흡연, 음주, 식이행태에 따른 PHP index 비교

김예황,이정화,Kim, Ye-Hwang,Lee, Jung-Hwa 한국임상보건과학회 2017 한국임상보건과학회지 Vol.5 No.3

Purpose. This study was conducted from the period of April 12th, 2017 to April 26th, 2017. The questionnaires were distributed among a group of 76 adults aged 20 years or older, who participated in the prevention program of the department of dental hygiene at Busan Metropolitan City. The negative questionnaire was finally analyzed. Methods. The SPSS program was used for analysis of this study. The general characteristics of the subjects were t-test and one-way, ANOVA(by Scheffe post-test) for a PHP index (Patient Hygiene Performance index) according to frequency analysis, general characteristics, smoking and drinking behavior, and dietary behavior. Results. As a result of an examination of the PHP index(Patient Hygiene Performance index) ac- cording to smoking and drinking behavior, the amount of alcohol drunk was statistically higher than that of 'soju that was not drunk'(P<0.05). As a result of the PHP index (Patient Hygiene Performance index) according to dietary behavior, 'vegetarians' were statistically higher than 'Carnivorous oriented' individuals (P<0.05). Moreover, individuals who regularly 'drank almost no water' were statistically significantly higher than those who 'drank water steadily'.(P<0.05). Conclusion. As a result, appropriate management is required for oral health of the patient, Oral health education is needed to systematically consider smoking, drinking, and eating habits when taking into consideration the individual oral environment.

치위생(학)과 학생들의 학업성취와 삶의 질

김예황,김현경,조우순,Kim, Ye Hwang,Kim, Hyun Kyung,Cho, Woo Sun 한국임상보건과학회 2017 한국임상보건과학회지 Vol.5 No.3

Purpose: The purpose of this study was to investigate the effects of dental hygiene and students' academic achievement and their quality of life. Methods: A self administered questionnaire was used for third and fourth year dental hygienists which consisted of 423 female students. The data was analyzed using SPSS ver.19.0. Results: The results of this study are as follows(p<0.01). First, the effect of academic achievement on quality of life was found to affect an ideal life, life satisfaction and the quality of maintaining a happy life (p<0.05). The correlations between objective academic achievements and the quality of life of the subjects were correlated in all items (p<0.01, p<0.05). Conclusion: To summarize the above results, in order to improve the quality of life for dental hygienists and students, it is necessary to take various measures in order for students to maintain a sense of pride in their various departments and to be able to concentrate on their respective studies.

성인의 구강건강상태에 따른 치과진료 미수진에 영향을 미치는 요인: 제6기 국민건강영양조사 자료를 이용하여

김예황 ( Ye Hwang Kim ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2018 大韓口腔保健學會誌 Vol.42 No.1

Objectives: The purpose of this study was to investigate the reasons for unmet dental needs in Korea and to find ways to improve dental care accessibility by using data from the 6th National Health and Nutrition Survey. Methods: This study was performed using data collected from the 6th National Health and Nutrition Examination Survey (KNHANES). A total of 2,251 subjects were selected for the study. Statistical analysis was performed using SPSS 21.0 on data files obtained according to complex sampling design, and a significance level of 0.05 was used. General characteristics of the subjects, oral health status, and unmet dental needs were examined for a complex sampling frequency analysis, and the differences in distribution were analyzed using chi-square analysis. Relevant factors were determined using logistic regression analysis. Results: According to the logistic regression analysis, in Model 1, gender, household income, employment status, and subjective health status were found to be significantly related to unmet dental needs (P<0.05). In Model 2, subjective health status, subjective oral health status, and chewing difficulty were significantly related to unmet dental needs (P<0.001). Model 3 showed a significant relationship between subjective health status, subjective oral health status, chewing difficulty, periodontal disease, and unmet dental needs (P<0.001). Conclusions: We conclude that the reasons for the unmet dental needs in Korea are socioeconomic status, general health status, and oral health status. In the future, economic barriers to obtaining dental care need to be overcome through improvements in health insurance policies and systems and diversification of private insurance. Oral health should be improved through oral health education, which can create awareness and provide motivation for maintaining oral health.

