어머니의 구강건강상태가 미취학 자녀의 구강건강상태에 미치는 영향

Association of Oral Health Condition between Mothers and Their Preschool Children in Korea

  • 천세희 (마산대학교 치위생과) ;
  • 정성화 (대구한의대학교 보건학부)
  • 투고 : 2013.10.01
  • 심사 : 2013.11.21
  • 발행 : 2013.12.31

초록

본 연구는 국민건강영양조사 제4기 자료를 이용하여 미취학 아동의 치아우식상태와 어머니 구강건강상태와의 관련성을 파악하고자 하였다. 원시자료에서 가족 아이디 변수를 이용해 아동과 어머니를 짝짓기하여 최종 823명의 자료를 추출하였다. 통계분석은 복합표본설계를 반영하기 위하여 가중치를 고려한 분석을 실시하였으며, 어머니의 인구사회학적 특성과 구강건강행태 및 구강건강상태에 따른 자녀의 우식경험유치지수의 차이를 분석하고, 이들 간의 관련성을 알아보기 위해 다중회귀분석을 시행하였다. 분석결과, 미취학 아동의 우식경험유치지수는 어머니의 사회인구학적 특성 중 나이에 따른 차이가 통계적으로 유의하였으며 (p=0.005), 어머니의 구강건강행태 중 지난 1년 동안 치과검진 유무에 따른 차이가 통계적으로 유의하였다(p=0.034). 또한 어머니의 우식경험영구치지수에 따른 자녀의 우식경험유치지수의 차이도 통계적으로 유의하였다(p=0.016). 한편 어머니의 인구사회학적 특성과 구강건강행태를 보정한 후, 어머니와 자녀의 구강건강상태 관련성을 분석한 결과 어머니의 우식경험영구치지수는 자녀의 우식경험유치지수와 유의한 관련성이 있는 것으로 나타났다. 따라서 어머니의 구강건강상태가 양호할수록 자녀의 구강건강상태 또한 양호함을 알 수 있었다. 이러한 연구 결과는 어머니의 구강건강상태가 자녀들에게 영향을 미칠 수 있음을 보여주므로 어머니들의 구강건강상태를 향상시킬 수 있는 효과적인 구강보건교육 프로그램이 개발되어야 한다고 생각된다.

The objective of this study was to examine whether there is an association of oral health conditions between mothers and their preschool children in Korea. A sample of 823 preschool children and their mothers were selected for this study from the database of the fourth Korean National Health and Nutrition examination Survey. Preschool children were defined as children aged 4, 5, and 6 years old. The subjects were clinically examined for the presence of caries lesions (dft index) and their mother was checked for the presence of dental caries (DMFT index) and periodontal status (CPI). The socio-demographic characteristics and mother's oral health behaviours were considered covariates in this study. Univariate and multivariate analysis was adapted to assess the association of oral health condition between mothers and their preschool children. In univariate analysis, there were significant differences between preschool children's dft index and their mother's age (p=0.005), dental treatment demand for the past one year (p=0.034), and DMFT index (p=0.016). In multivariate analysis, only mother's DMFT index was significantly associated with their children's dft index after adjusting for covariates. In conclusion, the mother's oral health was partly associated with their preschool children's oral health in Korea.

키워드

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