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目的了解贵州省毕节市氟中毒综合治理干预病区人群的生命质量状况,分析该病区居民生命质量的影响因素。方法对病区4个乡镇453户共666人进行问卷调查,采用自编量表及生命质量量表(SF-36)评价研究对象综合干预措施实施情况及生命质量状况,生命质量各维度影响因素分析采用多元线性回归分析。结果氟斑牙检出率为84.2%,8～15岁儿童氟斑牙患病率为53.2%,成人氟骨症检出率为32.5%;氟骨症程度对生命质量8个维度均有影响,年龄、2周患病、氟斑牙程度、氟骨症程度、煤火烘烤食物与生命质量呈负相关(P<0.05);受教育程度高、家庭年平均总收入高、改炉改灶以及烟囱出户与生命质量呈正相关(P<0.05)。结论持续实施综合干预措施并建立起长效的管理机制,能够提高人群的健康意识,使病区人群的不良生活习惯得以改变,有助于达到防治地氟病的目标,同时对提高病区人群生命质量具有非常重要的意义。
Objective To understand the quality of life of people living in fluorosis comprehensive management intervention group in Bijie City, Guizhou Province, and to analyze the influencing factors of life quality of residents in this district. Methods A total of 666 persons from 453 households in 4 townships of the ward were surveyed. The self-made scales and quality of life scale (SF-36) were used to evaluate the implementation of comprehensive interventions and the quality of life, Analysis using multiple linear regression analysis. Results The detection rate of dental fluorosis was 84.2%, the prevalence rate of dental fluorosis was 53.2% in children aged 8-15 years and the incidence rate of adult skeletal fluorosis was 32.5%. The degree of skeletal fluorosis affected 8 dimensions of life quality (P <0.05). The education level was high, the annual average total income of the family was high, and the rate of dental fluorosis, degree of skeletal fluorosis, There was a positive correlation between stoves and chimneys at home and quality of life (P <0.05). Conclusions The continuous implementation of comprehensive interventions and the establishment of a long-term management mechanism can improve the health awareness of the population, change the unhealthy habits of the ward and help to achieve the goal of prevention and treatment of endemic fluorosis. At the same time, Quality of life is of great importance.