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. 2019 Nov 9;54(11):721-726.
doi: 10.3760/cma.j.issn.1002-0098.2019.11.001.

[Prevention and control of oral diseases via "Common Risk Factor Approach"]

[Article in Chinese]
Affiliations

[Prevention and control of oral diseases via "Common Risk Factor Approach"]

[Article in Chinese]
X J Zeng et al. Zhonghua Kou Qiang Yi Xue Za Zhi. .

Abstract

People are generally more aware of infectious diseases, cardiovascular diseases, trauma and other fatal diseases rather than oral diseases. In fact, the oral disease as a whole is ranked the third among the chronic diseases of human beings. There have been accumulating evidences that oral health plays a significant role in general health and quality of life. There is a wide recognition that oral health shares common risky/pathogenic factors with other Non-Communicable Diseases (NCD). Oral microorganisms may cause dental caries and periodontal diseases, and they may also cause atherosclerosis and heart diseases, thus these usually end up to chronic diseases. On the other hand, unhealthy diet, physical inactivity, tobacco and alcohol consumption, psychological stress, poor sanitation, accidents and a sedentary lifestyle contribute to both oral diseases and a number of general chronic diseases. Oral health cannot be dealt with in isolation from other health issues. That is why the WHO recommended the "Common Risk Factor Approach (CRFA)" for oral health promotion. In this article, the authors give essential interpretation of CRFA and make suggestions on preventing and controlling oral diseases via CRFA.

相对于传染病、心血管疾病、外伤等致命性疾病,社会对口腔疾病的防控关注度明显不足。而事实上,科学研究表明,口腔疾病对社会所造成的疾病负担在过去几十年里一直位居所有慢性病的前列。研究还表明,口腔疾病与全身疾病关系密切,存在共同的致病因子,如口腔里的微生物可以导致龋病和牙周病,也可以引起动脉粥样硬化和心血管疾病;同时,一些不良的生活方式,如过多糖的消耗、吸烟、饮酒、外伤、心理压力、卫生条件差和缺乏运动是口腔疾病和糖尿病、心血管疾病、癌症等慢性病的共同危险因素。鉴于此,世界卫生组织提出"共同危险因素策略"作为口腔疾病的防控策略之一。本文对共同危险因素策略进行解读,提出以共同危险因素策略为指导、适当调整我国口腔疾病的防控策略,并对口腔健康教育内容以及实施方式提出建议,以期引起社会各界及口腔同行对当前的口腔疾病防控策略有更多的关注与思考。.

Keywords: Chronic diseases; Common risk factor approach; Oral diseases; Risk factors.

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