DOI QR코드

DOI QR Code

Relationship between oral health and suicide attempts in Korean adults :The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018)

우리 나라 성인의 구강건강과 자살시도와의 관련성 : 제 7기(2016-2018년) 국민건강영양조사를 바탕으로

  • Lee, Kyeong-Hee (Department of Dental Hygiene, Shinhan University)
  • 이경희 (신한대학교 치위생학과)
  • Received : 2020.04.09
  • Accepted : 2020.05.11
  • Published : 2020.06.30

Abstract

Objectives: This study investigated the relationship between oral health and suicide attempts in adults aged 19 years or older using the 7th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the 24,269 participants in the 7th KHANES (2016-2018), 7,261 adults aged 19 years or older who had an oral health examination were selected. Complex samples crosstabulation (χ2-test) was performed to determine the rate of suicide ideation by general characteristics. Complex samples logistic regression was performed to ascertain the effects of oral health on suicide attempts. Results: Participants with gingivitis were 1.7 times more likely to receive mental health counseling (p<0.05) and 1.6 times more likely to attempt suicide (p<0.05). Conclusions: Oral health is significantly associated with suicide attempts in adults aged 19 years or older, and this emphasizes the importance of oral health management as an intervention for preventing suicide and improving the health of adults.

References

  1. Organization for Economic Cooperation and Development. Society at a Glance 2016 [Internet]. OECDilibrary; 2016. [cited 2020 Apr 03]. Available from: http://www.oecd-ilibrary.org/social-issuesmigration-health/society-at-a-glance-2016_9789264261488-en.
  2. Moscicki EK. Epidemiology of completed and attempted suicide; toward a framework for prevention. Clin Neurosci Res 2001;1(5):310-23. https://doi.org/10.1016/S1566-2772(01)00032-9
  3. Kim YH. The relationship between physical activity, depression, and suicidal thoughts: Korean National Health and Nutrition Examination Survey(IV, 2009-2010)[Master's thesis]. Seoul: Univ. of Yonsei, 2012.
  4. Kim SH, Lim SA, Park SJ, Kim DK. Assessment oral health-related quality of life using the oral health impact profile(OHIP). J Korean Acad Oral Health 2004;28(4):559-69.
  5. Kushnir D, Zusman SP, Robinson PG. Validation of a Hebrew version of the Oral Health Impact Profile 14. J Public Health Dent 2004;64(2):71-5. https://doi.org/10.1111/j.1752-7325.2004.tb02730.x https://doi.org/10.1111/j.1752-7325.2004.tb02730.x
  6. Kwon HG. (The) baseline study of the denture treatment program of low socio-economic old aged population. Gwacheon: Ministry of Health and Welfare; 2002: 12-23.
  7. Park SJ, Ko KD, Shin SI, Ha YJ, Kim GY, Kim HA. Association of oral health behaviors and status with depression: results from the Korean National Health and Nutrition Examination Survey, 2010. J Public Health Dent 2014;74(2):127-38. https://doi.org/10.1111/jphd.12036 https://doi.org/10.1111/jphd.12036
  8. Alkan A, Cakmak O, Yilmaz S, Cebi T, Gurgan C. Relationship between psychological factors and oral health status and behaviours. Oral Health Prev Dent 2015;13(4):331-9. https://doi.org/10.3290/j.ohpd.a32679
  9. Roohafza H, Afghari P, Keshteli AH, Vali A, Shirani M, Adibi P, et al. The relationship between tooth loss and psychological factors. Community Dent Health 2015;32(1):16-9.
  10. Jamieson LM, Paradies YC, Gunthorpe W, Cairney SJ, Sayers SM. Oral health and social and emotional well-being in a birth cohort of aboriginal Australian young adults. BMC Public Health 2011;11:656. https://doi.org/10.1186/1471-2458-11-656 https://doi.org/10.1186/1471-2458-11-656
  11. Park HM. Effects of oral health behavior and status of elderly people in Korea on mental health and quality of life. Korean J Health Serv Manag 2014;8(4):175-85. https://doi.org/10.12811/kshsm.2014.8.4.175
