• 한국치위생학회지
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• 제16권6호
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• pp.931-941
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• 2016

Objectives: The purpose of this study was to examine the association between depression and poor oral health in Korean elderly using Korean version of the Patient Health Questionnaire-9 (PHQ-9) for assessment of depressive symptoms. Methods: This study used the data from Korean National Health and Nutrition Examination Survey (KNHANES VI-2). The study included 1,454 elderly Korean aged over 65. Variables included demographic characteristics (gender, age), socioeconomic factor (income, education), systemic diseases, oral health related factor (tooth brush, dental products), health related factor (alcohol drinking, smoking), and depression. Logistic regression analysis was used as sequential models. Effects were quantified as odds ratios (OR) and 95% confidence intervals (CI). Results: From frequency analysis, being female, primary school or less, non-alcohol drinking, poor oral health were significantly related to depression. In the multiple logistic regression model, depression was significantly associated with poor oral health (OR=1.96, CI=1.15-3.53) after adjustment for other covariates including demographic characteristics, socioeconomic factor, systemic diseases, oral health related factor, and health related factor (OR=1.91, CI=1.13-3.27). Conclusions: Depression had an influence on the poor oral health after adjustment as confounding variable in the elderly. It should be focused on the health promotion for the elderly vulnerable to depression and poor oral health. The development of the mental health and oral health should be established.

• 한국치위생학회지
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• 제1권2호
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• pp.227-242
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• 2001

The purpose of this study was 10 examine whether or not the dental- health education experiences of elementary school teachers have any influence on their oral-health awareness and attitude. The subjects in this study were 414 selected teachers from Seoul and North Cholla province. The instrument used by Lee Heung-su was modified into self- reporting questionnaire, and the schools where the subjects were working were visited to conduct a survey for 28 days from September 15 to October 13, 2000. For data analysis, SPSS was employed, and chi-squre, t-test and ANOVA were implemented. The findings of this study could be listed as below: 1. 184(44.4%) out of the techers investigated had ever been educated in dental health, and 230 teachers(55.6%) hadn't. 47% replied they hadn't received oral-health education for the lack of education opportunities. 2. In regard to dental-health awareness and attitude. the presence or absence of dental-health education experiences didn't make any difference to their daily toothbrushing frequency(p>0.05). The use of fluorine was significantly different between the groups(p<0.01), as 42.9% of the teachers with dental-health education experiences and 63.9% of the others with no such a experience didn't use that, 45.7% of the former group and 29.1 % of the latter accurately knew how to brush teeth, and the difference between the two was significant (p<0.01). 3. Concerning student-related dental-health awareness and attitude, the dental-health education experiences make 45.7% of the educated group and 31.7% of the uneducated group agreed to the strong need for oral examination, and the gap between the two was significant(p<0.01). 90.8% of the former group gave counsel to students on dental health, and 77.2% of the latter didn't. The gap between the two was significant as well (p<0.01). 77.2% of the educated group and 41.3% of the uneducated group offered frequent dental-health education, and the difference between the two was significant (p<0.01). 4. Their awareness of the fluorine-based toothbrushing project differed significantly by region(p<0.05), as the teachers from North Cholla province recognized it better than those from Seoul. The female teachers provided more education regarding that project, and those who were older or had more teaching experiences were more aggressive in instructing that project(p<0.01). And the married teachers took more forward attitude than the unmarried (p<0.01). By school location, the teachers from Seoul showed more active attitude than those from North Cholla province(p<0.01), and the gap between the two was significant. As to cooperation, those who were older or had more teaching experience were more cooperative, and the married teachers joined forces better than the unmarried. The gap was significant (p<0.01). 5. Concerning the awareness and attitude of the fluorine-based toothbrushing project, the educated teachers took more aggressive attitude, and the difference between the two was significant(p<0.01). The above-mentioned findings suggested that the dental-health awareness and attitude of the elementary school teachers were under a lot of influence of their oral-health education experiences, and there is a need to develop and carry out education programs for teacher.

