Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Oral Health Status of the Elderly Living in Long-Term Care Facilities and Non-resident Elderly

노인요양시설 거주 노인과 비거주 노인의 구강건강상태 비교

  • Lee, Hye-Ju (Dental Research Institute, Seoul National University)
  • 이혜주 (서울대학교 치학연구소)
  • Received : 2019.10.21
  • Accepted : 2020.03.20
  • Published : 2020.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this research was to analyze the differences for the oral health status of the elderly people living in the long-term care facilities and the non-resident elderly. The study was conducted on 469 elderly people of the same age, gender and basic living conditions. Elderly residing in long-term care facilities had higher dental caries prevalence(p=0.019), DT(p=0.001), and MT(p=0.047) than non-resident elderly, and had lower FT(p<0.001) than non-resident elderly. The elderly living in facilities were 1.93 times more likely to be caries than non-residents, and 0.73 times more likely to have a filled tooth. The probability of denture use was 0.15 times for the maxillary and 0.13 times for the mandibular. The probability of denture needs was 5.61 times for the maxillary and 5.65 times for the mandibular. All of these results showed significant differences. As a result of this, it can be used as basic data for establishing oral health policy for oral health promotion of the elderly living in Long-term care facilities.

본 연구의 목적은 노인요양시설 거주 노인과 비거주 노인의 구강건강상태를 비교하는 것이었다. 연령, 성별, 기초생활수급상태가 동일한 469명을 매칭하여 구강건강상태를 비교분석하였다. 노인요양시설 거주 노인들은 시설 비거주 노인보다 치아우식 우병률(p=0.019), 우식영구치수(p=0.001), 상실영구치수(p=0.047)가 더 높았고 충전영구치수(p<0.001)는 더 낮은 것으로 확인되었다. 시설 거주 노인들은 비거주 노인들보다 치아우식에 유병될 확률이 1.93배 더 높았고, 충전치아를 가지게 될 확률은 0.73배였다. 의치를 장착하게 될 확률은 상악이 0.15배, 하악이 0.13배였으며, 의치필요도는 상악이 5.61배, 하악이 5.65배였다. 의치 장착여부 및 필요도에 대한 보정된 오즈비는 모두 유의한 것으로 나타났다. 이 결과를 바탕으로 노인요양시설 거주 노인의 구강건강증진을 위한 구강보건정책 수립을 위한 근거 자료로 활용할 수 있을 것으로 생각된다.