폐경 경험 및 대사증후군 구성요소와 치주염의 관련성

김예황 ( Ye Hwang Kim ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2019 大韓口腔保健學會誌 Vol.43 No.2

Objectives: The purpose of this study was to investigate the correlation of periodontitis with metabolic syndromes and menopause status. Methods: The 2013 Korea National Health and Nutrition Examination Survey data of 645 postmenopausal and 663 premenopausal women were analyzed using the Pearson’s chi-squared test and multiple regression analysis with the Statistical Package for the Social Sciences (PASW statistics) software version 21.0. Metabolic syndromes and community periodontal index (CPI) were analyzed. Results: CPI 3, CPI 4 (P<0.001), and the prevalence of periodontal disease were significantly higher in the postmenopausal group (P<0.001). Periodontal disease was significantly higher (P<0.001) in postmenopausal women not using dental floss (2.69 times), hypertensive postmenopausal women (1.60 times), and premenopausal women with high blood glucose levels (1.67 times). In the multiple logistic regression analysis, after adjusting for age, smoking habit, and alcohol consumption, significant risk factors for periodontal disease were the lack of dental floss use (odds ratio [OR]: 1.83; 95% confidence interval [CI]: 1.26-2.67), menopause (OR: 1.71; 95% CI: 1.22-2.41), and number of metabolic syndromes (when 1 or 2, OR: 2.22 and 95% CI: 1.50-3.29; when 3 or more, OR: 2.22 and 95% CI: 1.58-3.13). Conclusions: In summary, menopause status is associated with periodontal disease. Therefore, oral health programs for middle-aged women with menopause and metabolic syndromes should be conducted to improve their oral health-related quality of life.

성인의 구강건강상태에 따른 건강관련 삶의 질

김예황 ( Ye Hwang Kim ),이정화 ( Jung Hwa Lee ) 대한구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.3

Objectives: The purpose of this study was to use the components of the European Quality of Life-5 dimension (EQ-5D) scale to investigate the oral health status and health-related quality of life of adults in order to collect basic data on how to improve quality of life. Methods: This study was conducted in 2014. Data from the 6th Korean National Health and Nutrition Examination Survey (sixth term; 2 years) were analyzed by utilizing the raw information from the disease management headquarters. The 2,805 subjects were 19 to 59-year-old adults who were not missing values of the main missing value of oral health status in variables and the EQ-5D. Statistical analysis was performed by frequency analysis and chi-squared (χ2) and t-tests. Analysis of variance was performed using multiple regression analysis. The significance level was determined to be 0.05. Results: Dental pain and mobility (P<0.005), pain and discomfort (P<0.005), chewing problems and speaking discomfort, anxiety and depression (P<0.05), subjective oral health awareness, mobility (P<0.001), self-care (P<0.05), usual activities (P<0.05), pain and discomfort (P<0.005) were significantly related. In the effect on the components of the EQ-5D by logistic regression analysis, gender, age, education level, household income, chewing problems, and periodontal disease prevalence were significant variables in the quality of health-related life. Conclusions: The results showed that oral health status significantly influenced the quality of life in adults. Through the recognition of the impact of oral health on health-related quality of life, we expect that the data from this study will help promote the development of oral health and oral health education programs for the maintenance and promotion of adult health.

성인 중년남성의 구강건강행태 및 흡연과 치주질환 관련성

김예황 ( Ye Hwang Kim ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.1

Objectives: The purpose of this study was to evaluate the relationship between smoking and periodontal diseases in Korean middle-aged men based on data from the Korea National Health and Nutrition Examination Survey, 2013-2015. Methods: The study subjects were 708 men aged 40 years and over and whose data included oral health behavior (status), community periodontal index, and smoking status. The statistical analyses were conducted by applying a complex sample analysis technique. Results: In terms of the relationship between smoking and periodontal status, the risk of periodontitis was 1.99-fold higher in those aged 50 years and over. It was also 1.17-fold higher for the chewing problem “Average,” 2.877-fold higher for the chewing problem “Poor,” and 1.862-fold higher for smoking. Conclusions: These results suggest that the need for smoking cessation should be widely publicized in order to promote public oral health.

일부 근로자들의 구강보건 인식 및 구강보건교육 필요도 조사

배승주 ( Seung Ju Bae ),김예황 ( Ye Hwang Kim ),정호진 ( Ho Jin Jung ),윤정원 ( Jung Won Yun ),윤나나 ( Na Na Yun ),이민경 ( Min Kyung Lee ),김혜진 ( Hye Jin Kim ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.2