• 농촌의학ㆍ지역보건
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• 제21권1호
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• pp.75-84
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• 1996

대학 신입생들의 구강위생상태와 구강보건 인식도와의 관련성을 알아보기 위해 대구시내 모대학 신입생 남자 216명, 여자 205명 총 421명을 대상으로 1993년 4월 1일부터 4월 30일까지 구강검사를 실시하여 구강위생상태를 평가하고, 설문조사를 통해 치주질환 인식도를 조사하여 분석한 결과 다음과 같은 결론을 얻었다. 조사대상자들의 구강위생 상태는 421명 중 34.7%가 양호, 59.1%가 보통, 6.2%가 불량한 것으로 평가되었다. 성별 분포에서 여자의 구강위생상태는 41.9%가 양호, 4.4%가 불량하였고 남자의 경우는 27.8%가 양호, 7.8%가 불량하여 여자의 구강위생상태가 유의하게 양호하였다(p=0.006). 프라그 인식도에서 구강위 생상태가 양호한 군에서 52.1%, 불량한 군에서 15.4%가 치과질환 원인 세균막이라고 응답했으며, 치주질환 예방 인식도에 있어서 구강위생상태가 양호한 군에서는 91.8%가, 불량한 군에서는 15.4%가 치주질환은 예방가능한 것이라고 응답해 구강위생상태가 양보할 수록 치주질환 인식도는 유의하게 높았다(p=0.001). 스케일링 경험도는 구강위생상태가 양호한 군에서는 30.1%, 불량한 에서는 7.7%가 스케일링을 경험한 것으로 나타나 구강위생상태가 양호할수록 스케일링 경험도는 유의하게 높았다(p=0.023). 또한 스케일링이 치주건강에 미치는 영향에 대해 구강위생상태가 양호한 군에서 68.5%, 불량한 군에서 23.1%가 스케일링은 치주 건강에 도움이 된다고 인식하고 있어서 구강위생상태가 양호할 수록 인식도는 유의하게 높았다(p=0.001). 잇솔질 교육을 받은 경험은 구강위생상태가 양호한 군에서 86.2%이었고 불량한 군에서는 7.6%이었다. 또한 구강위생상태가 양호한 군에서의 잇솔질 빈도는 3회 이상이 53.4%로 가장 많았고, 구강위생상태가 양호한 군에서의 매 식후 잇솔질 빈도는 41.8%로 잇솔질 빈도와 잇솔질 시기는 구강위생상태와 유의하게 관련성이 있는 것으로 나타냈다(p=0.001). 구강위생지수와 관련성이 있으리라고 예상되는 변수를 선정하여 중회귀분석을 한 결과 잇솔질 빈도, 치주질환 예방에 관한 인식, 잇솔질 교육을 받은 경험, 잇솔질 시기가 구강위생상태에 영향을 미치는 것으로 나타났다(p=0.001). 구강위생상태를 향상시키기 위해서 올바른 잇솔질과 주기적인 치석제거의 중요성에 대한 구강보건교육이 필요하다고 사료된다.

• 대한의생명과학회지
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• 제29권4호
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• pp.274-279
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• 2023

In this study, we use data from the 2021 National Health and Nutrition Examination Survey to determine the relationship between oral health and depression in Korean adults and provide basic data to prevent oral diseases that affect depression. The final subjects of the study were 5,952 adults aged 19 or older among the 7,090 subjects who responded to the survey in the 3rd year of the 8th period (2021), and the total frequency discrepancy in the research results was omitted due to missing values. Complex sample logistic regression analysis was performed to confirm the relationship between oral health and depression. Depression according to general characteristics depends on gender (P < 0.001), number of household members (P = 0.047), and subjective health level (P < 0.001). Depression according to oral characteristics was statistically significant for complaints of chewing discomfort (P = 0.006) and toothache within the past year (P = 0.023). As a result of analyzing factors affecting depression, in terms of gender, men are 0.43 times more likely than women (95% CI: 0.28~0.65), and in terms of subjective health level, good compared to bad is 0.46 times more likely (95% CI: 0.28~0.75), the average was 0.59 times (95% CI: 0.40~0.87) higher, which was statistically significant. Therefore it seems necessary to improve mental health such as depression in order to relieve oral discomfort and to motive people to take responsibility for won health through oral health education programs related to oral health to oral health related to oral health and mental health.

