Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Influencing Factors of Smoking and Oral Health in Adult Males, and Necessity of Supporting Smoking Cessation in Dental clinics

성인 남성의 구강건강 흡연영향요인과 치과의료기관의 금연지원 필요성에 관한 연구

  • 김설희 (건양대학교 치위생학과)
  • Received : 2019.07.26
  • Accepted : 2019.11.01
  • Published : 2019.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of the study was to analyze smoking impact factors, knowledge about effects of smoking and effects of oral health-related quality of life. The subjects were 165 male dental clinic visitors. The survey was conducted from November to December 2018. The examinations were smoking impact factors, knowledge about effects of smoking on oral health, oral health-related quality of life, and recognition of smoking cessation support in dentistry. Survey data were analyzed using statistical programs of PASW Statistics ver. 18.0. Smoking groups were more stressful than non-smoking groups(13.0, 9.97) and drinking frequency was higher(2/week, 0.96/week)(p<0.05). Smoking had a significant correlation with stress(r= .283, p<0.001) and stress with OHIP(r= -.263, p<0.001). Regression results show that stress and frequency of drinking are significant factors(p<0.05). Smoking cessation support service was recognized by 32.9 %, but experience of service was only 19.4 %. Smoking cessation support of dentistry was answered positively by 65.5 %. The above results reveal the need for stress and drinking control, oral health education, and active support of oral health professionals for smoking cessation.

본 연구는 성인 남성의 흡연 영향요인, 흡연이 구강건강과 삶의 질에 미치는 영향을 분석하고 치과의료기관의 금연지원 필요성을 제안하고자 하였다. 연구는 2018년 10-12월 기간 중 J시 치과의료기관에 내원한 흡연경험이 있는 성인 남성 165명을 대상으로 흡연영향요인, 흡연이 구강건강에 미치는 영향에 관한 지식, 구강건강 관련 삶의 질, 치과 금연지원 인식을 자기기입식 설문조사하였다. 분석은 SPSS18.0 통계 프로그램을 이용하였다. 흡연집단은 스트레스지수가 13.0으로 비흡연집단 9.97보다 높았고 음주회수가 주 2회 이상으로 비흡연자 0.96회보다 높았으며(p<0.05) 구강보건지식은 상대적으로 낮았다(p>0.05). 흡연은 스트레스(r= .283, p<0.001)와 구강건강관련 삶의 질(r= -.263, p<0.001)과 유의한 상관관계가 있었다. 국가 금연지원 서비스 인식은 32.9 % 이었으나 금연서비스 경험은 19.4 %로 이용율이 낮았다. 치과의료기관의 금연 지원은 65.5 %가 긍정적으로 응답하여 치과금연서비스 이용의 증가를 기대할 수 있었다. 흡연자의 금연지원을 위해 스트레스와 음주 조절 및 구강건강 영향에 대한 교육이 필요하고, 금연서비스 이용을 높이기 위한 금연정책으로 구강보건전문가들의 금연지원 활성화가 요구되었다

