• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.374-383
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• 2015

본 연구의 목적은 우리나라 다문화가족과 일반가족 청소년의 주관적 구강증상을 알아보고, 건강형평성 확보를 위한 정책결정과정에 있어서 기초자료를 제공하고자 하는 것이다. 본 연구는 제10차(2014년)청소년건강행태 온라인조사의 원시자료를 이용하였으며, 만 12-18세 청소년 총 66,857명을 연구대상자로 선정하였다. 주관적 구강증상 여부를 종속변수로 한 로지스틱 회귀분석 결과 모든 변수가 보정된 상태에서 성별, 연령, 학업성적, 아버지의 교육수준, 어머니의 교육수준, 주관적 경제 상태, 거주형태, 흡연여부, 음주여부, 하루 탄산음료 섭취빈도, 하루 과일 섭취빈도, 하루 과자 섭취빈도 및 하루 칫솔질 횟수가 주관적 구강 증상 여부와 유의한 관련성이 있는 것으로 나타났다(p<0.05). 따라서 앞으로 다문화가족 관련 복지와 보건 서비스 사업을 점층적으로 확대함과 동시에 그 수가 증가하는 다문화 청소년에 초점을 맞춰 실시되어야 한다.

• 치위생과학회지
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• 제18권1호
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• pp.9-17
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• 2018

The purpose of this study was to investigate the relationship between hormone replacement therapy (HRT) and periodontal disease in postmenopausal women using data from the 4th and 5th Korea National Health and Nutrition Examination Survey. A total of 5,482 postmenopausal women aged 45~75 years were included as study subjects in the final analysis. The HRT group comprised 1,035 postmenopausal women who had received HRT for at least one month, and the non-HRT group comprised 4,447 postmenopausal women who did not receive HRT. The chi-square test was used to confirm the bivariate relationship between the variables. Multinomial logistic regression analysis was used to adjust for covariance (age, education, family income, body mass index, age of menopause, alcohol, smoking, dental visit <1 per year, use of oral care products, and frequency of tooth brushing per day). After adjusting for all covariates, HRT was found to be associated with periodontal disease. In particular, the relationship between HRT and periodontal disease was more evident in older women and women younger than 45 years of menopausal age. The relationship between HRT and periodontal disease was stronger in women who brushed their teeth less than 3 times per day, women without regular oral examination, and women who did not use oral hygiene products. The results of this study confirmed the importance of actively considering hormone therapy when determining policy recommendations for postmenopausal women. Especially, health programs such as HRT, regular dental examination, and oral care are needed for older women who have undergone premature menopause.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.129-140
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• 2009

Objectives: This study aimed to examined the socioeconomic disparities in oral health related behaviors and to assess if those behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adults aged 30-64. Methods: Data are from the Korea Third National Health and Nutrition Examination Survey (2005). Behaviors were indicated by smoking, over intake of daily calories from carbohydrate, perceived stress, frequency of daily tooth brushing, use of oral hygiene goods, insufficient oral treatment. Oral health outcomes were self-reported dental caries and periodontitis during the last 12 months and perceived oral health. Education, household income, and employed status indicated socioeconomic position. Sex, age, residential area, marital status were adjusted for in the logistic regression analysis. Logistic regression analysis was used to assess socioeconomic disparities in behaviors. Logistic regression model adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. Results: Clear socioeconomic disparities in all behaviors were showed. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. For example, the odd ratios of reporting poorer oral health for persons in no education or elementary school education and middle school education groups, compared with college or higher education group, were 1.77 (95% CI: 1.36-2.29) and 1.56 (1.19-1.97), respectively. After adjusting for all indicators of behaviors, these odds ratios attenuated to 1.54 (1.17-2.03) and 1.48 (1.15-1.91) for those groups, respectively. Conclusion: These findings suggest that the presence of more complex determinants of socioeconomic disparities in oral health should be considered with developing preventive policies for those disparities.