Keywords

References

  1. Y. H. Jung & S. H. Lee. (2019). The impact of Workforce Aging on Labor Productivity: Using the Regional Panel Dataset in Korea. Journal of Digital Convergence, 11(11), 1-7. DOI : 10.14400/JDC.2019.17.11.001
  2. Statistics Korea. (2019). Future Population Special Estimation. Future Population Special Press Release. http://kostat.go.kr/portal/korea/kor_nw/1/2/6/index.board?bmode=read&aSeq=373873
  3. C. L. Cjeong & T. J. Lee. (2017) Population ageing and increasing health care expenditures - counting on death related costs by age group. The Korean Journal of Health Economics and Policy, 23(4), 127-148.
  4. G. J. Woo, H. J. Kim, Y. J. Kim & K. W. Oh. (2018). Oral health examination of the Korea National Health and Nutrition Examination Survey and prevalence of oral disease. Health and Disease, 11(22), 742-749.
  5. K. H. Jung, M. H. Oh, E. N. Kang, J. H. Kim, W. D. Sun & M. A. Oh. (2014). National Survey on Older Adults. Sejong : Korea Institute for Health and Social Affairs.
  6. Y. M. Jung, S. M. Kim, H. J. Lee, Y. H. Cho, S. G. Lee & N. H. Kim. (2010). Oral health care of the elderly in long-term care facilities in Korea. Journal of Korean Society of Dental Hygiene, 10(4), 727-34.
  7. S. H. Jang & M. H. Choi. (2011). Evaluation of the quality of life related to oral health among elderly people in some elderly care facilities by OHIP-14. Journal of Korean Society of Dental Hyjiene, 11(4), 475-487.
  8. S. H. Kim, C. H. Kim, G. Y. Son, S. Y. Yang, M. S. Cho & S. H. Oh. (2014). The Perception of elderly oral health care in the care workers in nursing homes. Journal of Korean Society of Dental Hygiene, 14(5), 715-21. https://doi.org/10.13065/jksdh.2014.14.05.715
  9. R. Lee. (2016). Macroeconomics, Aging and Growth. NBER Working Paper, 22310, 1-71.
  10. I. J. Rha, C. Y. Lim & S. H. Park. (2008). Preparing for the retiring babyboomer generation in Korea: from the national human resource development perspectives. Journal of Welfare for the Aged, 42(0), 151-74.
  11. C. S. Jung. (2012). Aging Society and Labor Market. Journal of Digital Convergence, 10(1), 185-194. DOI : 10.14400/JDPM.2012.10.1.185
  12. T. Wall, K. Nasseh & M. Vujicic. (2013). Per-patient Dental Expenditure Rising, Driven by Baby Boomers. American Dental Association websites, https://www.ada.org/en/-/media/ADA/Science%20and%20Research/Files/HPRCBrief_0313_2
  13. M. S. Haumschild & R. J. Haumschild. (2009). The importance of oral health in long-term care. Journal of the American Medical Directors Association, 10, 667-671. https://doi.org/10.1016/j.jamda.2009.01.002
  14. H. S. Jeong, Y. M. Song & K. S. Lee. (2006). Aging and Health Care Expenditure. The Korean Journal of Health Economics and Policy, 13(1), 95-116.
  15. L. Weening-Verbree, G. Huisman-de Waal, L. van Dusseldorp, T. van Achterberg & L. Schoonhoven. (2013). Oral health care in older people in long term care facilities: A systematic review of implementation strategies. International Journal of Nursing Studies, 50, 569-82. https://doi.org/10.1016/j.ijnurstu.2012.12.004
  16. Hopcraft MS. (2015). Dental demographics and metrics of oral diseases in the ageing Australian population. Australian Dental Journal, 60(1), 2-13. https://doi.org/10.1111/adj.12262
  17. M. S. Park. (2010). Educational Needs in the Provision of Oral Care by Nursing Staff Long-term Care Facility for Elderly People. Journal of Geriatric Nursing, 12(1), 72-80.
  18. J. R. Park, M. S. Youn & Y. R. Choi. (2018). Convergence study of long-term care insurance system for elderly of awareness of middle-aged people and demand for dental services in the system. Journal of the Korea Convergence Society, 9(7). 95-103. DOI : 10.15207/JKCS.2018.9.7.095
  19. J. R. Park, M. H. Hong & Y. R. Choi. (2015). The oral health awareness and oral health care provided by workers in long-term elderly care facilities. Journal of Korean Society of Dental Hygiene, 15(2), 245-251. https://doi.org/10.13065/jksdh.2015.15.02.245
  20. M. S. Park. (2010). Educational Needs in the Provision of Oral Care by Nursing Staff in Long-term Care Facility for Elderly People. Journal of Korean Gerontological Nursing, 12(1), 72-80.
  21. P. Coleman & N. M. Watson. (2006). Oral care provided by certified nursing assistants in nursing homes. Journal of the American Geriatrics Society, 54(1), 138-143. https://doi.org/10.1111/j.1532-5415.2005.00565.x
  22. G. U. Kim & J. H. Kim. (2015). A study on the knowledge and awareness of care workers on the geriatric oral health. Journal of the Korea Convergence Society, 6(6), 9-15. DOI : 10.15207/JKCS.2015.6.6.009
  23. M. Y. Kim & K. H. Kang. (2016). Status of oral health care provided by care workers in accordance with their oral health awareness and knowledge. Journal of the Korea Convergence Society, 7(6), 161-166. DOI : 10.15207/JKCS.2016.7.6.161
  24. N. K. Han, W. C. Kim, S. j. Lim & C. Y. Park. (2013). Effect of the Long-term Care Insurance Policy on Medical Expenditures for the Elderly. Health Policy and Management, 23(2), 132-144. https://doi.org/10.4332/KJHPA.2013.23.2.132
  25. J. Y. Park, Y. H. Lee, J. H. Kwon, E. M. Lee, H. Y. Lee, Y. H. Kim. (2010). The development of an integrated care model for the long-term care and medical service. Seoul: National Health Insurance Service.