• 대한치과교정학회지
• /
• 제50권3호
• /
• pp.197-205
• /
• 2020

Objective: To investigate the prevalence of malocclusion with respect to grade, sex, and year among Korean pre-adolescent and adolescent students during 2012-2017. Methods: A total of 165,996 students (first grade [E1, 6-7 years of age], fourth grade [E4, 9-10 years], seventh grade [M1, 12-13 years], and tenth grade [H1, 15-16 years]) were selected by stratified sampling method and underwent the nationwide oral health examination performed by the Ministry of Education, Republic of Korea. The malocclusion assessments based on dentists' judgments were "no malocclusion," "needs orthodontic treatment (N-OTx)," and "under orthodontic treatment (U-OTx)." The sum of N-OTx and U-OTx cases was determined as the number of students with malocclusion. After analyzing the prevalence of malocclusion according to grade, sex, and year-by-year differences, Pearson correlation analyses and two-way analyses of variance were performed. Results: The prevalence of malocclusion was 18.7%, which increased with the grades (E1 [8.3%] < E4 [15.8%] < M1 [22.9%] < H1 [25.3%], p < 0.001). However, there was no significant difference in the prevalence of malocclusion in each grade group for the period (p > 0.05) without significant correlation (E1, ρ = 0.129; E4, ρ = -0.495; M1, ρ = 0.406; H1, ρ = -0.383; all p > 0.05). The prevalence of malocclusion within each grade group over the six-year period was more prominent in the female (p < 0.0001). Conclusions: Further studies are necessary to modify the malocclusion assessment method to account for specific types of malocclusion in pre-adolescent and adolescent students.

• 대한통합의학회지
• /
• 제10권2호
• /
• pp.49-59
• /
• 2022

Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents. Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed. Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems. Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community - not only residents - with chronic mental illness.

• 한국치위생학회지
• /
• 제15권5호
• /
• pp.787-795
• /
• 2015

Objectives: The purpose of the study is to investigate the degree of disparity in unmet dental care needs in Korean adults. Methods: Using data from the 5th Korea National Health and Nutrition Examination Survey, 9,573 adults between 25-54 years old were selected. The reason for unmet dental care needs was analyzed by chi square test and logistic regression analysis. Results: Those having unmet oral health care needs accounted for 41.3%. The majority of the reason (1,036 persons) was "busy with school or work" and the second reason was financial burden (1,028 persons). Those who were female individuals (OR: 1.14, CI: 1.02-1.27), having higher income (OR: 0.85, CI: 0.72-0.99), and perceiving poor oral health status (OR: 5.68, CI: 4.64-6.95). Conclusions: It is necessary to extend and implement the nationwide public assistance of dental care services among the second-to-the bottom and low income people.

• 한국치위생학회지
• /
• 제11권1호
• /
• pp.113-126
• /
• 2011

Objectives : We supposed that identifying the influencing factors on DMFT index in the primary school children in Pocheon be indispensible for the primary school children's oral health program establishment in Pocheon. So, to prepare the basic materials for the primary school children's oral health program establishment in Pocheon, we analyzed the associated factors which could have an influence on the primary school children's DMFT index in Pocheon. Methods : We selected 3,676 primary school children in Pocheon, whose age were from 6 to 11, and surveyed those children by a questionnaire and the oral examination based on WHO's oral health survey method. Data were analyzed with a $x^2$-test and multiple regression analysis using SPSS $15.0^{(R)}$. Results : The results of oral survey in the primary school children in Pocheon revealed as follows: DMFT index, National Health Oral health survey of 2006 people nationwide in the results when compared to younger grade children and older grade in the low and the higher. Subjective oral health awareness, high of viscosity junk food snacks, fruit, gender, dental visits and humidity, oral health education classes, including the variable of attitude was 6(p<0.05). Their higher awareness of dental health, oral health education classes ever the more positive attitude to DMFT index was statistically significant(p<0.05). Solid in the habit of eating junk food snacks to the students of a liquid relative to student intake was higher DMFT index indices(p<0.05). Conclusions : We could reason that one's oral health recognition and behavior should have a relationship with his(her) DMFT index.