• 한국치위생학회지
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• 제8권4호
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• pp.141-151
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• 2008

The purpose of this study was to examine the oral health awareness and oral health care of health-related and health-unrelated majors in an attempt to stress the importance of oral health education and boost the efficiency of oral health care. The subjects in this study were 363 college students. Out of the selected students, 174 were health-related majors, and 189 weren't. After a survey was conducted, the collected data were analyzed for the purpose of comparison, and the following findings were given: 1. Concerning daily mean toothbrushing frequency, the largest number of the male students who accounted for 55.2 percent brushed their teeth once a day on average, and the greatest number of the female students who represented 52.9 percent did that twice a day. As for the influence of their major, the largest group of the health-related majors who numbered 89(51.1%) brushed their teeth twice a day, and the greatest group of the health-unrelated majors who numbered 93(49.2%) did that once a day. The gaps between them were statistically significant(p<0.05). 2. As to the length of toothbrushing time by gender, it took more than two or three minutes for the largest groups of the male and female students that respectively numbered 96(76.8%) and 184(77.3%) to do toothbrushing(p<0.01). The greatest groups of the male and female students that respectively numbered 72(57.6%) and 183(76.9%) brushed their teeth after meals. 3. In regard to oral hygiene supplies, the largest groups of the health-related and health-unrelated majors that respectively numbered 78(44.8%) and 115(60.8%) had chewing gum and candy with them. As to the use of oral hygiene supplies, 99 health-related majors(56.9%) and 133 health-unrelated majors(70.4%) didn't put oral hygiene supplies to use. Thus, the use of oral hygiene supplies was statistically less common among the health-unrelated majors, and the gap between the two was significant(p<0.01). 4. As for health-related concern by gender, the largest group of the male students that numbered 56(44.8%) showed the most interest in preventing dental caries, and the greatest group of the female students that numbered 103(43.3%) were most concerned about tooth whitening. The gap between the male and female students was statistically significant(p<0.05), but the track of their major made no statistically significant difference to that. 5. Regarding the experience and awareness of scaling, the largest number of the students never got their teeth scaled regardless of gender and major, and the greatest group didn't care about scaling irrespective of gender and major, either, though they considered it advisable to do.

• 한국콘텐츠학회논문지
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• 제13권8호
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• pp.250-257
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• 2013

본 연구는 삼척소재 유아의 보호자 사회경제적 지위와 구강보건행태에 따른 간식 섭취 실태를 조사하였다. 삼척소재 3개 유치원 148명의 유아 보호자에게 설문조사를 실시한 후 결과를 분석하였으며, 보호자 사회경제적 지위 및 구강보건행태와 유아의 간식섭취 실태의 관련성을 알아보기 위하여 카이제곱검정과 로지스틱회귀분석을 이용하여 분석하였다. 연구결과 당 포함 간식 섭취빈도와 보호자의 교육수준, 그리고 가정의 수입에서 의미 있는 관련성이 검토되었다(p<.05), 또한, 탄산(청량)음료 섭취와 보호자 연령, 가정 수입에 따른 차이가 검토되었다(p<.05). 유아의 간식섭취와 구강보건행태에서는 보호자가 칫솔질을 해주는지 여부와 과일섭취빈도에서 의미 있는 관련성이 발견되었다(p<.05). 유아 보호자 사회경제적 지위 및 구강보건행태와 유아의 간식섭취 실태의 관련성을 로지스틱회귀분석을 통해 살펴본 결과 과일섭취빈도는 보호자 교육수준이 낮을 때 더욱 높았다(2.98(CI:1.01-8.81)). 탄산음료 섭취빈도는 보호자의 연령이 20-29세 일 때(14.51(CI:1.20-176.08)) 가장 높은 것으로 조사되었다. 보상성 당 제공의 경우 보호자 교육수준이 낮을 때(0.18(CI:0.05-0.68) 적게 제공되는 것으로 검토되었다.

