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Oral health of individuals aged 3-80 years in Jönköping, Sweden, during 40 years (1973-2013): I. Review of findings on oral care habits and knowledge of oral health
The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden;Malmö University, Faculty of Odontology, Malmö, Sweden. (Jönköpingsstudien 2013)
The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden. (Jönköpingsstudien 2013)
The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden. (Jönköpingsstudien 2013)
The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden. (Jönköpingsstudien 2013)
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2015 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 39, no 2, 57-68 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the this study was to present data on oral care habits and knowledge of oral health in 2013, and to compare these data with results from a series of four previous cross-sectional epidemiological studies. All these studies were carried out in the city of Jönköping, Sweden, in 1973, 1983, 1993, 2003, and 2013. The 1973 study constituted a random sample of 1,000 individuals evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. The same age groups with addition of a group of 80-year-olds were included in the 1983, 1993, 2003, and 2013 studies, which comprised 1,104; 1,078; 987; and 1,010 individuals, respectively.

A questionnaire about dental care habits and knowledge of oral health was used. The questionnaire contained the same questions in all the five studies, although some had to be slightly modernised during the 40-year period.

During the period 1973–2013, a continous increase of individuals in the age group 20–60 years were treated by the Public Dental Service amounting to about 50%. Almost 70% of the 70- and 80-year-olds were treated by private practitioners. In 2013, 10–20% of the individuals in the age groups 30–40 years did not regularly visit neither Public Dental Service nor a private practitioner. The corresponding figures for the individuals 50–80 years old were 4–7%. Similar number of avoidance was reported in the previous studies.

In the survey 2013, about 20–30% of the individuals in the age groups 20–50 felt frightened, sick, or ill at ease at the prospect of an appointment with the dentist. These findings were in agreement with the results from the surveys 1973–2003. Among the younger age groups, 10–15 years, a reduction in self-reported "ill at ease" was found in the surveys 2003 and 2013 compared to the previous surveys in this series.

In 2013, the knowledge of the etiology of caries was known by about 60% of the individuals which was similar to that reported 1973–2003. Twenty per cent of the individuals stated that they did not know which etiological factors that causes caries. This percentage was equivalent during the period 1973–2013. About 85% of the individuals in all age groups brushed their teeth with fluoride tooth paste at least two times a day. These frequencies have gradually increased during the 40-year period.

Around 40% in the age groups 50–80 years used toothpicks regularly in 2013. This is a about 1/3–1/2 less compared to 2003. In the age groups 20–40 years 3–14% used toothpicks for proximal cleaning in 2013.

In 2013, about 35% of the individuals never consumed soft drinks, in comparison with 20% in 2003. In the age groups 3–20 years about 20% were consuming soft drinks every day or several times a week, which is a reduction by half compared to 2013

Abstract [sv]

Syftet med denna studie var att jämföra munvårdsvanor och kunskap om munhälsa i en serie av fem epidemiologiska tvärsnittsundersökningar. Dessa utfördes i Jönköpings stad 1973, 1983, 1993, 2003 och 2013. Undersökningen 1973 bestod av ett slumpvis urval av 1000 individer jämnt fördelade i åldersgrupperna 3, 5, 10, 15, 20, 30, 40, 50, 60 och 70 år. Samma åldersgrupper med tillägg av åldersgruppen 80 år inkluderades i undersökningarna 1983, 1993, 2003 och 2013 som totalt bestod av 1104, 1078, 987 respektive 1010 individer.

Ett frågeformulär om munvårdsvanor och kunskap om munhälsa användes. Formuläret innehöll samma frågor i alla fem delstudierna, men en del av frågorna hade moderniserats något under 40-årsperioden.

Under 1973 – 2013 sågs en fortgående ökning av individer i åldersgrupperna 20 – 60 år som behandlades inom den offentliga tandvården. Nästan 70 % av 70- och 80-åringarna behandlades inom privattandvården. Tio till tjugo procent av 30- och 40-åringarna gick inte regelbundet till tandvården 2013. Motsvarande siffror för 50 - 80-åringar var 4 – 7 %. Liknande tandvårdsundvikande beteende sågs även i de tidigare studierna.

I undersökningen 2013 upplevde 20 – 30 % av 20 – 50-åringarna rädsla, illamående eller obehag inför tandläkarbesök. Dessa fynd överensstämmer med resultaten 1973 – 2003. I de yngre åldersgrupperna 10 – 15-åringar sågs en minskning av självrapporterad känsla av obehag inför tandläkarbesök i undersökningarna 2003 och 2013 jämfört med tidigare.

Kunskap om kariesetiologi var god hos ungefär 60 % av individerna 2013, liknande resultaten från undersökningarna 1973 – 2003. Tjugo procent uppgav att de inte visste vilka faktorer som orsakar karies och detta var oförändrat 1973 – 2013. Ungefär 85 % i alla åldersgrupper borstade sina tänder med fluortandkräm två gånger dagligen. Denna frekvens har ökat gradvis över 40 år.

Omkring 40 % i åldersgrupperna 50 – 80 år använde tandsticka regelbundet 2013. Detta är en minskning med 1/3–1/2 jämfört med 2003. 2013 använde 3 – 14 % av 20 – 40-åringarna tandsticka regelbundet för approximal rengöring.

Ungefär 20 % av individerna drack aldrig läsk 2003 och 2013 var motsvarande siffra 35 %. Denna förändring var mest uttalad i de yngsta och de äldsta åldersgrupperna. 2013 drack ungefär 20 % av individerna läsk dagligen eller flera gånger i veckan vilket var en halvering jämfört med 2003.

Place, publisher, year, edition, pages
2015. Vol. 39, no 2, 57-68 p.
Keyword [en]
Epidemiology, oral health survey, knowledge of oral health, dental care habits
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-27702Scopus ID: 2-s2.0-84937910242Local ID: HHJADULTIS, HHJOralISOAI: oai:DiVA.org:hj-27702DiVA: diva2:845852
Funder
Medical Research Council of Southeast Sweden (FORSS)
Available from: 2015-08-13 Created: 2015-08-13 Last updated: 2015-10-28Bibliographically approved

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