Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지

Factors Influencing on Intention of Dental Care Utilization after Annual Dental Examination for Workers in Daegu, Korea

대구시 일부 근로자의 구강검진후 치과진료 이용의사에 영향을 미치는 요인

  • Jang, Bun-Ja (Department of Dental Hygiene, Daegu Polytechnic College University) ;
  • Choi, Youn-Hee (Department of Medical Dentistry, School of Dentistry, Kyungpook National University)
  • 장분자 (대구산업정보대학 치위생과) ;
  • 최연희 (경북대학교 치과대학 예방치과학교실)
  • Received : 2009.10.13
  • Accepted : 2009.12.22
  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Prior to the start of the general oral examination, this study was performed using the theory of planned behavior to provide data that would help not only increase intention of industrial workers' dental care utilization after their dental examination, but develop the follow-up oral health programs. As the first research group, 608 workers were selected from the 1016 workers while excluding both 53 workers who were currently undergoing dental treatment and 355 workers who had an opportunity to visit the dental clinic over the previous six months. Among the general characteristics that would influence the 608 workers' intention to utilize the dental clinic within one (1) month, their financial state showed that the higher their financial abundance level, the stronger their intention to visit the dental clinic(p<0.01). It was shown that the attitude toward the dental care utilization related behavior and subjective norm except the perceived behavioral control among the TPB variables had a significant effect on their intention(p<0.01). Among TPB variables, attitude toward the dental care utilization and subjective norm except the perceived behavioral control, were significant correlation with behavioral intention(p<0.01). The structure model's R-square of the attitude toward the behavior, subjective norm and perceived behavioral control having and effect on the intention accounted for 21%. In order to encourage the workers to have positive thoughts about the attitude toward their dental care utilization and subjective norm, therefore, it is required to perform the continued oral health programs, in addi1ion to oral health experts' regular education.

본 연구는 계속구강건강관리가 잘 이루어지지 않는 근로자를 대상으로 계획된 행동이론에 기초하여 구강질환이 있을 경우 치과치료이용을 하려는 의도에 미치는 요인을 조사를 하였다. 이에 치과의료를 이용할 의도를 높일뿐만 아니라 실제 치과의료 이용으로 실행될 수 있는 방안을 마련하는데 기초자료로 쓰이고자 시도되었다. 연구대상상자는 1,016명 중 현재 치과치료를 받는 환자 53명과 지난 6개월간 치과방문을 경험한 사람 355명을 제외한 총 608명을 대상으로 조사 분석하여 얻은 결론은 다음과 같다. 1. TPB 변인과 의도의 상관관계는 행동에 대한 태도, 주관적 규범, 인지된 행동통제의 순으로 나타났으나 인지된 행동통제는 유의하지 않았다. 2. 치과의료이용 의도에 영향을 미치는 일반적 특성은 경제상태로서 여유가 있다고 생각할수록 의도가 높게 나타났으며, TPB 변인 중에서는 치과의료이용과 관련된 행동에 대한 태도와 주관적 규범이 유의한 영향을 주었다. 3. 일반 선형회귀분석한 결과 모형의 설명력은 21%로 나타났다. 구강질환이 있을 경우 치과의료를 이용할 의도가 높다고 하더라도 실제 상황에서는 행동으로 실행이 되지 않을 가능성이 높을 것으로 간주된다. 하지만 의도가 낮은 사람에 비하여 의도가 높은 사람이 실제 치과의료이용을 할 가능성이 높다. 따라서 의도에 영향을 주는 치과의료이용에 관련된 태도와 주관적 규범이 긍정적으로 형성되며 인식할 수 있도록 구강보건교육을 통하여 동기부여가 되어야 하겠다. 그렇게 위해서는 산업장 구강검진이 일회성 형식에 그치지 않으며 구강질환자는 검진치의사의 강력한 치료권고를 통하여 치과치료를 받을 수 있도록 유도하여야 하고, 계속구강건강관리프로그램이 전면적으로 실행되면서 활성화되어 근로자들의 구강건강증진이 이루어져야 하겠다.

