DOI QR코드

DOI QR Code

The convergence relationship between depression and oral health behaviors of menopausal women in Korea

우리나라 폐경 여성에서 우울 정도와 구강건강행태의 융합적 관련성

  • Lee, Mi-Ra (Department of Dental Hygiene, Hanseo University)
  • 이미라 (한서대학교 치위생학과)
  • Received : 2022.02.03
  • Accepted : 2022.04.20
  • Published : 2022.04.28

Abstract

The purpose of this study was to analyze the convergence relationship between depression and oral health behaviors in postmenopausal women using data from the 2016~2018 Korea National Health and Nutrition Examination Survey(KNHANES). The subjects of this study were 1,201 women aged 40 to 59 years who answered 'menopause' in the question of menstruation of KNHANES. The data were analyzed by complex samples chi-square test and logistics regression. The group with a PHQ-9 score of '≥10' was 3.12 times more likely to smoke than the group with '<10'. Depression in postmenopausal women was strongly related to smoking. This study is expected to be used as a basic data to improve the health and oral health of middle-aged women by identifying oral health behaviors related to depression in postmenopausal women.

본 연구는 2016~2018년 국민건강영양조사의 자료를 활용하여 폐경기 여성의 우울 정도와 구강건강행태의 융합적 관련성을 파악하기 위해 실시되었다. 연구대상자는 40세부터 59세 여성 중 건강설문조사의 월경 여부 문항에서 '폐경'이라고 응답한 1,201명이었다. 자료 분석은 복합표본 교차분석 및 로지스틱 회귀분석을 실시하였다. 그 결과 PHQ-9 점수가 '10점 이상'인 집단이 '10점 미만' 집단에 비해 3.12배 흡연을 하는 경향이 나타나, 폐경 여성의 우울 정도는 구강건강행태 중 흡연과 깊은 관련성이 나타났다. 본 연구는 폐경 여성의 우울과 관련되어 있는 구강건강행태를 파악함에 따라 중년 여성의 건강 및 구강건강을 향상시키는 기초자료로 이용될 것을 기대한다.