• Journal of Periodontal and Implant Science
• /
• 제50권4호
• /
• pp.268-277
• /
• 2020

Purpose: Many home care treatments can be used to promote the health and longevity of dental implants; however, few studies are available to support the concept that self-performed oral hygiene behaviors are an essential tool for improving and maintaining oral health. We investigated age-stratified associations between dental health behaviors related to tooth brushing (TB) and oral hygiene product use in Korean adults with implants. Methods: A total of 1,911 subjects over 19 years of age who had 1 or more implants and who participated in the 2013 to 2015 Korea National Health and Nutrition Examination Survey were reviewed. Periodontal status was assessed using Community Periodontal Index (CPI) scores, and periodontitis was defined as a CPI greater than or equal to 3. The complex sampling design of the survey was utilized to obtain the variance and individual weight of each analyzed factor. A high CPI was the outcome variable, and the main explanatory variables were oral hygiene behaviors, such as TB, dental floss (DF), interproximal brushing, and mouth rinsing. Results: Almost all individuals with a lower CPI brushed their teeth twice or more per day, in contrast to those with a higher CPI, and were likely to use DF. The adjusted odds ratio of not using DF for a higher CPI was 1.83 (95% confidence interval, 1.35-2.49). Conclusions: TB was implemented more than twice a day by patients with good oral health, and the combination of TB and DF significantly reduced the prevalence of a higher CPI. Self-performed oral hygiene practices combining TB and DF were significantly related to a low prevalence of periodontitis in implant patients.

• 치위생과학회지
• /
• 제14권2호
• /
• pp.207-213
• /
• 2014

본 연구는 국민건강영양조사 5기(2010~2012년) 원시자료를 이용하여 사회경제적 수준에 따른 주관적 구강건강 상태의 차이와 관련성을 분석하기 위하여 실시되었다. 주관적 구강건강 수준을 '좋다'와 '나쁘다'로 분류하여 사회경제적 수준이 건강불평등에 미치는 요인을 분해하여 다음과 같은 결과를 얻었다. 주관적 구강건강 상태는 남자에 비해 여자가 구강건강을 좋지 않다고 인식하는 것으로 나타났으며, 연령 증가 시 본인의 구강건강을 나쁘게 인식하는 것으로 분석되었다. 또한 교육수준이 낮을수록, 가구소득이 낮을수록 주관적 구강건강상태를 나쁘다고 자가 평가하는 경향을 보였다. 로지스틱회귀분석을 활용하여 주관적 구강건강 상태에 대한 영향 요인을 분석한 결과 사회계층에 따른 건강상의 차이는 남자에 비해서 여자에서 자신의 구강건강수준을 더 건강하게 인지할 확률이 높아지고 있으며 교육수준이 높을수록 건강하게 인지할 가능성이 높았다. 소득수준에 따른 주관적 건강수준에 대한 인식의 격차는 소득증가에 따라 더 심화되는 것으로 나타났다. 이상의 연구결과를 살펴보면 구강건강에 사회계층별 불평등은 존재하는 것으로 나타났다. 전체 국민의 구강건강을 증진하는 사업은 물론 사회 양극화에 따른 사회계층별 구강건강의 격차를 해소하기 위해 상대적으로 격차가 큰 취약계층에 적절한 정책적 지원이 고려되어야 할 것으로 사료된다.

• 보건교육건강증진학회지
• /
• 제24권4호
• /
• pp.65-85
• /
• 2007

Objectives: The purpose of this study was to identify the major health problems of poor children, and to provide basic information for developing health care program for low income children in underserved area. Methods: Health data were collected through medical examination(KAHP Social Welfare Service) and analysed for 3,081 poor children in 106 local children's centers nationwide. Results: 1. The mean height and weight of poor children were lower than those of nonpoor children. The differences were increased by age. 2. The rate of relative low weight was higher in poor children than in nonpoor children. On the contrary, The obesity rate was higher in nonpoor children than in poor children. 3. Poor children were more likely to have vision problem, anemia, high blood pressure, and oral health problems than nonpoor children. 4. The Health problems of children were the most serious in single father family. Conclusion: In order to improve children's health status, health promotion program for poor children should be developed and implemented. Health promotion program should include activities including regular health examination, home visiting, nutrition support, managed health care, health counseling and education. And the community support network was suggested for the efficacy of the program, including home, school and community.

• Journal of Korean Biological Nursing Science
• /
• 제20권2호
• /
• pp.67-75
• /
• 2018