• 한국치위생학회지
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• 제16권2호
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• pp.285-293
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• 2016

Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

• 대한통합의학회지
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• 제9권3호
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• pp.47-58
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• 2021

Purpose : This study aimed to investigate the association between asthma and oral health and factors influencing asthma in adults. We also investigated whether asthma is related to mental health and physiological factors of blood. Methods : Data from 12,639 adults was taken from the 7th period (2016~2018) Korea National Health and Nutrition Examination Survey and analyzed using with SPSS 22.0 statistical program. Statistical analysis of data included frequency analysis, cross-analysis, and logistic regression analysis. For continuous data, an independent sample t-test was performed. The statistical significance level was defined as 0.05. Results : The probability of asthma occurrence was statistically different within general characteristics (gender, age, school grade, income, and drinking). By independent variables in a logistic regression analysis, the asthma diagnosis group had more people with speech discomfort (OR=1.37), chewing discomfort (OR=1.29), and oral pain (OR=.73). We found that people with asthma had a more unfavorable perception of their health (OR=1.73), suffered more depression (OR=.45), stress (OR=.66), and limited activity (OR=2.38). Moreover, the white blood cell count (OR=1.10) and high sensitivity C-reactive protein test (OR=1.06) also showed higher values than the control group. Conclusion : Our study showed that oral health and mental health were associated with the asthma, and influencing factors were oral health and behavior and mental health-related characteristics. Therefore, it is necessary to understand asthma-related risk factors for oral health and recognize the importance of systematic oral care education and regular dental visits for patients receiving asthma treatment. Thus, this study provides valuable insights on appropriate oral health management and prevention of asthma in patients.

• 한국융합학회논문지
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• 제9권12호
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• pp.89-98
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• 2018

본 연구목적은 중학생의 건강요인 식습관이 구강증상에 미치는 영향을 분석하고자 제13차(2017년) 청소년건강행태 온라인조사자료를 이용하여 30,885명을 대상으로 분석하였다. 건강요인 식습관이 구강증상에 미치는 영향요인을 로지스틱 회귀분석한 결과 치아통증 증상과 잇몸통증 증상에서는 학업성적, 스트레스가 높은 경우, 일일잇솔질횟수, 가공육류의 미섭취에서 통증 인지가 높았고 통계적으로 유의하였다. 구취증상에서는 스트레스가 높은 경우와 일일잇솔질횟수가 적을수록 구취증상을 높게 인지하였고 통계적으로 유의하였다. 본 연구로 중학생의 건강요인 식습관은 구강증상에 영향을 주는 것을 알 수 있었고, 이러한 구강증상을 예방할 수 있는 구강보건교육프로그램 개발에 도움을 주고자 한다.

• 치위생과학회지
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• 제23권2호
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• pp.154-168
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• 2023

Background: Legal regulations and fees have been established in Korea to provide visiting oral health care services to individuals with long-term care insurance (LTCI). However, beneficiaries of this service are very limited. Therefore, to improve the Korean system we propose a comparative analysis with the Japanese system. Methods: This study is a descriptive analysis based on secondary data, such as statistics, laws, and service record forms from Korea and Japan. The most recent institutional documents were obtained through a Google search. The variables investigated were financial resources of LTCI, co-payment structure, monthly limit of LTCI benefits, care levels of LTCI, service providers, service costs, contents of service, and the number of cases of service. Results: In both Korea and Japan, LTCI is financed through a combination of taxes and insurance premiums. However, the monthly limit for receiving LTCI services in Japan is about 2.4 times higher than in Korea. Visiting medical and dental treatment is also possible in Japan. Furthermore, nursing staff can provide daily oral health care services according to dental hygienists' instruction unlike Korea. Oral health care services in Korea are focused on oral hygiene and prevention of oral diseases, while Japan additionally provides oral function screening, patient education for oral health management, and training for nursing staff to enhance oral function, eating, and swallowing of the patients. Conclusion: We concluded that the possibility of visiting dental treatment, differences in monthly limit of LTCI benefits, oral function assessment and guidance, as well as collaboration with other healthcare professionals contributed to the difference in the frequency of utilization of visiting oral health care services between Korea and Japan.