A comparative analysis of oral health behavior in adolescents between multicultural and ordinary Korean families

다문화가족과 일반가족 청소년의 구강건강행태 비교 분석

  • Received : 2015.02.24
  • Accepted : 2015.05.26
  • Published : 2015.06.30


Objectives: The purpose of this study was to compare the oral health behavior in adolescents between multicultural and ordinary Korean families. Methods: The subjects were 66,797 adolescents who were derived from the web-based survey of the National 2014 Korean Youth Risk Behavior of Korean Center for Disease Control. A self-reported web-based questionnaire survey was carried out from June 1 to 30, 2013. A multicultural family is defined as the immigrant mother and child in the study. The variable included demographic, socioeconomic, and oral health related behavior. The demographic characteristics included sex, age, residence area, subjective academic achievement, type of family, education of parents, subjective economic status, and nationality before marriage. Data were analyzed by PASW statistics 18.0. Results: Tooth brushing frequency was closely related to family type, age, residence area, academic achievement, residential type, education level of the parents, and economic status. Conclusions: It is necessary to support oral health services and oral health promotion programs for the adolescents in the multicultural family.


adolescents;multicultural families;oral health behavior


  1. Kim HR, Yuh JY, Jung JJ, Baek SH. Health status of marriage immigrant women and children from multicultural families and health policy recommendations[internet][cited 2012 Oct 31]. Available from:
  2. Ministry of government administration and home affairs. Status of foreign residents 2014[internet][cited 2014 Jul 2]. Available from:
  3. Seol DH, Suh MH, Lee SS, Kim MA. A study of the medium to long term prospects and measures of multicultural family in Korea: On the focus of the population of multicultural family in Korea, and the analysis of its socio-economic impacts on Korea society[internet][cited 2010 Nov 4]. Available from:
  4. Statistics Korea. Multicultural vital statistics 2013[internet] [cited 2014 Nov 19]. Available from:
  5. Kim HR. Health status of marriage-based immigrants in Korea and policy directions. Health-welfare policy forum 2010; 15; 46-57.
  6. Jeon KT, Chung HS, Kim YS, Kim YR, Joo JS, Kim HY, et al. A study on the national survey of multicultural families 2012[internet][cited 2013 Apr 23]. Available from:
  7. Steptoe A, Wardle J, Vinck J, Tuomisto M, Holte A, WichstrO me L. Personality and attitudinal correlates of healthy and unhealthy lifestyles in young adults. Psychology and Health 1994; 9: 331-43.
  8. Dean JA, Avery DR, McDonald RE. McDonald and Avery's dentistry for the child and adolescent. 9th ed. St Louis; Mosby Elsevier; 2003: 206-12.
  9. Davies RM, Davies GM, Ellwood RP. Prevention. Part 4: Toothbrushing: what advice should be given to patients? Br Dent J 2003; 195: 135-41.
  10. Carranza FA, Newman MG. Carranza's clinical periodontology. 10th ed. Philadelphia; W. B. Saunders; 2006: 129-42.
  11. Freeman R. The psychology of dental patient care. 5. The determinants of dental health attitudes and behaviours. Br Dent J 1999; 187: 15-8.
  12. Viner RM, Haines MM, Head JA, Bhui K, Taylor S, Stansfeld SA, et al. Variations in associations of health risk behaviors among ethnic minority early adolescents. J Adolesc Health 2006; 38: 55.
  13. Freddo SL, Aerts DR, Abegg C, Davoglio R, Vieira PC, Monteiro L. Oral hygiene habits and use of dental services among teenage students in a city in southern Brazil. Cad Saude Publica 2008; 24: 1991-2000. 311X2008000900005.
  14. World Health Organization(WHO). Global school-based student health survey (GSHS)[internet][cited 2012 Dec 12]. Available from:
  15. Slack-Smith LM, Mills CR, Bulsara MK, O'Grady MJ. Demographic, health and lifestyle factors associated with dental service attendance by young adults. Aust Dent J 2007; 52: 205-9.
