• 여성건강간호학회지
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• 제28권1호
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• pp.38-45
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• 2022

Purpose: Various individual and social factors influence depression in pregnant women. The purpose of this study was to identify the influence of socioeconomic status, health behaviors, and health status on depression of pregnant women in Korea. Methods: This study analyzed data from the 2019 Korean Community Health Survey conducted from August to October 2019. A structural questionnaire with Patient Health Quetsionnaire-9 (PHQ-9), health behavior, health status, and psychological characteristics was used. The data of 1,096 pregnant women between the ages of 19 and 55 years were analyzed using descriptive statistics, independent-test and chi-square tests, and multiple regression. Results: The mean score of prenatal depression as measured by the PHQ-9 during pregnancy was 2.35 points out of 0 to 27 points. Low income (B=0.69, p<.001), low-education level (B=0.70, p<.001), skipping breakfast (B=0.34, p=.001), less than 8 hours of sleeping (B=0.26, p=.009), binge drinking during pregnancy (B=0.46, p=.001), and stress (B=1.89, p<.001) were significantly associated with increased depression scores. In contrast, depression scores significantly decreased as subjective health status (B=-0.59, p<.001) and subjective oral health status (B=-.17, p=.003) increased. Conclusion: Findings support the need for healthcare policies and clinical screening to alleviate prenatal depression, especially for pregnant women with low socioeconomic status, poor health behavior, poor health status, and high stress.

• 한국치위생학회지
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• 제21권5호
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• pp.629-637
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• 2021

Objectives: The purpose of this study was to investigate the degree of activity restriction and the number of remaining teeth of the elderly and to analyze the correlation. Methods: Statistical analysis of the collected data was analyzed using the SPSS window program 25.0 version (IBM) using a composite sample for the analysis of the 7th National Health and Nutrition Survey data, and a composite sample multiple logistic regression analysis was performed to confirm the effect of activity restrictions on the number of remaining teeth. Results: As a result of analyzing the effect of activity restriction on the number of remaining teeth, in the model that analyzed only activity restriction variables, the risk ratio of less than 20 remaining teeth was 1.61 times higher and the age-adjusted model, the risk ratio of less than 20 remaining teeth was 1.46 times higher (p<0.001). In the model that corrected all variables, the results were not statistically significant. Conclusions: In this study, the relationship between activity restriction and the number of remaining teeth could be confirmed, and in subsequent studies, more in-depth studies are considered to be needed using sub-variables that specifically reflect the reasons for activity restriction.

• 한국융합학회논문지
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• 제11권5호
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• pp.335-340
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• 2020

1인가구주의 고용형태 및 연령에 따라 건강관련 생활습관 및 검진행태에 차이가 있는지를 비교하기 위하여, 경제활동을 하고 있는 1인가구를 대상으로 종사상지위(정규직, 비정규직, 사업자) 및 연령별(20-59세)로 층화추출하여 설문조사를 실시하였다(총 566명). 고용형태별로 보면 정규직의 경우 수면시간은 다른 집단에 비하여 유의하게 적은 반면(p<0.001), 건강검진 및 구강검진 비율은 유의하게 높았다(p<0.001). 연령별로 보면, 연령이 높을수록 구강상태가 나빴음에도 불구하고(p<0.001), 구강검진을 받지 않은 비율은 유의하게 높았다(p=0.023). 본 연구는 1인가구주의 고용형태 및 연령에 따른 건강행태 차이에 대한 기초자료를 제공함으로써 1인가구주의 다양한 특성에 따른 건강생활 환경을 만드는 기초자료로 의의가 있을 것이다.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.580-586
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• 2019

본 연구는 국민건강영양조사 제6기 원시자료를 이용하여 만20~44세의 성인 여성 2,134명을 대상으로, 가임기 여성의 만성질환과 구강건강행태의 관련성을 살펴보고, 각 요인들이 치주질환에 미치는 영향에 대하여 살펴보고자 한다. 본 연구결과 다음과 같다. 연령대(p<0.001), 교육수준(p<0.001), 결혼상태(p<0.001), 소득수준(p<0.05), 흡연(p=0.05), 출산경험(p<0.001)은 통계적으로 유의한 차이를 나타냈다. 만성질환 요인은 고혈압(p<0.001), 비만(p<0.001), 당뇨(p<0.001), 고콜레스테롤혈증(p<0.05), 저콜레스테롤혈증(p<0.001), 고중성지방혈증(p<0.001)에서 통계적으로 유의한 차이를 나타냈다. 구강건강 행태요인은 치통(p=0.05), 교정치료(p<0.05), 저작불편(p<0.05) 에서 통계적으로 유의한 차이를 나타냈다. 치주질환에 영향을 미치는 위험요인을 살펴본 결과, 만성질환요인에서 정상군에 비해 비만군에서 1.576배, 당뇨군에서 2.569배 치주질환 위험도가 더 높은 것으로 나타났다. 구강건강행태요인은 구강위생용품미사용자가 1.372배 치주질환 위험도가 더 높은 것으로 나타났다. 주관적 구강건강상태는 좋은 여성에 비해 나쁜 여성이 1.614배 치주질환 위험도가 더 높은 것으로 나타났다. 이상의 결과로 볼 때 여성의 만성질환 중 당뇨병이 치주질환 가장 큰 위험도를 나타냈으며, 당뇨와 비만은 관련성이 크므로 치주질환 위험요인으로 중요한 변수라 사료된다. 이에 복합적인 만성질환과 치주질환의 위험성을 살펴볼 필요가 있으며, 향후 여성의 치주질환을 위한 구강보건교육프로그램 확대 및 구강보건정책 마련이 필요하다.