Keywords

References

  1. Ministry of Health and Welfare, National Health and Nutrition Survey Statistical Information Report 2018, Ministry of Health and Welfare, KOREA. pp. 70, 2018.
  2. S. D. Ju, I. S. Jeon. "The conflict study of non-smoking regulation policy", Journal of Policy Development Vol.16 No.1 pp.47-73. 2016. DOI: http://www.kci.go.kr/kciportal/landing/article.kci?arti_id=ART002117167 https://doi.org/10.35224/kapd.2016.16.1.003
  3. K. S. Cho. "Prospect of smoking cessation policy in Korea under the framework convention on tobacco control", Health and Welfare Policy Forum Vol.116, pp.7-23. 2006. DOI: http://uci.or.kr/I410-ECN-0102-2018-300-000075307
  4. H. J Park "Welfare effect of increase in cigarette price". Industrial Economics Research Vol. 29, No 1, pp.51-71, 2016.
  5. S. H. Lee, Y. C. Kim, M. K. Paek. "Smoking characteristics, health status, and intention to quit among freshmen smokers", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology Vol. 7, No.12, pp.601-610, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.12.43
  6. H. S. Kim, S. S. Bae. "Factors associated with related to smoking behavior using health belief model". Journal of Agricultural Medicine&Community Health Vol. 36, No. 2, pp. 87-100. 2011. DOI: http://dx.doi.org/10.5393/JAMCH.2011.36.2.087
  7. S. W. Kim, J. H. Kang, S. Y. Lee, H. J. Lee, D. S. Jeong. "The reliability and validity of Korean version of questionnaire for nicotine dependence", Journal of the Korean Academy of Family Medicine Vol. 23, No. 8, pp.999-1008, 2002.
  8. H. Y. Park, J. A. Jun, S. J. Sohn. "Longitudinal patterns of stages of changes in smoking behaviors among Korean adult smokers: applying the Transtheoretical model of change". Korean Journal of Social Welfare Studies Vol.49, No.1, pp..5-28, 2018. DOI: http://dx.doi.org/10.16999/kasws.2018.49.1.5
  9. Y. S. Lim, M. S. Lee, J. Y. Hong, H. S. Kim, E. Y. Kim. "Factors relating to success to quit smoking among citizens receiving smoking-cessation clinics services in a public health center". Journal of the Korea Academia-Industrial Vol.15, No.8, pp.5169-5175, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.8.5169
  10. C. J. Smith, C. Hansch. "The relative toxicity of compounds in mainstream cigarette smoke condensate", Food Chem Toxicol. Vol. 38, No. 7, pp. 637-46. 2000. DOI: https://doi.org/10.1016/S0278-6915(00)00051-X
  11. Rad M, Kakoie S. "Effect of long-term smoking on whole-mouth salivary flow rate and oral health". Journal of dental research, dental clinics, dental prospects Vol. 4, No. 4, pp. 110-114. 2010. DOI: https://www.ncbi.nlm.nih.gov/pubmed/?term=Effect+of+long-term+smoking+on+whole-mouth+salivary+flow+rate+and+oral+health
  12. Muniandy S. "Knowledge on smoking and periodontal disease: A cross-sectional survey among targeted respondents", Journal of Indian Society Periodontology. Vol.. 23, No.3, pp. 275-280, 2009. https://doi.org/10.4103/jisp.jisp_479_18
  13. Johnson GK, Hill M. "Cigarette smoking and the periodontal patient". Journal of Periodontology. Vol. 75, pp.196-209, 2004. https://doi.org/10.1902/jop.2004.75.2.196
  14. Grossi SG, Zambon J, Machtei EE, Schifferle R, Andreana S, Genco RJ, Cummins D, Harrap G. " Effects of smoking and smoking cessation on healing after mechanical periodontal therapy". Journal of the Amemrican Dental Association. Vol. 128, No.5, pp.599-607, 1997. DOI: https://www.sciencedirect.com/science/article/abs/pii/S0002817715601891?via%3Dihub https://doi.org/10.14219/jada.archive.1997.0259
  15. Thomas J, Kumar RV, Akhil S, Saji AM, Iype AK, Antony D. "Prevalence of smoking among dental students and gauging their knowledge about tobacco cessation methods: An original study". Journal of Family Medicine and Primary Care. Vol.8, No.5, pp.1562-1566, 2019. DOI: https://www.ncbi.nlm.nih.gov/pubmed/31198714 https://doi.org/10.4103/jfmpc.jfmpc_167_19
  16. H. J. Kim, E. K. Lee, K. R. Lee. "An empirical analysis of the target group's non-compliance factors on smoke-free policies of local governments: focused on regulation of street smoking". The Korean Journal of Local Government Studies Vol. 19, No.2, pp.83-111, 2015. DOI: http://uci.kci.go.kr/resolution/result.do?res_cd=G704-000508.2015.19.2.001&res_svc_cd=