Keywords

References

  1. H. S. Lee & C. M. Kim. (2010). Menopausal symptoms and depression among midlife women. Journal of Korean Academy of Community Health Nursing, 21(4), 429-438. https://doi.org/10.12799/jkachn.2010.21.4.429
  2. Y. H. Kim & J. H. Lee. (2019). Menopause experience and the relationship between metabolic syndrome components and periodontitis. Journal of Korean Academy of Oral Health, 43(2), 56-62. DOI : 10.11149/jkaoh.2019.43.2.56
  3. E. J. Yoon. (2000). A study on the health promoting lifestyle practices of middle-aged women in Korea. Journal of Korean Society for Health Education and Promotion, 17(1).
  4. A. R. Song & E. S. Chung. (1998). A study on the development of a menopause symptom scale. The Journal of the Korean Society of Menopause, 4(1), 72-85.
  5. J. S. Kim & S. H. Ahn. (2016). Impact of menopausal status, metabolic syndrome and its risk factors on impaired quality of life above middle-aged women. Korean Journal of Women Health Nursing, 22(4), 72-85. DOI : 10.4069/kjwhn.2016.22.4.275
  6. J. Jeon. (2016). editor Korean women's mental health indicators. Health and Welfare Policy Forum, 5, 47-60.
  7. E. W. Freeman, M. D. Sammel, H. Lin & D. B. Nelson. (2006). Associations of hormones and menopausal status with depressed mood in women with no history of depression. Arch Gen Psychiatry, 63(4), 375-382. DOI : 10.1001/archpsyc.63.4.375.
  8. H. D. Nelson. (2008). Menopause. Lancet. 371, 760-770. DOI : 10.1016/S0140-6736(08)60346-3
  9. A Forabosco et al. (1992). Efficacy of hormone replacement therapy in postmenopausal women with oral discomfort. Oral Surgery, Oral Medicine, Oral Pathology, 73(5), 570-574. DOI : 10.1016/0030-4220(92)90100-5
  10. F Yalcin, S Gurgan & T Gurgan. (2005). The effect of menopause, hormone replacement therapy (HRT), alendronate (ALN), and calcium supplements on saliva. The Journal of Contemporary Dental Practice, 6(2), 10-7. https://doi.org/10.5005/jcdp-6-2-10
  11. D Ducasse, P Courtet & E Olie. (2013). Burning mouth syndrome: current clinical, physiopathologic, and therapeutic data. Regional Anesthesia and Pain Medicine, 38(5), 380-390. DOI : 10.1097/AAP.0b013e3182a1f0db
  12. S. H. Hwang. (2019). Health-related quality of life according to oral health behavior in adults. Journal of Korean Dental Hygiene Science, 2(2), 21-30. DOI : 10.22753/JKDHS.2019.2.2.21
  13. K. S. Lee & C. S. Kim. (2014). Association between bone mineral density and remaining teeth in postmenopausal women. Journal of Korean Society of Dental Hygiene, 14(3), 319-326. DOI : 10.13065/jksdh.2014.14.03.319
  14. H. J. Yu et al. (2013). Relationship between menopause, anxiety symptoms and perceived oral symptoms in menopausal woman. The Korean Society of Dental Hygiene Science, 13(1), 53-61.
  15. M. J. Kim, H. S. Kim & S. S. Park. (2014). Effect of gabapentin for the treatment of burning mouth syndrome comorbid with depression in postmenopausal women. Korean Journal of Psychosomatic Medicine, 22(2), 138-142.
  16. M. R. Lee. (2020). Effects related to periodontal disease in menopausal women : The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018). Journal of Korean Society of Dental Hygiene, 20(6), 855-864. DOI : 10.13065/jksdh.20200079
  17. S. Y. Park & S. A. Lim. Effects of physical activity and depression on oral health behavior and awareness symptoms in postmenopausal women. Journal of Korean Society of Dental Hygiene, 21(5), 595-600. DOI : 10.13065/jksdh.20210057
  18. G. S. Phillips, L. A. Wise & B. L. Harlow. (2007). A prospective analysis of alcohol consumption and onset of perimenopause. Maturitas, 56(3), 263-272. DOI : 10.1016/j.maturitas.2006.08.008.
  19. Y. J. Lee, Y. M. Noh, J. H. Lee, K. H. Ik & J. W. Noh. (2018). Association between menopause age, health factors, and health behavior factors in women. Journal of the Future of Society, 9(1), 35-45. https://doi.org/10.22987/JIFSO.2018.9.1.35
  20. T. H. Kim & Y. P. Hong. (2010). Endocrine disrupter and menopause. The Journal of the Korean Society of Menopause, 16(1), 1-5. https://doi.org/10.1258/mi.2010.010012
  21. The Seventh (2016-2018) Korea National Health and Nutrition Examination Survey analysis guideline. [Online]. https://knhanes.kdca.go.kr
  22. J. Yang. (2020). A study on the participation motives, successful aging, health behavior and depression in women after menopause. Journal of the Korea Academia-Industrial Cooperation Society, 21(10), 499-508. DOI : 10.5762/KAIS.2020.21.10.499
  23. E. H. Cho & K. W. Sung. (2019). Comparative study on depressive symptoms, marital intimacy and health-related quality of life according to the severity of menopausal symptoms. Global Health and Nursing, 9(1), 1-9.
  24. M. G. Ji. (2012). Relationship between adults' smoking realities and periodontal disease - 2009 Korea National Health and Nutrition Examination Survey data. The Korea Institute of Electronic Communication Sciences, 7(4), 917-924.
  25. M. R. Lee. (2017). The association of smoking and drinking status with gingival symptoms among the adolescents in Korea. Journal of Korean Society of Dental Hygiene, 17(5), 865-874. DOI : 10.13065/jksdh.2017.17.05.865
  26. Y. L. Kim & M. H. Won. (2020). A convergence study of factors influencing on depressive symptoms in postmenopausal middle-aged women. Journal of Convergence for Information Technology, 10(4), 25-34. DOI : 10.22156/CS4SMB.2020.10.04.025
  27. E. K. Han. (2018). An analysis of convergence factors on depressive symptoms women in the postmenopausal: based on the theory of unpleasant symptoms. Journal of Convergence for Information Technology, 8(1), 59-67. DOI : 10.22156/CS4SMB.2018.8.1.059
  28. S. J. Moon & E. J. Hwang. (2021). Comparison of depression, subjective health status, and quality of life among present smokers, past smokers and non-smokers. Journal of the Korea Academia-Industrial Cooperation Society, 22(11), 812-819. DOI : 10.5762/KAIS.2021.22.11.812
  29. H. Tanaka, Y. Sasazawa, S. Suzuki, M. Nakazawa & H. Koyama. (2011). Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study. BMC Psychiatry, 11(1), 11-20. DOI : 10.1186/1471-244X-11-20
  30. H. K. Jang & B. K. Cha. (2003). Influencing factors of climacteric women's depression. Journal of Korean Academy of Nursing, 33(7), 972-980. https://doi.org/10.4040/jkan.2003.33.7.972
  31. K. H. Lee & S. B. Lee. (2018). Effect of lifestyle on cardiovascular risk in 10 years according to framingham risk score of middle-aged women - The based on 2016 Korea National Health and Nutritional Examination Survey -. Korean society for Wellness, 13(2), 277-288. DOI : 10.21097/ksw.2018.05.13.2.277
  32. S. H. Hong. (2014). "Does quitting smoking improve smokers welfare?". The Korean Journal of Health Economics and Policy, 20(2), 49-65.
  33. N. Rohleder, C. Kirschbaum. (2005). The hypothalamic-pituitary-adrenal (HPA) axis in habitual smokers. International Journal of Psychophysiology, 59(3), 236-243. DOI : 10.1016/j.ijpsycho.2005.10.012
  34. H. N. Sung & J. S. Kim. (2016). The relationship between smoking and depressive symptoms among Korean adults. Korean Journal of Health Education and Promotion, 33(2), 57-66. DOI : 10.14367/kjhep.2016.33.2.57