• 치위생과학회지
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• 제17권3호
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• pp.233-241
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• 2017

This study identified an effective control method for periodontitis by investigating the association between blood levels of vitamin D and periodontitis in Korean elderly based on raw data from the fifth Korea National Health & Nutrition Examination Survey of 2010 (KNHANES). In this study, 1,021 adults over 65 years of age were evaluated based on data from the KNHANES. Periodontal disease was assessed using community periodontal index (CPI), with CPI codes ${\geq}3$ defined as periodontitis. Blood levels of vitamin D were measured from blood samples and divided into four groups (first quartile: ${\leq}13.23ng/ml$, second quartile: 13.24~16.95 ng/ml, third quartile: 16.96~21.58 ng/ml), and fourth quartile >21.59 ng/ml). Using multiple logistic regression analyses, the variables were adjusted for general characteristics, oral health-related characteristics, health-related characteristics, and bone mineral density. The statistical analysis was performed using the SAS (ver. 9.2). The results of this study are as follows: the prevalence of periodontitis was 42.6% in Korean elderly. After adjusting for general, oral health-related, and health-related, the risk of periodontitis in the first quartile group was 1.74 times (95% confidence interval [CI], 1.02~2.98) higher than that of the fourth quartile group (p=0.041). After adjusting for general, oral health-related, and health-related characteristics as well as bone mineral density, the risk of periodontitis in the first quartile group was 1.73 times (95% CI, 1.02~2.96) higher than that of the four quartile group (p=0.042). There was a significant relationship between blood vitamin D level and periodontitis in Korean elderly. For the prevention of periodontitis, factors related to vitamin D should be considered along with other risk factors.

• 대한치과의사협회지
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• 제51권9호
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• pp.511-517
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• 2013

To assess the association between oral health and general health, this study examined the relationship between chewing difficulty and twelve chronic health conditions such as hypertension, hyperlipidemia, diabetes, cerebro- and cardiovascular disease, musculoskeletal disease, respiratory disease, eye/nose/throat disease, stomach/intestinal ulcer, renal dysfunction, thyroid disease, depression, and cancer in Korea. The study population was 3,066 elders aged 65 years old and more from the fourth Korean National Health and Nutrition Examination Survey. Chewing difficulty was measured on a 5-point Likert scale. Chronic conditions were assessed by self-reported questionnaire. Confounders were age, gender, education, income, smoking, drinking, and obesity. Chi-square test, general linear model, and multiple logistic regression model were done with complex sampling design. Musculoskeletal disease (adjusted odds ratio=1.33), respiratory disease (adjusted odds ratio=1.52), and cancer (adjusted odds ratio=1.58) were independently associated with chewing difficulty. Multiple chronic conditions with more than 4 chronic disease showed significant association with chewing difficulty (adjusted odds ratio=1.37).

• Journal of Periodontal and Implant Science
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• 제53권4호
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• pp.283-294
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• 2023

Purpose: The aim of this study was to investigate the relationship between serum uric acid (SUA) levels and the risk of periodontitis in Korean adults using data from the Korean National Health and Nutrition Examination Survey (KNHANES). Methods: This cross-sectional study used data from the KNHANES 2016-2018 and analysed 12,735 Korean adults aged ≥19 years who underwent oral examinations. Hypouricemia was defined as SUA <3 mg/dL in men and <2 mg/dL in women, and hyperuricemia was defined as SUA ≥7 mg/dL in men and ≥6 mg/dL in women. Results: The weighted prevalence of hypouricemia and hyperuricemia was 0.6% and 12.9%, respectively. The overall weighted periodontitis rate was 30.5%. The frequency of periodontitis in subjects with hypouricemia, normouricemia, and hyperuricemia were 51.1%, 30.3%, and 30.6%, respectively. Study participants with hypouricemia were significantly older, had significantly fasting blood glucose levels, and had better kidney function than non-hypouricemic participants. In univariate logistic regression analyses, hypouricemia was associated with periodontitis, but hyperuricemia was not. The fully adjusted model revealed that the adjusted odds ratio of hypouricemia for periodontitis was 1.62 (95% confidence interval, 1.13-2.33), while the relationship between hyperuricemia and periodontitis in the multivariable logistic regression model was not significant. Conclusions: The results of this study suggest that hypouricemia is associated with an increased risk of periodontitis.