Keywords

References

  1. Lee JH, Jeon ES, Lee HJ: A sudy on recognition and behavior of oral health promotion for worker in the Hyundai motor company. J Dent Hyg Sci 12(2):47-54, 2006.
  2. Park HR: A study on the status of oral health and oral health attitude of workers in industries. J Dent Hyg Sci 6(3):177-186, 2006.
  3. The Korean of industrial denal health association: A forum about oral health management program of workers. J Indus Dent Health Assoc 13(4):331-345, 2004.
  4. Koh DH et al.: Factors influencing post dental care of annual oral examination for workers in Korea. J indus Dent Health Associ 12(2):85-97, 2003.
  5. Kim HD et at: Reformation on the annual oral examination program for workers. J Indus Dent Health Associ 12(1):1-15, 2005.
  6. Kim YI, Jeong HS, Bae KH: Theory and application of health promotion. Korean National Open University Seoul pp.136-155, 2007.
  7. Hyun HJ: A study on the intention of smoking cessation behavior and it's determinants based on the theory of planned behavior. J Soc Sch Health 11(2):217-238, 1998.
  8. Jee YO: Testing the theory of planned behavior in the prediction of smoking cessation behavior among miliary smokers. Yonsei university. Seoul pp.1-120, 1993.
  9. Norman P, Conner M, Bell R: The theory of planned behavior and exercise; Evidence for the moderatig role of past behavior. Br J Health Psychol 5:249-261, 2000. https://doi.org/10.1348/135910700168892
  10. Song ML, Kim SL: Testing of the theory of planned behavior in the prediction of smoking cessaion intention of smoking cessation Intention and smoking cessation intention and smoking cessation behavior among adolescent smokers. J Korean Community Nursing 13(3):456-469, 2002.
  11. Hanson MJ: The theory of planned behavior applied to cigarette smoking in African-American. Puerto Rican, and non-Hispanic white teenage female. J Nursing Research 46(3):155-162, 1997. https://doi.org/10.1097/00006199-199705000-00006
  12. Michels TC. Kugler JP: Prediction exercise in order Americans; using the theory of planned behavior. J Mil Med 163(8):524-529, 1998.
  13. Bae SS et al.: Predicting exercise behavior in female workers an application of the theory of planned behavior. J Soe Health Educ and Prom 20(1):173-186, 2003.
  14. Wall AM, Hinson RE, Mckee S:. Alcohol outcome expectancies. attitudes toward drinking and the theory of planned behavior. J Stud Alcohol 59(4):409-419, 1998.
  15. Schifter DE, Ajzen : Intention, percei ed control, and weight loss: An application of the theory of planned behavior. J Pers Soc Psychol 49(3):843-851, 1985. https://doi.org/10.1037/0022-3514.49.3.843
  16. Kim JE, Park DY: A study on predictioning behavioral intention of breastfeeding among primigravida. Korean J Comm Nutr 6(3):332-339, 2001.
  17. Kim KW Shin EM: Using the theory of planned behavior to explain dairy food consumption among university female students. Korean J Comm Nutr 8(1):53-61, 2003.
  18. Lee KS er al.: Application of the theory of planned behavior and the theory of reasoned action to predicting cervix cancer screening behavior. J Korean Prev Med 34(4):379-388, 2001.
  19. Han CH et al.: A model study on medical utilization of the theory of planned behavior. J Korean Occup Environ Med 18(4):284-297, 2006.
  20. McCaul KD, O'Neil K, Glasgow RE: Predicting the performance of dental hygiene behaviors; An examination of the Fishbein and Ajzen model and self efficacy expectations. J Appl Soc Psychol 18(2):114-128, 1988. https://doi.org/10.1111/j.1559-1816.1988.tb00009.x
  21. Lavin D, Groarke A: Dental floss behaviour; A test of the predictive utility of the theory of planned behaviour and the effects of making implementation intentions. Psychol Health Med 10(3):243-252, 2005. https://doi.org/10.1080/13548500412331334127
  22. Rise J. strm AN, Sutton S: Predicting intentions and use of dental floss among adolescents; An application nf the theory of planned behaviour. Psychol Health med 13(2):223-236, 1998. https://doi.org/10.1080/08870449808406748
  23. Luzzi L., Spencer AJ: Factors influencing the use of public dental services: An application of the theory of planned behaviour. BMC Health Serv Res 8:93-106, 2008. https://doi.org/10.1186/1472-6963-8-93
  24. Ajzen I, Madden TJ: Prediction of goal-directed behavior; Attitudes, intentions, and perceived behavioral control. J Pers Soc Psychol 22:453-477, 1986.
  25. Ajzen I: The theory of planned behavior. J Organ Behav Hum Decis Process 50:179-211, 1991. https://doi.org/10.1016/0749-5978(91)90020-T
  26. Ajzen I: Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. J Appl Soc Psychol 32(4):665-683, 2002. https://doi.org/10.1111/j.1559-1816.2002.tb00236.x
  27. Sniehotta FF, Soares VA, Dombrowski SU: Randomized controlled trial of a one-minute intervention changing oral self-care behavior. J Dent Res 86(7):641-645, 2007. https://doi.org/10.1177/154405910708600711
  28. Song JS, Oh HW, Lee HS: Workers' oral health behaviors and need for education in lksan city. J Korean Acad Dent Health 31(1):91-102, 2007.
  29. Kim JH: Correspond of attitude and behavior. J Ins Soc Sci 8:109-121, 1997.
  30. Lee MK, Han DW: A test of model to explaining restrained eating behavior: Exploring the modified theory of planned behavior model. J Korean Health Psychol 6(2):173-19, 2001.
  31. Wambach KA: Breastfeeding intention and outcome; A test of the theory or planned behavior. J Res Nurs Health 20(1):51-59, 1997. https://doi.org/10.1002/(SICI)1098-240X(199702)20:1<51::AID-NUR6>3.0.CO;2-T
  32. Brenes GA, Strube MJ, Storandt M: An application of the theory of planned behavior to exercise among older adult. J Appl Soc Psychol 28(24):2274-2290, 1998. https://doi.org/10.1111/j.1559-1816.1998.tb01371.x
  33. Jang BJ.: Study on dental care need of the rural residents. J Dent Hyg Sci 16(2):85-91, 2006.
  34. Lee HJ, Jo BH: Factors Affecting Intentions for Health Behaviors among Male Office Workers. J Korean Occup Health Nurs 11(1):31-4, 2002.
  35. Kim MH, Baek KS: Testing the theory of planned behavior in the prediction of contraceptive behavior among married women. J Korean Acad of Nurs 28(3):550-562, 1998.