口腔保健7要因間の因果関係をもとにした地域レベルでの環境・行動評価の試み  [in Japanese] A Trial of Environmental/Behavioral Assessment Based on the Causal Relationships among Seven Oral Health-related Factors at the Community Level  [in Japanese]

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Abstract

本研究ではプリシードプロシードモデルを基にして得られた因果関係図を使って東広島市(A地域)およびその周辺地域(B地域)住民の口腔保健と地域保健活動について, それらの因果関係も含め視覚的に検討した.前報の因果関係図から「生活の質(QOL)」は「歯科保健行動」ならびに「準備要因」を強化することによって向上することが示唆されている.本研究では, この因果関係をもとに地域(A地域: 保護者620名, B地域: 保護者218名)間の口腔保健7要因の差を分析した(X^2検定).その結果, B地域の保護者の47%が「みがき方の指導を特に受けたことはない」と答えていたのに対し, A地域では26%しかそう答えていないことが最も大きな地域差であった(p<0.01).また, A地域の半数近くの保護者は「役場や保健センターは歯の健康教育に力を入れていると思う」と回答していたが, B地区では27%に過ぎなかった.さらに「強化要因」を構成する全ての項目で地域差が認められた.すなわち, B地域に比べA地域のほうがより強化された保健行動をとっていた.デンタルフロスの使用もA地域のほうが多かった(A地域; 19%, B地域; 13%, p<0.05).「環境」, 「強化要因」の2尺度および「デンタルフロス」以外の他の項目では地域差がほとんどなく有意差は認められなかった.以上の結果から, 口腔保健7要因間の因果関係を重視した今回の地域診断によって, 視覚的にも地域保健の問題点が把握されやすくなった.

The aim of this study was to make an environmental/behavioral assessment at the community level regarding causal relationships among health-related factors in order to make the job of the health professional easier. Guardians of 18-month-old children were asked to complete a questionnaire regarding 7 oral health compo-nents ('environment', 'reinforcing factors', 'enabling factors', 'predisposing factors', 'dental health behavior', 'oral health' and 'Quality of Life (QOL)') on the basis of the PRECEDE-PROCEED model. Figure 1 (causal chain) shows that 'QOL' consisting of 'oral quality of life' and 'physical and appearance conditioning behavior' would be improved by strengthening 'dental health behavior' and/or 'predisposing factors'. In this study, the X^2 test was used to clarify differences between two areas (A-area: 620 guardians, B-area: 218 guardians). Of great significance was a finding that 47% of guardians in B answered that they have never had instructions on tooth brushing by a dental professional, in contrast with 26% of guardians in A (p<0.01). Nearly one half of the guardians in A answered that public sectors were encouraging dental health education for everyone, while 27% of guardians in B answered this way. Significant differences between the two areas were found for all items of 'reinforcing factors', and in each case, more guardians in A reported 'reinforced' behavior than guardians in B. Only a minority reported use of dental floss (A-area; 19%, B-area; 13%, p<0.05). Differences between the two areas' assessment of other items were small or not significant except 'use of dental floss'. These findings suggest that the causal relationships studied are important considerations when planning dental health education or other interventions at the community level.

Journal

  • JOURNAL OF DENTAL HEALTH

    JOURNAL OF DENTAL HEALTH 55(2), 95-99, 2005

    Japanese Society for Oral Health

References:  14

Cited by:  2

Codes

  • NII Article ID (NAID)
    110004015533
  • NII NACSIS-CAT ID (NCID)
    AN00081407
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0023-2831
  • NDL Article ID
    7357589
  • NDL Source Classification
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL Call No.
    Z19-144
  • Data Source
    CJP  CJPref  NDL  NII-ELS  J-STAGE 
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