Purpose: The aim of this study was to explore the prevalence of major chronic diseases related to daily oral water intake and to identify the physiological parameters related to dehydration in Korean elderly. Methods: The data were collected from the sixth Korea Health and Nutrition Examination Survey (KHANES), which was a nationwide and cross-sectional survey in 2015. We analyzed 1,392 participants using t-test and logistic regression. All participants were divided into the adequate water intake (AWI) group and the non-adequate water intake (NAWI) group based on the dietary reference intakes for Koreans. Results: There was a significant difference in the water intake between the AWI (6.8 cups in a day) and NAWI (2.8 cups) groups (p< .001). There was no statistically significant association between the level of water intake and any of the major chronic diseases. Blood urea nitrogen (BUN) and BUN/Creatinine (Cr) ratio were significantly higher in the NAWI group. Especially, BUN/Cr ratio shows that the NAWI group reached dehydration status. Older age (adjusted odd ratio, OR= 1.07, 95% confidence interval, CI [1.04-1.10]), female gender (adjusted OR= 1.56, 95% CI [1.05-2.33]), lower body mass index (BMI) (adjusted OR = 1.00, 95% CI [0.92-1.00]), higher BUN (adjusted OR = 1.04, 95% CI [1.01-1.08]), and higher urine specific gravity (USG) (adjusted OR= 1.56, 95% CI [1.19-2.05]) were factors associated with the NAWI group. Conclusion: The findings suggest that the level of water intake needs to be considered in relation to age, gender, BMI, BUN, and USG. These are sensitive physiological parameters used for predicting dehydration of the elderly according to their daily oral water intake. It would be helpful to develop strategies to prevent dehydration in elderly individuals and enhance their water intake.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권5호
• /
• pp.1953-1958
• /
• 2015

Background: In India, cancer accounts for 7.3% of DALY's, 14.3% of mortality with an age-standardized incident rate of 92.4/100,000 in men and 97.4/100,000 in women and yet there are no nationwide screening programs. Materials and Methods: We calculated age-standardized and age-truncated (30-69 years) detection rates for men and women who attended the Indian Cancer Society detection centre, New Delhi from 2011-12. All participants were registered with socio-demographic, medical, family and risk factors history questionnaires, administered clinical examinations to screen for breast, oral, gynecological and other cancers through a comprehensive physical examination and complete blood count. Patients with an abnormal clinical exam or blood result were referred to collaborating institutes for further investigations and follow-up. Results: A total of n=3503 were screened during 2011-12 (47.8% men, 51.6% women and 0.6% children <15 years) with a mean age of 47.8 yrs (${\pm}15.1yrs$); 80.5% were aged 30-69 years and 77.1% had at least a secondary education. Tobacco use was reported by 15.8%, alcohol consumption by 11.9% and family history of cancer by 9.9% of participants. Follow-up of suspicious cases yielded 45 incident cancers (51.1% in men, 48.9% in women), consisting of 55.5% head and neck (72.0% oral), 28.9% breast, 6.7% gynecological and 8.9% other cancer sites. The age-standardized detection rate for all cancer sites was 340.8/100,000 men and 329.8/100,000 women. Conclusions: Cancer screening centres are an effective means of attracting high-risk persons in low-resource settings. Opportunistic screening is one feasible pathway to address the rising cancer burden in urban India through early detection.

• 치위생과학회지
• /
• 제11권4호
• /
• pp.361-365
• /
• 2011

본 연구는 만 12세 이상 19세 미만의 청소년에서 간식섭취 횟수와 치아우식경험과의 상관성을 확인하고자 2007년 국민건강영양조사 자료에 근거하여 분석한 결과 다음과 같은 결과를 얻었다. 1. 간식섭취 횟수가 1일 2회 이상인 학생이 55.7%로 많았고, 칫솔질 횟수는 1일 2회 미만인 학생이 83.9%로 많았으며, 77.6%의 학생이 치아우식증을 경험한 것으로 나타났다. 2. 간식섭취 횟수와 치아우식경험과의 상관성을 분석한 결과 간식섭취 횟수가 1일 2회 미만 보다 1일 2회 이상인 청소년의 경우 치아우식 경험이 2배정도 높은 것으로 나타났고, 이는 통계적으로 유의한 것으로 조사되었다(OR:2.1, CI:1.1-4.0). 3. 간식 종류별 섭취횟수와 치아우식경험과의 상관성에서는 일 년에 11회 이하 간식을 섭취하는 청소년에 비하여 하루에 3회 이하 섭취하는 청소년들이 치아우식경험이 높은 것으로 나타났으며 통계적으로 유의하지는 않았다(OR:1.5 CI:0.6-3.7). 이상의 결과에 근거하여 청소년의 간식섭취 횟수와 치아우식경험 간의 유의한 상관성이 있음을 확인하였고, 이에 따라 청소년을 대상으로 학교 내에서는 구강건강과 관련된 올바른 간식섭취에 대한 지속적인 영양교육, 식이상담 교육 등이 일상적으로 이루어져야 할 것으로 생각된다. 따라서 전문 치과위생들의 청소년을 위한 이러한 구강관리 교육 및 지침서 등을 개발하고, 보급하는데 적극적인 참여가 필요할 것으로 사료된다. 또한 다양한 간식섭취 종류에 따른 치아우식경험 또는 구강건강과의 상관성에 대한 심층분석이 필요할 것으로 본다.