摘要目的 了解杭州市拱墅区中小学教师口腔健康知信行现状并分析其影响因素,为制订干预措施提供参考依据.方法 采用多阶分层整群随机抽样方法,对杭州市拱墅区的652名中小学教师,利用自制口腔健康知信行问卷进行现场调查.应用卡方检验和多因素非条件Logistic回归分析方法对调查对象的口腔健康知信行现状及影响因素进行分析.结果 收回问卷652份,应答率为100％.剔去无效问卷后,得到合格问卷627份,有效率为96.2％.杭州市拱墅区中小学教师口腔健康知识知晓率为77.1％,口腔健康信念正确率为68.7％,口腔健康行为形成率为46.3％.单因素分析显示,不同年龄(＜30岁为84.4％,30岁～为93.9％,40岁～为89.9％,≥50岁为95.1％)、性别(女性92.5％,男性83.7％)、婚姻情况(已婚92.2％,未婚83.6％,离异92.9％)、月收入(＜3 000元为83.5％,3 000元～为92.1％,≥5 000元为93.5％)、生活状况(很不好60.0％,不大好77.8％,一般91.8％,比较好94.5％,很好84.6％)和吸烟情况(吸烟81.5％,不吸烟91.4％)的中小学教师口腔健康知识合格率差异均有统计学意义(x2=11.48、8.57、8.12、8.46、23.97、4.64,P＜0.05),不同性别(女性87.4％,男性75.6％)的中小学教师口腔健康信念合格率差异有统计学意义(x2=10.65,P＜0.05),不同性别(女性45.1％,男性35.6％)、文化程度(高中及以下52.7％,专科55.0％,大学39.2％,研究生53.3％)和生活状况(很不好50.0％,不大好37.8％,一般39.2％,比较好53.1％,很好53.8％)的中小学教师口腔健康行为合格率差异均有统计学意义(x2=3.95、10.88、10.41,P＜0.05).多因素非条件logistic回归分析结果显示,年龄、性别、生活状况和体育锻炼情况是口腔健康知识合格情况的影响因素;性别和月收入是口腔健康信念合格情况的影响因素;性别、文化程度和体育锻炼是口腔健康行为合格情况的影响凶素.结论 杭州市拱墅区中小学教师口腔健康知识知晓率和口腔健康信念正确率尚可,但口腔健康行为形成率偏低,应进一步加强中小学教师口腔健康宣教.

abstractsObjective To explore the current status and influencing factors of oral health knowledge,attitudes and practice (KAP) among the teachers of primary and secondary schools in Gongshu District of Hangzhou City.Methods A total of 652 teachers of primary and secondary schools were selected by using multi-stage stratified cluster random sampling method and completed a self-designed questionnaire,which included demographic characteristics and oral health KAP.The status and influencing factors of oral health KAP were analyzed by single and multiple-factor analysis methods.Results The questionnaire was completed by all the 652 teachers,627 of whom were qualified (96.2％).The total ratios of oral health knowledge awareness,attitudes correctness and behaviors formation were 77.1％,68.7％ and 46.3％,respectively.There was significant difference of knowledge awareness rate by age,gender,marriage status,monthly income,life status and current cigarette smoking (x2 values were 11.48,8.57,8.12,8.46,23.97 and 4.64,respectively; all P＜0.05).There was significant difference in oral health attitudes correctness rate by gender (x2=10.65,P＜0.05) and behaviors formation rate by gender,education level and life status (x2 values were 3.95,10.88 and 10.41,respectively; all P＜0.05).In logistic regression model,impact factors of oral health knowledge awareness were age,gender,life status and physical exercises; the impact factors of oral health attitudes correctness were gender and monthly income; the impact factors of oral health behaviors formation were gender,level of education and physical exercises.Conclusion The oral health awareness and attitudes correctness are acceptible among the teachers of primary and secondary schools in Gongshu District of Hangzhou City,although the formation rate of oral health behaviors is low.Oral health education should be enforced among the teachers of primary and secondary schools.