• Child Health Nursing Research
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• 제4권2호
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• pp.255-264
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• 1998

Disease prevention and health promotions are basically needed to be healthy, health education is the most useful mean to accomplish them. Preschool children are being developped, their health problem can effect their health status through their lives. This study was attempted to survey for status of health education of kindergarten for preshoolers and to provide the basic precious data for nursing intervention. The subjects were 51 kidergarten teachers. The data were collected by the questionaires, which consiste of 25 items concerning daily life habits of children and 1 item concerning the problems of health education for preschoolers. The data were analyzed by SAS program. The results of this study are as folleowed ; 1. The most frequently educated subjects were 'adequate and safe play' and 'hand washing', 'walking and running straightly', 'oral hygiene or tooth brushing', 'walking staires'. 2. The most frequently used teaching method was the explaining. 3. The most frequently used instructional method was the pictures. The slide films and OHP was seldomly used media. 4. The most effective teaching method which perceived by the kindergarten teachers was role play . Discuss ion and compensation/reinforcement were comparatively effective method also. 5. The most effective instructional media which perceived by the kindergarten teachers was a real object/model. 6. The problems of health education for preschoolers were 'deficiency of developped health educational programs' and 'inconsistency between parents' education and kindergarten teachers' education', 'deficiency of instructional media'. The other problems were' the knowledge deficit of teachers themselves' and 'the difficulty of measure the effect of education', 'time deficit'. Conclusionally, we have to realize the health of children is the future of our health, and reinforce the health education for preschoolers to accomplish the disease prevention and health promotion.

• Journal of Periodontal and Implant Science
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• 제50권2호
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• pp.83-96
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• 2020

Purpose: The present study aimed to evaluate the clinical benefit of additional toothbrushing accompanying non-surgical periodontal treatment on oral and general health in patients with type 2 diabetes mellitus (T2DM). Methods: We conducted a doubled-blind randomized controlled trial in 60 T2DM patients between June 2013 and June 2014. The patients were randomly assigned to the scaling and root planing (SRP) group; the scaling and root planing with additional toothbrushing (SRPAT) group, in which additional toothbrushing was performed by toothpick methods; or the control group. Microbiological and oral examinations were performed for up to 12 weeks following treatment. Non-surgical treatment was conducted in the experimental groups. The SRP group received scaling and root planing and the SRPAT group received additional toothbrushing with the Watanabe method once a week from the first visit through the fifth visit. The primary outcomes were changes in haemoglobin A1c (or glycated haemoglobin; HbA1c) levels, serum endotoxin levels, and interleukin-1 beta levels. Periodontal health status was measured by periodontal pocket depth, the calculus index, and bleeding on probing (BOP). Results: Both the SRP and SRPAT groups showed improvements in periodontal health and HbA1c, but the SRPAT group showed significantly less BOP than the SRP group. Furthermore, only the SRPAT group showed a statistically significant decrease in serum endotoxin levels. Conclusions: Non-surgical periodontal treatment was effective in improving HbA1c and serum endotoxin levels in T2DM patients. Furthermore, non-surgical treatment with additional tooth brushing had a more favourable effect on gingival bleeding management. Trial RegistrationClinical Research Information Service Identifier: KCT000416.

• 보건의료산업학회지
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• 제4권2호
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• pp.63-72
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• 2010

The present study purposed to prevent oral diseases and to improve oral health in children. For this purpose, we selected 70 cases who are 5~7 years old preschoolers at the kindergarten affiliated to G College in Gyeongsangbukdo, and analyzed the general patterns of oral care and the relation of the patterns with dental plaque and deciduous dental caries in the children. Specifically, we conducted oral examination and applied pit and fissure sealant according to the eruption of deciduous molar and first molar. In addition, we executed the 1st and 2nd tooth brushing instruction (TBI), and surveyed S-OHI and PHP twice. Excluding 14 preschoolers who did not appear in the 2nd survey, we performed the study with 56 preschoolers and drew conclusions as follows. 1. The number of decayed or missed or filled teeth among deciduous teeth was 3 or more in 42.9% of female children, and 46.4% of male children, so male children showed a slightly higher rate. 2. The degree of dental plaque formation was $1.64{\pm}1.22$ among the surveyed children. 3. The oral health index was lower after TBI than before in all the children (P<.001). 4. Change in the oral health index was particularly larger in 7 year old female children (p<.005). 5. The patient hygiene performance index was lower after TBI than before in both the buccal surface and lingual surface of the children (p<.005). 6. The patient hygiene performance index was lower after TBI than before in all of male children's teeth except the right maxillary first deciduous molar (p<.001).

