J]. 环境与职业医学, 2014, 31(8): 591-595. DOI: 10.13213/j.cnki.jeom.2014.0138
引用本文: 刘娅, 赖晋锋, 弓瑞琼, 陈建国, 陈映翰, 冷竹红, 张成全, 钟邦海, 叶运莉. 地氟病区中学生氟斑牙患病现状及其与心理健康的关系[J]. 环境与职业医学, 2014, 31(8): 591-595. DOI: 10.13213/j.cnki.jeom.2014.0138
LIU Ya , LAI Jin-feng , GONG Rui-qiong , CHEN Jian-guo , CHEN Ying-han , LENG Zhu-hong , ZHANG Cheng-quan , ZHONG Bang-hai , YE Yun-li . Association between Dental Fluorosis and Mental Health of Middle School Students in an Endemic Area of Coal Burning Induced Fluorosis[J]. Journal of Environmental and Occupational Medicine, 2014, 31(8): 591-595. DOI: 10.13213/j.cnki.jeom.2014.0138
Citation: LIU Ya , LAI Jin-feng , GONG Rui-qiong , CHEN Jian-guo , CHEN Ying-han , LENG Zhu-hong , ZHANG Cheng-quan , ZHONG Bang-hai , YE Yun-li . Association between Dental Fluorosis and Mental Health of Middle School Students in an Endemic Area of Coal Burning Induced Fluorosis[J]. Journal of Environmental and Occupational Medicine, 2014, 31(8): 591-595. DOI: 10.13213/j.cnki.jeom.2014.0138

地氟病区中学生氟斑牙患病现状及其与心理健康的关系

Association between Dental Fluorosis and Mental Health of Middle School Students in an Endemic Area of Coal Burning Induced Fluorosis

  • 摘要: 目的 分析地氟病区氟斑牙与中学生心理健康的相关性,为制定心理疏导对策提供依据。

    方法 采取分层整群随机抽样的方法对古蔺县2 385 名初中和高中生进行氟斑牙临床诊断(氟斑牙组、正常组和可疑组共3 组)和自我判断(氟斑牙组、正常组和不知道组共3 组),并采用中国中学生心理健康量表(MMHI-60)进行问卷调查。

    结果 临床诊断中学生氟斑牙检出率为59.8%,学生自我判断氟斑牙患病率为11.9%;氟斑牙自我判断与临床诊断结果的一致性较低(Kappa=0.141,P< 0.001)。临床诊断结果显示,心理健康总均分及各维度均分在3 组之间的差异均无统计学意义(P> 0.05);自我判断结果显示,除学习压力维度外,心理健康总均分及其余9 个维度均分在3 组之间的差异均有统计学意义(P< 0.05)。

    结论 自我判断氟斑牙患病程度与其心理健康水平(除学习压力维度外)有关联,建议当地政府将地氟病的早期健康教育纳入议事日程,且应在氟斑牙相关危害性宣传中关注中学生的心理影响。

     

    Abstract: Objective To analyze the association between dental fluorosis and mental health of middle school students in an endemic area of coal burning induced fluorosis, and to provide reference for making strategies for mental counseling.

    Methods A total of 2 385 junior and senior high school students in Gulin County were chosen by stratified cluster random sampling method to receive clinical diagnosis (dental fluorosis, normal, and suspect) and self-evaluation (dental fluorosis, normal, and unknown). The students also completed a questionnaire using Mental Health Inventory of Middle-School Students (MMHI-60).

    Results The positive rate of dental fluorosis in the selected middle school students was 59.8% according to clinical diagnosis and 11.9% according to self-evaluation, indicating a low consistency (Kappa=0.141, P< 0.001). Based on the clinical diagnosis results, the differences in the total score and each dimension's score of mental health were not significant among the three groups (P> 0.05). Based on self-evaluation results, the differences in the total score and each dimension's score, except for academic pressure, were significant among the three groups (P< 0.05).

    Conclusion Self-evaluation on dental fluorosis among middle school students reveals an association with mental health (except for academic pressure). The local government should include early health education programs of fluorosis into agenda and pay attention to possible mental effects in education programs on dental fluorosis.

     

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