• 대한소아치과학회지
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• 제43권3호
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• pp.227-236
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• 2016

치주질환은 3대 구강질환으로 성인 대상으로는 연구가 활발히 이루어지고 있다. 하지만, 청소년의 경우 치주질환이 증가하는 추세에도 불구하고 청소년의 치주상태에 대한 관심은 부족한 실정이다. 본 연구는 청소년의 치주상태와 치주질환 유병률을 조사하고 그 기여요인을 파악하고자 시행되었다. 전주시 10세, 13세, 16세 청소년을 대상으로 임상 검사 및 설문조사를 실시하여 다음과 같은 결과를 얻었다. 치주질환 유병률과 치태지수는 남자가 여자보다 높게 관찰되었고(p < 0.05), 13세에서 가장 높은 치주질환 유병률(73.3%)과 치태지수가 관찰되었다(p < 0.05). 치아별 치태지수의 경우 하악 중절치가 가장 높게 나타났다. 예상위험요인과 관련한 설문조사에서 13세의 구강 위생관리가 가장 부족하게 나타났다. 스케일링을 받은 환자에서 치태지수가 높게 관찰되었으며(p < 0.05), 스트레스가 많은 청소년에게서 치석 침작 및 치태지수가 증가하였다(p < 0.05).

• 한국치위생학회지
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• 제15권2호
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• pp.271-278
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• 2015

Objectives: The aim of this study was to investigate the effect of water fluoridation program(WFP) on dental caries prevention in Ulsan, Korea. Methods: The data of control group were extracted from 2012 Korean National Oral Health Survey(KNOHS). Since 1998, WFP was implemented in Ulsan. The subjects were 670 subjects including 10 to 12-years old children in 2009. The control subjects were 4,871 people in non-fluoridated metropolitan cities comparable to Ulsan. The control subjects were selected from 2012 KNOHS. A self-reported questionnaire was completed by the variables including oral health behaviors on daily frequency of toothbrushing, eating snacks and beverages. Oral health examination was carried out by two dentists who received a training in KNOHS with an inter-examiner-agreement. Caries preventive fraction was calculated by the difference of DMFT and DMFS index. The preventive effects of the WFP program were focused on gender, number of fissure sealed teeth, daily frequency of toothbrushing, eating snacks and beverages. Data were analyzed using SPSS $19.0^{(R)}$(SPSS Inc., Chicago, IL, USA) statistical package. Results: DMFT indices of 12-year-old subjects(n=670) in WFP and control population(n=4,871) were 2.11 and 1.23, respectively with an estimated prevention effect of 41.7%. Conclusions: WFP in Ulsan reduced the prevalence of dental caries. WFP should be recommended for the public oral health program in other metropolitan cities.

• 한국치위생학회지
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• 제12권3호
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• pp.521-531
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• 2012

Objectives : The aim of this study was to evaluate the relation between the state of dental health(number of natural teeth) and nutritional status of Korean elderly using Korean Dietary Reference Intakes, which was an objective standard for nutritional intake based on database of Korea National Health and Nutrition Examination Survey, large scale of sample obtained by the government. Methods : Complex sampling procedure was used to analyze the fourth data(2007-2009) of Korea National Health and Nutrition Examination Survey. When preparing planning file, the estimator of variance as a stratification variance (variance name : kstrata), population of survey unit as a cluster variance(variance name : PSU), and previous exam and nutritional related weighted as a weighted were analyzed by considering reproduced survey and nutritional related total weighted. Complex samples chi-square test was used to estimate the relation between number of natural teeth and inadequate intake and relation factors included in the model were analyzed by complex samples logistic regression analysis. Results : The group of edentulous had a higher risk to intake less nutrient, except calcium, riboflavin and vitamin C than recommended level comparing to reference group which had natural teeth more than 20(phosphate : OR=1.763; 95% CI=1.273-2.443, thiamine : OR=1.748; 95% CI=1.276-2.395, protein : OR=1.610; 95% CI=1.213-2.138). Conclusions : The number of teeth in Korean elderly over 65 years old had a relation with nutritional status in this investigation. Especially, intake level of nutrients was different between the edentulous group and the reference group. Therefore, dental health care is needed from young and middle age to keep health dental condition for through whole life as well as old age. Although the dental condition of the aged is not good, it is evitable to educate them about the relation between dental health and nutritional ingestion to take balanced nutrition, we think.