Change in Conditions Affecting the Regional Spread of School-based Fluoride Mouth Rinsing : Study on the Role of National Policy

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  • TAURA Katsuhiko
    Division of Preventive Dentistry, Tohoku University Hospital
  • AIDA Jun
    Division of International and Community Oral Health, Department of Oral Health and Development, Tohoku University Graduated School
  • ANDOU Yuichi
    Department of Oral Health, National Institute of Public Health
  • HARESAKU Satoru
    Preventive & Public Health Dentistry, Department of Public Health & Human Sciences, Fukuoka Dental College
  • TAGUCHI Chieko
    Department of Community Oral Health, Nihon University School of Dentistry at Matsudo
  • KIMOTO Kazunari
    Division of Oral Health, Department of Health Science, Kanagawa Dental College
  • YOSHIHARA Akihiro
    Division of Preventive Dentistry, Department of Oral Health Science,Graduate School of Medical and Dental Sciences, Niigata University
  • TSUTSUI Akihito
    Preventive & Public Health Dentistry, Department of Public Health & Human Sciences, Fukuoka Dental College
  • MAKI Yoshinobu
    Department of Hygiene and Community Dentistry, Tokyo Dental College
  • ARAKAWA Hirohisa
    Division of Oral Health, Department of Health Science, Kanagawa Dental College
  • IIJIMA Youichi
    Department of Oral Health, Nagasaki University Graduate School of Biomedical Sciences
  • ISOZAKI Atsunori
    Department of Community Oral Health, Oral Infections and Oral Science, Asahi University School of Dentistry
  • KOBAYASHI Seigo
    Department of Community Oral Health, Nihon University School of Dentistry at Matsudo
  • KOSEKI Takeyoshi
    Division of Preventive Dentistry, Department of Oral Health and Development Science, Tohoku University Graduate School of Dentistry

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Other Title
  • フッ化物洗口の都道府県別にみた普及の推移 : 国の政策が果たした役割の検討
  • フッカブツ センコウ ノ トドウフケン ベツ ニ ミタ フキュウ ノ スイイ クニ ノ セイサク ガ ハタシタ ヤクワリ ノ ケントウ

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Abstract

In January 2003, the Ministry of Health, Labour and Welfare notified the prefectural governors of the guideline on fluoride mouth-rinsing, including a recommendation that a school-based fluoride mouth-rinsing program be implemented to prevent and control dental caries in children. "Health Japan 21", a set of objectives for health promotion in the period 2001-2010, including the target of dental health, and the "8020 Movement," a special program to help people to keep 20 or more of their own teeth until the age of 80, had been developed before notification of this guideline. We examined how these national policies have impacted the spread of the school-based fluoride mouth-rinsing program among prefectures. A total of 674,141 children participated in the program in the 2008 survey, and about one-fourth of the prefectures have increased the rate of school-based fluoride mouth rinsing since the implementation of these strategies. Multilevel analysis was applied using the survey year as level 1 and prefectural variation as level 2 based on the rate of prefectural school-based fluoride mouth rinsing from 1994 to 2008 as an objective variable, and significant differences were recognized between the years investigated and among the prefectures. There was a yearly increase in the execution rate of 0.48% on average prior to notification of the guideline on fluoride mouth rinsing and an estimated additional 1.31% increase per year after the notification. Therefore, it was suggested that the guideline for fluoride mouth rinsing had a significant impact on the spread of school-based fluoride mouth rinsing, and it was concluded that the national policy played an important role in the promotion of dental health.

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