  17. H. S. Kim, S. S. Hyun, K. M. Kang, J. H. Jang, J. I. Kwak. "Smoking related factors according to the nicotine content". Journal of the Korean Academy of Family Medicine Vol.30, pp.519-524. 2009. https://doi.org/10.4082/kjfm.2009.30.7.519
  18. S. H. Kim. "Correlation between stress and oral health in some high school students". Journal of Korean society of Dental Hygiene, Vol.16, No.3, pp.409-15, 2016. DOI: http://dx.doi.org/10.13065/jksdh.2016.16.03.409
  19. S. A. Kim, S..KIM, S. H. Kim, H. S. Kim, S. Y. Lee, S. J. Hwang et al. Contemporary preventive dentistry. 3. Seoul; DaehanNarae publishing, INC.:2018:255,303-307.
  20. G. M. Min, Y. H. Seo, C. H. Park. "Cigarette price rise induced change in youth smoking rate". Journal of the Korea Academia-Industrial Vol.19, No.12, pp.451-461, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.12.451
  21. E. J. Jung, A. H. Song, H. J. Youn. "A study on smoking status and related factors in Korean adolescents determined using data from the 5-7th(2010-2016) Korea National Health and Nutritional Examination Survey". Journal of Korean society of Dental Hygiene, Vol. 18, No.5, pp.621-630. 2018. DOI: http://www.jksdh.or.kr/article.php?num=N0220180502
  22. S. H. Lee, Y. C. Kim, M. K. Baek. "Smoking characteristics, health status, and intention to quit among freshmen smokers". Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology Vol. 7, No.12, pp601-610, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.12.43
  23. Thomson WM, Lawrence HP, Broadbent JM, Poulton R. "The impact of xerostomia on oral-health-related quality of life among younger adults". Health Qual Life Outcomes. Vol.8, No.4, pp.86, 2006. DOI: https://hqlo.biomedcentral.com/articles/10.1186/1477-7525-4-86
  24. Sanmark E, Wiksten J, Valimaa H, Blomgren K. "Smoking or poor oral hygiene do not predispose to peritonsillar abscesses via changes in oral flora". Acta Otolaryngol. Vol.26, pp,1-5. 2019. DOI: https://www.ncbi.nlm.nih.gov/pubmed/31240981
  25. Zhu Y, Hollis JH. "Tooth loss and its association with dietary intake and diet quality in American adults". Journal of Dentistry Vol.42, No.11, pp.1428-1435. 2014. DOI: https://www.ncbi.nlm.nih.gov/pubmed/25174947 https://doi.org/10.1016/j.jdent.2014.08.012
  26. Alqahtani F, Alqahtani M, Albaqawi AH, Al-Kheraif AA, Javed F. "Comparison of cotinine levels in the peri-implant sulcular fluid among cigarette and waterpipe smokers, electronic-cigarette users, and nonsmokers". Clin Implant Dent Relat Res. 2019 Jul 2. DOI: https://doi.org/10.1111/cid.12813
  27. Keles S, Abacigil F, Adana F. "Oral health status and oral health related quality of life in adolescent workers". Clujul Medical. 2018;91(4):462-468. DOI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296728/
  28. Hyman JJ, Reid BC. "Cigarette smoking, periodontal disease, and chronic obstructive pulmonary disease". Journal of Periodontology 2004;75:9-15 DOI: https://doi.org/10.1902/jop.2004.75.1.9
  29. S.J. Go. Y. H. Jung. "Estimating smoking-attributable deaths on adolescent in Korea." Health and Welfare Policy Forum, Vol. 198, pp.18-26. 2013. DOI: http://uci.or.kr/I410-ECN-0102-2018-300-000189488
  30. E. J.Choi. "Tobacco cessation policy indicators and their policy implications. Korea Institute for Health and Social Affairs", Journal of population and health studies Vol.246, pp.22-31. 2017.
  31. A.A. Dedeke, O.A. Popoola, A.O. Adebiyi, M.C. Asuzu "Tobacco cessation service and related challenges among dentists in southwest nigeria". Annals of Ibadan Postgraduate Medicine. Vol.16, No.2, pp.125-130, 2018. DOI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580411/#R5
  32. Cho IW, Shin CS. Park JC. "Studies on patient's perception and awareness of health insurance coverage for smoking cessation treatment in dentistry". Journal of dental rehabilitation and applied science Vol.31, No.3, pp.195-202. 2015. DOI: https://doi.org/10.14368/jdras.2015.31.3.195