• 한국융합학회논문지
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• 제9권9호
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• pp.337-343
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• 2018

본 연구는 주관적 구강건강상태와 구강건강행태 요인들의 기여도에 대한 사회경제적 변화를 조사하였다. 연구자료는 2015년 국민건강영양조사 자료를 이용하였으며, 이분형 로지스틱 회귀분석을 이용하였다. 연구결과 주관적 구강건강상태는 사회경제적 수준이 낮은 경우에서 낮게 나타났다. 이러한 연관성은 인구사회학적 요인들과 구강건강행태를 보정했을 때 연관성은 증가하였다. 또한 각각의 구강 건강 행태요인들을 보정했을 때, 흡연, 칫솔질횟수, 구강위생용품사용, 그리고 구강검진은 사회경제적 구강건강상태의 많은 부분을 설명하였다. 주관적 구강불건강은 사회경제적 상태에서 비롯되지만 이런 차이는 구강건강행태 요인들에 따라 증가되었다. 따라서, 본 연구결과에서 주관적 구강건강상태에서의 사회경제적 불평등은 구강건강증진 행태에 따라 더욱 효과적으로 교정될 수 있음을 시사한다고 볼 수 있다.

• Journal of Oral Medicine and Pain
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• 제40권2호
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• pp.41-46
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• 2015

Purpose: This study was performed to investigate a correlation among oral hygiene habits, dryness of mouth, and self-perceived oral malodor and therefore to find out self-care methods which could be a help to reduce oral malodor. Methods: A survey of 296 dental undergraduate students of School of Dentistry, Pusan National University, who wrote consents voluntarily and participated in this study, was conducted using a questionnaire consisting of 17 questions and analyzed to investigate a correlation among oral hygiene habits (frequency of tooth brushing, water gargling, and drinking water, etc.), dryness of mouth indicating the amount of salivary secretion, and self-perceived oral malodor. Results: There was no significant correlation between mechanical cleaning factors and self-perceived oral malodor. The factor showing a strong correlation with severe self-perceived oral malodor was dryness of mouth (p=0.000). Conclusions: There was no correlation between mechanical cleaning habits and self-perceived oral malodor. Participants who felt self-perceived oral malodor more tended to have rather good mechanical cleaning habits. The factor showing a strong correlation with severe self-perceived oral malodor was dryness of mouth. Therefore trying to increase salivary secretion is considered to be a help to reduce self-perceived halitosis.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2802-2811
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• 2013

이 연구는 사업장 근로자들의 구강보건에 대한 행태를 파악하여 근로자들의 구강건강관리 및 증진을 위한 기초자료를 마련하고자 서울 경기 지역에 소재하는 산업체 근로자 133명을 대상으로 설문조사를 실시하였다. 근로자의 행태는 구강검진 경험이 있는 자, 후속 진료를 받지 않은 자가 높게 나타났으며, 하루 평균 잇솔질 2회, 월 평균 소득 200~300만원 미만인 자가 잇솔질 빈도가 높았다(p<.01). 근로자의 관심 및 지식은 경력이 많을수록 구강건강 관심도가 높았으며(p<.01), 경력 10~20년 미만인 자가 치료를 위해 결근 경험이 있는 것으로 나타났다(p<.05). 근로자들 대부분이 기회가 없어서 교육 경험이 없는 자가 많았으며, 연령이 많을수록 필요성이 높게 나타났다(p<.05). 따라서 사업자 근로자들을 위한 정기적인 구강검진과 구강보건교육이 필요하며, 이를 위한 프로그램 개발 및 구강보건사업 체계에 대한 구체적인 방안이 모색되어야 할 것이다.

• 한국치위생학회지
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• 제9권3호
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• pp.403-414
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• 2009

Objectives : This research aimed at investigating middle school students' knowledge and behavior of oral hygiene according to the knowledge level of parents on this ground, provide basic data for establishing a more effective school and home oral hygiene education program for students. Methods : Students were selected from four secondary schools in J city by convenience sampling, which is non probability sampling; then, the final analysis was performed on 272 self-administered questionnaires. For statistical analysis, SPSS 10.0 for Windows was used to carry out frequency analysis and chi-square test at the 0.05 significance level in determining statistical significance. Results : 1. 50.0% had periodontal disease caused by 'weak periodontal', in the case of the father of academic ability was middle school graduated. 2. Showed lowly what is behavior prevention as regularly oral examination for the oral health, in the case of the parents's academic ability was low(in the case of the mother's academic ability was middle school graduated, 34.5% received regular oral examination every three months). 3. In the case of, the father and mother of academic ability was middle school graduated showed 50%, 44.8% about the teeth never important in the life. 4. In the case of, the father and mother of academic ability was middle school graduated showed 37.5%, 31.0% about time for the tooth brushing is under 1 minute per one time. Conclusions : It's very important for middle school student's oral health that the oral health education and oral hygiene attitude in their home. especially middle school student's attitude was controlled by parents' knowledge level. This like basic data will be useful in establishing program of school oral health and individual oral hygiene attitude in their home.