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2021, vol. 68, br. 1, str. 7-18
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Oralno zdravlje mladih u Srbiji - kliničke i nekliničke determinante kod studenata osnovnih studija u Beogradu
Oral health status of young adults in Serbia: Clinical and non-clinical assessment of undergraduate students in Belgrade
Projekat: 451-02-266/2011-05
Ključne reči: status oralnog zdravlja; kvalitet života povezan sa oralnim zdravljem; studenti
Keywords: oral health status; oral health related quality of life; students; Belgrade
Sažetak
Uvod U Srbiji je malo informacija o statusu oralnog zdravlja (OZ) mladih od 19 do 26 godina. Ova studija imala je za cilj da istraži trendove u statusu OZ-a i kvalitetu života povezanom sa oralnim zdravljem (KŽPsOZ) u populaciji studenata osnovnih studija u 2012. godini u Beogradu. Materijal i metode Studija je obuhvatila ukupno 699 studenata sa različitih fakulteta kod kojih je analiziran status zuba. Njih 530 je uzelo učešće u anketi o oralnom zdravlju, a kod 275 je evaluiran parodontalni status. Anketni upitnik sastojao se iz šest odeljaka - osnovnih ličnih informacija, sociodemografskih podataka, oralnozdravstvenih navika i korišćenja stomatološke službe, faktora rizika, samoprocene OZ-a i KŽPsOZ-a. Klinička procena izvršena je korišc'enjem prosečnog karijes indeksa (KIP); gingivalnog indeksa; nivoa pripojnog epitela; parodontalnog i plak indeksa. Procena KŽPsOZ-a sprovedena je kroz primenu modifikovanog OHIP-14 instrumenta. Rezultati Vrednost KIP-a ispitivane populacije iznosila je 10,24. Kod studenata iz Istočne i Južne Srbije ove vrednosti su bile nešto manje (KIP = 8,69), kao i kod grupacije fakulteta tehničkih nauka (KIP = 8,84), kod onih čija majka poseduje fakultetsku diplomu (KIP = 9,33), odnosno onih koji svoje OZ-e smatraju zadovoljavajućim (KIP = 8,94). Značajno niža vrednost KŽPsOZ-a uočena je kod studenata sa zadovoljavajućom procenom OZ-a (KIP = 9,48). Procena zdravlja potpornog aparata zuba nije pokazala značajne razlike u vrednostima analiziranih indeksa. Zaključak Vrednost KIP-a u populaciji mladih u Beogradu bila je manja u periodu između 1987. i 2012. godine (sa 12,5 na 10,4). Samoprocena OZ-a značajno korelira sa vrednostima KIP-a i KŽPsOZ-om.
Abstract
Introduction Since 1987, there has been little information on oral health (OH) status of young adults aged 19 to 26 in Serbia. This study aimed to investigate the trends in OH status and OH-related quality of life (OHRQoL) of undergraduate student population in Belgrade in 2012. Materials and methods The study included a total of 699 students of different study fields who underwent a dental examination, with 530 of them agreeing to an assisted survey and 275 forgoing a periodontal assessment. The survey consisted of six sections - basic information, socio-demographic data, oral healthcare use and habits, risk factors, OH self-assessment and OHRQoL. Clinical assessment was performed using the Decayed, Missing, Filled teeth (DMFT) index; Gingival Index; Clinical Attachment Level; Community Periodontal Index, and Plaque index. OHRQoL was evaluated through a modified OH Impact Profile (OHIP-14). Results The mean DMFT of the examined population was 10.24 (standard deviation [SD] 5.33). Students from East and South Serbia (DMFT=8.69 [SD=4.93]), technical study field (DMFT=8.84 [SD=4.94]), with mother's having a university degree (DMFT=9.33 [SD=5.15]) and with satisfactory OH (DMFT=8.94 [SD=4.76]) were all significantly associated with lower DMFT. A significantly lower OHRQoL score was observed in students with satisfactory self-reported OH (Score=9.48 [SD=1.44]). The periodontal assessment showed no significant differences across all values of observed indexes. Conclusion The mean DMFT of Belgrade's young adults' population has decreased from 1987 to 2012 from 12.5 to 10.4. Self-reported OH is significantly associated with both the DMFT values and OHRQoL.
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