Abstract: Background　Oral health service is an important part of community health services.It is vital to study the demand and utilization of community oral health service，in order to rationally allocate oral health service resources and solve the contradiction between supply and demand of oral health services.Objective　To investigate oral healthcare-seeking behaviors，demands and utilization of oral health services in Pudong New Area residents.Methods　In May 2017，we conducted a face-to-face survey in a convenience sample of permanent residents from 45 communities in Pudong New Area with a self-administered questionnaire consisting of general demographic information，oral healthcare-seeking behaviors（occurrence of oral problems，and corresponding interventions，selected medical institutions for oral diseases，purpose of oral disease treatment），utilization of community oral heath services （reasons for choosing community stomatology department，satisfaction with the community stomatology department，and demanded community stomatology services）．Results　A total of 905 cases participated in the survey.All of them returned responsive questionnaires，obtaining a response rate of 100.0%.Among them，70.5% （638/905） experienced a toothache before，33.3% （301/905） often had at least one of the problems of toothache，gingival bleeding，loose teeth，missing teeth，and misaligned teeth.When having an oral problem，65.1% （585/899） of them visited the doctor，17.2% （155/899） self-medicated，but 16.0% （144/899） did not take any interventions.The way for dealing with oral problems differed significantly by age and medical expense payment form（P<0.05）．In terms of the institutions chosen for oral healthcare，49.7% （447/900） visited community stomatology department，25.9% （233/900） visited stomatological hospital，and 22.4% （202/900） visited stomatology department of a general hospital.The institution selected for oral healthcare varied significantly by age，average monthly income，and medical expense payment form（P<0.05）．83.7% （735/878） of the residents had ever received services from the community stomatology department.The percentage of needing and badly needing oral hygiene health education was highest，reaching 92.0% （833/905）．The demanded community oral health services changed obviously according to age （P<0.05）．Conclusion　Oral healthcare-seeking behaviors in Pudong New Area residents were not good.And the demand for oral health services differed substantially by age，average monthly income and medical expense payment form.Therefore，the supply of community-based oral health services should be demand-oriented，by which the utilization rate of such services can be improved，and a virtuous circle of “need-demand-utilization” can be realized.

Key words: Oral health, Community health services, Hospitalize behavior, Health Resources, Shanghai

摘要： 背景　口腔卫生服务是社区卫生服务的重要组成部分，研究社区居民口腔卫生服务的需要、需求及其利用情况，对于合理配置口腔卫生服务资源和解决口腔卫生服务供需矛盾具有重要意义。目的　了解上海市浦东新区社区居民的口腔问题就诊行为，以及其对社区口腔卫生服务的需求及使用现况。方法　2017年5月，采用便利抽样法抽取上海市浦东新区下辖的45个社区的常住居民进行面对面问卷调查，问卷由居民自填作答。调查问卷包括一般人口学资料，居民针对口腔疾病的就诊行为调查表（包括居民口腔问题发生情况、针对口腔问题的应对措施、针对口腔疾病的就诊机构选择、针对口腔疾病的就诊目的），居民对社区卫生服务中心口腔科（简称社区口腔科）的利用情况调查表（包括居民选择社区口腔科就诊的原因、居民对社区口腔科的满意度、居民对社区口腔科服务项目的需求情况）。结果　共发放调查问卷905份，回收有效问卷905份，有效回收率100.0%。905名浦东新区居民中，70.5%（638/905）居民曾有过“牙疼”经历，33.3%（301/905）居民“时常”发生以上症状。出现口腔问题后，65.1%（585/899）居民选择“就医治疗”，17.2%（155/899）居民选择“服药”，16.0%（144/899）居民选择“不理会”。不同年龄、医疗费用支付方式居民针对口腔疾病应对措施选择情况比较，差异有统计学意义（P<0.05）。居民针对口腔疾病选择就诊机构时，49.7%（447/900）选择到“社区口腔科”就医，其余依次为25.9%（233/900）和22.4%（202/900）的居民分别选择“口腔专科医院”和“综合医院口腔科”就诊。不同年龄、月收入、医疗费用支付方式居民针对口腔疾病的就诊机构选择情况比较，差异有统计学意义（P<0.05）。83.7%（735/878）居民曾经接受过社区卫生服务中心口腔科的服务。需求率（即选择“非常需要”和“需要”的合计比例）最高的是“口腔卫生教育”，需求率达到92.0%（833/905）。不同年龄居民对社区口腔科服务项目的需求情况比较，差异有统计学意义（P<0.05）。结论　社区居民针对口腔疾病的就诊习惯较差，且不同年龄、月收入和支付方式的居民在口腔卫生服务需求中差异较大，因此，社区需要以辖区内居民的需要为导向，将口腔健康需求转化为口腔服务利用，最终形成“需要-需求-利用”的良性循环。

关键词: 口腔保健, 社区卫生服务, 就诊行为, 卫生资源, 上海