職域における口腔健康教育の効果および歯科保健意識と行動変容因子との関連性の検討 Relationships of Dental Factors for Behavior Change with the Effects of an Intervention Program in the Workplace and Consciousness of the Oral Health of Workers

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産業歯科健診に,口腔健康教育の効果および歯科保健意識と行動変容因子との関連性を検討した.事業所従業員208名に対し,口腔内診査後,歯肉辺縁部清掃技術,歯間部清掃用器其の使用法の指導,定期管理受診の説明を行い,介入前,直後,1ヵ月後,1年後に質問紙による調査を行った.歯肉近縁部を磨く認識のある者の割合は,介入1ヵ月後,1年後は,それぞれ,55,62%であり,介入前の35%と比較して有意に増加した.歯間部清掃用器其の使用割合は,介入1ヵ月後,1年後は,それぞれ,40,31%であり,介人前の24%と比較して,1ヵ月後には有意に増加したが,1年後では有意差は認められなかった.介入直後,歯科医院での定期管理受診希望者は87%であったが,1ヵ月後,定期管理受診者は15%であった.ロジスティック解析の結果,歯肉近縁部を磨く行動と歯肉近縁部を磨くという行動変容の定着には汁その部位を確実に磨く」という自信の因子が単独で関連した.歯間部清掃用器具を用いる行動では,「むし歯を予防できると思う」,「爽快感が感じられる」,「歯間ブラシ人手容易」が単独で関連した.口腔保健教育の目的とする行動変容の程度,それぞれの行動に影響を及ぼす要因について違いがみられた.このことから,変容を期待するそれぞれの行動に対する効果的な教育・指導内容を用いて,介入を行う必要性が示唆された.

The aim of the present study was to investigate the relationship of dental factors for behavior change with the effects of an intervention program in the workplace and consciousness of the oral health of workers. Following completion of oral health examinations for 208 workers by dentists, dental hygienists provided oral hygiene instruction consisting of tooth brushing skills in marginal areas, use of inter-dental brushes and recommendation of periodic dental visits. To evaluate the effects of the oral health program, subjects were surveyed with questionnaires prior to and immediately after, one month after and one year after intervention. Subjects aware of the skills pertaining to tooth brushing in marginal areas increased significantly at one month (55%) and at one year (62%) after intervention in comparison with the baseline level (35%). Subjects employing an inter-dental brush increased significantly at one month (40%) after intervention compared with the baseline level (24%). However, the increase was not significant at one year after intervention (31%). 87% of subjects expressed willingness with respect to periodic dental visits immediately after intervention ; however, at one month after intervention, only 15% of respondents favored periodic dental visits. Logistic regression analysis revealed that confidence with respect to brushing in marginal areas was a significant independent predictor of both behavioral factors for tooth brushing in marginal areas and establishment of behavior change of the brushing method. Belief of caries prevention and awareness of refreshment realized through the use of an inter-dental brush and environment in terms of the ease of its acquisition were significant independent predictors of utilization of the inter-dental brush. These results indicated that factors and the extent to which they affected oral health behavior differed according to the objects of behavior. Furthermore, these findings suggested that expected behavior relating to oral health could be observed in the workplace by the selection of appropriate factors for each object of behavior.

収録刊行物

  • 口腔衛生学会雑誌

    口腔衛生学会雑誌 54(2), 122-131, 2004

    一般社団法人 口腔衛生学会

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各種コード

  • NII論文ID(NAID)
    110004018029
  • NII書誌ID(NCID)
    AN00081407
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    0023-2831
  • データ提供元
    CJP書誌  CJP引用  NII-ELS  J-STAGE 
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