  12. Joo SH. The Association between the number of lost teeth, suicidal ideation and suicide attempt: Data analysis of the first year (2013) of the 6th Korea National Health and Nutrition Examination Survey(KNHANES)[Master's thesis]. Seoul: Univ. of Yonsei, 2016.
  13. Bohanna I. Suicide "contagion": what we know and what we need to find out. J Canadian Med Assoc 2013;185:861-2. https://doi.org/10.1503/cmaj.130678 https://doi.org/10.1503/cmaj.130678
  14. Kuo C, Gunnell D, Chen C, Yip PS, Chen Y. Suicide and non-suicide mortality after self-harm in Taipei City, Taiwan. Br J Psychiatry 2012;200(5):405-11. https://doi.org/10.1192/bjp.bp.111.099366 https://doi.org/10.1192/bjp.bp.111.099366
  15. Beautrais AL. Subsequent mortality in medically serious suicide attempts: a 5 year follow-up. Aust N Z J Psychiatry 2003;37(5):595-9. https://doi.org/10.1046/j.1440-1614.2003.01236.x https://doi.org/10.1046/j.1440-1614.2003.01236.x
  16. WHO report. Geneva 27, Switzerland: World Health Organization; 2004: 1-6.
  17. Ministry of Health and Welfare. The 2011 epidemiological survey of mental disorders in Korea. Epidemiological Report. Sejong: Ministry of Health and Welfare; 2011: 14.
  18. Appleby L, Dennehy JA, Thomas CS, Faragher EB, Lewis G. Aftercare and clinical characteristics of people with mental illness who commit suicide: a case-control study. Lancet 1999;353(9162):1397-400. https://doi.org/10.1016/S0140-6736(98)10014-4 https://doi.org/10.1016/S0140-6736(98)10014-4
  19. Statistics Korea. 2015 Cause of death statistics[Internet]. Daejeon: Statistics Korea; 2015.[cited 2016 Oct 29]. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=356345&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt=.
  20. Korea Institute for Health and Social Affairs. 2014 a national survey on the living status and welfare needs of the aged. Policy Report. Sejong: Korea Institute for Health and Social Affairs; 2014: 12.
  21. Korea Institute for Health and Social Affairs. Some causes of the psycho-social anxiety in Korea and how to address them. Research Report. Sejong: Korea Institute for Health and Social Affairs; 2015: 22.
  22. Moderation in drinking(On). Types of drinking behavior in adults[Internet]. Korea health promotion institute.[cited 2020 Apr 05]. Available from: http://khealth.or.kr/acs/acsStat/result?menuId=MENU00654&tableGubun=DATA030109&gubun=%EB%82%A8.
  23. Lee MR. Study about the factors related to gingival symptoms in Korean adolescents according to the mental health factors. J Korean Soc Dent Hyg 2018;18:371-84. https://doi.org/10.13065/jksdh.2018.18.03.371
  24. Okoro CA, Strine TW, Eke PI, Dhingra SS, Balluz LS. The association between depression and anxiety and use of oral health services and tooth loss. Community Dent Oral Epidemiol 2012;40(2):134-44. https://doi.org/10.1111/j.1600-0528.2011.00637.x
  25. Kim SY, Jung MY, Kim KN. Factors associated with suicidal ideation by age group among Korean adults using the fifth Korea National Health and Nutrition Examination Survey(KNHANES V, 2012). Korean J Health Educ Promot 2014;31(2):1-14. https://doi.org/10.14367/kjhep.2014.31.2.1
  26. Park HM. Effects of oral health behavior and status of elderly people in Korea on mental health and quality of life. Korean J Health Serv Manag 2014;8(4):175-85. https://doi.org/10.12811/kshsm.2014.8.4.175
  27. Won YS, Kim JH. The relationship between psychological health and self-rated oral health on convergence study. J Digit Converg 2015;13(7):239-48. https://doi.org/10.14400/JDC.2015.13.7.239 https://doi.org/10.14400/JDC.2015.13.7.239
  28. Lee WJ, Jung TE, Park JK, Sim SH. Association between mental health with oral health behaviors in Korean adolescents. J Korean Soc School Community Health Edu 2017;18(1):13-29.