Full
Outline
To investigate the current status of oral health knowledge, attitudes and practices (KAP) of middle-aged and elderly populations in Guizhou Province, to identify their influencing factors, and to provide a reference basis for oral health promotion strategies among middle-aged and elderly populations.
A multistage stratified cluster random sampling method was employed to select 2 040 middle-aged people aged 35-44 years and 2 023 elderly people aged 65-74 years. The χ2 test and non-parametric test were used to analyse status of oral health KAP. The Spearman test was used to assess their correlations, while a negative binomial regression model was applied to examine associated factors.
Levels of knowledge and attitudes were lower than the national average, and the frequency of consuming sweets was lower than the national average. Knowledge was positively correlated with attitudes and oral hygiene practices (r=0.511, r=0.174), and attitudes were positively correlated with oral hygiene practices (r=0.140). After adjustment for multiple variables, gender, age, economic region, education, and type of health insurance were identified as significant factors influencing knowledge and positive attitudes. Dietary behaviour scores were associated with females (OR=1.015, 95% CI: 1.002-1.028), those aged 65-74 (OR=1.038, 95% CI: 1.024-1.052), those with ≤9 years of education (OR=1.099, 95% CI: 1.052-1.149), and rural residents (OR=1.051, 95% CI: 1.028-1.075), while negatively associated with residents in Category III regions (OR=0.971, 95% CI: 0.944-0.998). Oral hygiene behaviour scores showed a positive association with female gender (OR=1.087, 95% CI: 1.056-1.119) and Category III regions (OR=1.080, 95% CI: 1.012-1.152), and a negative association with those aged 65-74 (OR=0.930, 95% CI: 0.902-0.959), rural residents (OR=0.929, 95% CI: 0.879-0.981), and residents with basic medical insurance (OR=0.852, 95% CI: 0.816-0.890).
The level of oral health knowledge, attitudes and practices of the middle-aged and elderly populations in Guizhou Province has distinctive characteristics. Strengthening age-appropriate health education and optimizing oral disease insurance policies are essential to promote the effective translation of knowledge and attitudes into positive health practices among middle-aged and elderly populations.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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