Departmental Bulletin Paper 高校生の歯と口の健康と自己管理スキルとの関連
Relationship Between High School Students' Dental and Oral Health and Their Self-Management Skills
Relationship Between High School Students' Dental and Oral Health and Their Self-Management Skills

佐久間, 浩美

Description
本研究は,高校生の歯と口の健康に関わる要因と自己管理スキルとの関連を検討することを目的とした。研究の対象は,高等学校1校に在籍する1年生男子147名,女子134名,計281である。調査は2012年5月,記名での自記式質問紙調査で行った。調査内容は,生活習慣,食習慣,歯肉の自己診断,ブラッシング技術,歯科受診行動,歯と口についての知識,セルフエスティーム,ブラッシング行動スキル,自己管理スキルである。また,定期健康診断の時に歯周疾患要注意者(GO)と診断された生徒59名に対して学校歯科医がPMA指数を表し歯肉の状態を評価した。分析は,歯肉炎あり59名と歯肉炎なし177名に分けて行った。研究の結果,歯肉炎は,ブラッシング行動スキルが乏しい,歯肉の自己診断が悪い,歯科受診行動が望ましくない,ことと関連性があった。自己管理スキルと歯肉炎との間には関連がなかった。ブラッシング行動スキルと歯肉炎に負の関連があることから,行動ごとの個別のスキルの方が,一般性の高い認知的スキルより,歯肉炎を防ぐ要因となり得る可能性が示唆された。
The present study aimed to clarify the relationship between the factors relating to high school students’ dental and oral health and their self-management skills. The study comprised a total of 281 first-year students (147 males and 134 females) in a high school. A self-completed questionnaire was administered to the subjects in May 2012. The questionnaire inquired about the subjects’ lifestyles, dietary habits, self-diagnosis of periodontal health, skills in brushing teeth, their state of consultation with a dentist, knowledge regarding the mouth and teeth, self-esteem, brushing habits, and self-management skills. In addition, using the PMA Index, the dentist in charge of the investigated school evaluated the gum condition of 59 students who had been diagnosed as having gingivitis for observation (GO) in a periodic health checkup. Analyses were performed of students with (n=59) and without (n=177) gingivitis separately. As a result, the presence of gingivitis was correlated with poor brushing habits, unfavorable self-diagnoses of gums, and infrequent consultations with a dentist. No correlation was found between self-management skills and gingivitis. The negative correlation between brushing habits and gingivitis suggests that, compared with general cognitive skills, behavior-specific individual skills play a more important role in preventing gingivitis.
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