  16. Jang SH, Lee GH. Awareness and educational needs towards the multicultural family in Dental Hygienists in public health center. J Korean Soc Dent Hyg 2014; 14: 189-96.
  17. Jeon ES, Jin HJ, Choi SL, Jang BJ, Jeong SY, Song KB, et al. Oral health status in women of Korean multicultural families. J Korean Acad Dent Health 2009; 33; 499-509.
  18. Seo YJ, Lee KH, La JY, An SY, Kim YH. A survey on dental health of children of multicultural families in Chonbuk Province. J Korean Acad Pediatr Dent 2010; 38: 137-45.
  19. Lee NK, Oh HW, Lee HS. A comparative analysis of oral health behavior between multicultural and ordinary Korean families; mothers and children. J Korean Acad Oral Health 2011; 35: 450-6.
  20. Ministry of Health and Welfare. The tenth Korea youth risk behavior web-based survey raw data base. Sejong: Ministry of Health and Welfare: 2014.
  21. Piko B, Fitzpatrick KM. Does class matter? SES and psychosocial health among Hungarian adolescents. Soc Sci Med 2001; 53: 817-30.
  22. West P. Health inequalities in the early years: is there equalisation in youth? Soc Sci Med 1997; 44: 833-58.
  23. Inchley J, Todd J, Bryce C, Currie C. Dietary trends among Scottish schoolchildren in the 1990s. J Hum Nutr Diet 2001; 14: 207-16.
  24. King C, Siegel M, Celebucki C, Connolly GN. Adolescent exposure to cigarette advertising in magazines: an evaluation of brand-specific advertising in relation to youth readership. JAMA 1998; 279: 516-20.
  25. Powell LM, Szczypka G, Chaloupka FJ, Braunschweig CL. Nutritional content of television food advertisements seen by children and adolescents in the United States. Pediatrics 2007; 120: 576-83. 2006-3595.
  26. Richter M, Leppin A. Trends in socio-economic differences in tobacco smoking among German schoolchildren, 1994-2002. Eur J Public Health 2007; 17: 565-71.
  27. West P. Health inequalities in the early years: is there equalisation in youth? Soc Sci Med 1997; 44: 833-58.
  28. West P, Sweeting H, Young R. Smoking in Scottish youths: personal income, parental social class and the cost of smoking. Tob Control 2007; 16: 329-35.
  29. Statistics Korea. Multicultural vital statistics 2010[internet] [cited 2011 Apr 19]. Available from:
  30. Currie CE, Elton RA, Todd J. Indicators of socioeconomic status for adolescents: the WHO Health Behaviour in School-aged Children Survey. Platt S. Health Educ Res 1997; 12: 385-97.
  31. Cho KS, Lee SY, Jang JH. A comparative study on characteristics related to oral health of muticultural family via Korean women - with focused on Asan-si. KCGR 2012; 16: 323-40.
  32. Lee HL, Lee KH, La JY, An SY, Kim YH. Oral health behaviors of mothers and dental caries in children from multicultural families. J Korean Acad Pediatr Dent 2012; 39: 111-9.
  33. Wendt LK, Hallonsten AL, Koch G, Birkhed D. Oral hygiene in relation to caries development and immigrant status in infants and toddlers. Scand J Dent Res 1994; 102: 269-73.
  34. Julihn A, Barr Agholme M, Grindefjord M, Modeer T. Risk factors and risk indicators associated with high caries experience in Swedish 19-year-olds. Acta Odontol Scand 2006; 64: 267-73.
  35. Dallongeville J, Cottel D, Ferrieres J, Arveiler D, Bingham A, Ruidavets JB, et al. Household income is associated with the risk of metabolic syndrome in a sex-specific manner. Diabetes Care 2005; 28: 409-15.
  36. Lee JH, Baek JM, Yoo JY. Relationship between dental caries and oral health behavior in middle and high school students: The Ninth(2013) Korean Youth Risk Behavior Web-based Survey. J Korean Soc Dent Hyg 2015; 15: 119-27.
  37. Lin YC, Yen YY, Chang CS, Ting CC, Chen PH, Chen CC, et al. Oral health disparities of children among Southeast Asian immigrant women in arranged transnational marriages in Taiwan. Caries Res 2014; 48: 575-83.
  38. Almerich-Silla JM, Montiel-Company JM. Influence of immigration and other factors on caries in 12- and 15-yr-old children. Eur J Oral Sci 2007; 115: 378-83.

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