Objectives: This study aimed to investigate the correlation between oral health behaviors of workers by examining the oral health awareness and the need for oral health education. Methods: After the institutional review board approval, we surveyed industrial workers in Seoul, Gwangju, Changwon, and Goksung, in Korea, from July 19 to August 29, 2016. The final questionnaires (287 in total) were assessed using the SPSS 24.0 software for Windows (SPSS Inc. Chicago, IL, USA). The data were analyzed using frequency analysis, average, standard deviation, t-test, and the Pearson`s correlation coefficient. Results: Through the response of “yes” for the question, “oral health education experience,” we can see the respondents have high level of interest (P<0.001). And through the response of “yes” for the question, “Periodic oral Examination” and “regular scaling” and “oral care product use” we can see the respondents have high level of interest (P<0.001) and high importance (P<0.001), there was a statisti-cally significant difference. On analyzing the correlations between workers, there was positive correlation oral health `Interest` and `Importance` (r=0.598, P<0.001). Of the 287 participants, 80.1% indicated that they did not receive any previous oral health education, while 85.4% indicated a willingness to attend oral health education programs in the future. Of the 80.1% of participants with no prior oral health edu-cation, 60.0% indicated lack of oral health education because of few opportunities to participate in such programs. They most prefer “Oral Hygiene Management” 64.8% for education contents and choose “Direct-education by inviting Expert” as the best education method 75.6%. Conclusions: It is necessary to develop oral health education programs suitable for the industrial field characteristics for people in workplace, and to enhance and expand oral health education services in the workplace in order to maintain interest in oral health.

한국 성인의 전신건강과 구강건강행동 및 상태가 삶의 질에 미치는 영향

정호진 ( Ho Jin Jeong ),김예황 ( Ye Hwang Kim ),윤정원 ( Jung Won Yun ),오상환 ( Sang Hwan Oh ),윤현서 ( Hyun Seo Yoon ),이민경 ( Min Kyung Lee ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2020 大韓口腔保健學會誌 Vol.44 No.3

Objectives: The purpose of this study was to analyze the relations between general health status, oral health behavior, oral health status, and quality of life, as well as the mediating effects of oral health behavior and oral health status. Methods: Subjects aged ≥19 years participated in a health questionnaire in the third year of the Japanese National Health and Nutrition Examination Survey (2015). Results: Analysis of the overall path of periodontal disease showed that respiratory and circulatory diseases and oral health behaviors had statistically significant indirect effects on quality of life through the mediation of oral health behavior and oral health conditions, while analysis of the overall trend of the decayed, missing, and filled teeth (DMFT) index showed significant indirect effects on quality of life through mediation between oral and oral health conditions. As a result of these analyses, the association of general health status with quality of life, and its effect thereon, were confirmed through the intermediary of oral health behaviors and oral health conditions. Conclusions: Therefore, further research is needed on the relation of general diseases to oral health management. Special oral health departments need to be established in both general and university hospitals, and dental hygienists in charge of oral care need to be deployed to improve oral health for general diseases. Manuals and systems for oral health management and oral health promotion need to be developed for certified dental hygienists in Japan, specifically for each systemic disease. For example, hygienists should have guidance on the oral health practices that help in the prevention of diabetes.

일부 치과위생사의 근무환경이 직무만족과 조직몰입에 미치는 영향

김남숙 ( Nam-suk Kim ),윤나나 ( Na-na Yoon ),김예황 ( Ye-hwang Kim ),박정희 ( Jeong-hee Park ),김혜진 ( Hye-jin Kim ),이정화 ( Jung-hwa Lee ) 한국치위생학회(구 한국치위생교육학회) 2018 한국치위생학회지 Vol.18 No.2

Objectives: The purpose of this study is to analyze the descriptive correlation of the commission intended to provide effective working practices to enhance job satisfaction and organizational engagement by examining the work environment of the dental hygienist. Methods: After the IRB approval, the subjects were dental hygienists working for dental hospitals and clinics in Busan from May 1st to May 31th of 2017. And the final 153 questionnaires were analyzed to SPSS 23.0 for windows, SPSS Inc. Chicago, IL. USA. The data was analyzed using average standard deviation, t-test, one-way ANOVA and multiple regression analysis. Results: The average working environment of the subjects was found to be 3.37±0.53 points with the average job satisfaction of the subjects of 3.29±0.50 points and the average organizational commitment of the subjects of 3.25±0.59 points. As the working conditions of the working environment are higher, it revealed that the higher the working environment, the better the job satisfaction. Conclusions: In conclusion, this study showed that the ability to support managers' abilities, leadership, and dental hygienists is the most influential factor in job satisfaction and organizational involvement. Also, hospital administrators are encouraged to provide excellent work and leadership skills to enhance both the quality of work and that of work ethic.

일부 대학생의 구강건강관련요인이 구강보건지식, 태도, 실천에 미치는 영향

이수빈 ( Su Bin Lee ),윤정원 ( Jeong Weon Yoon ),성미경 ( Mi Gyung Seong ),이민경 ( Min Kyung Lee ),김예황 ( Ye Hwang Kim ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2018 大韓口腔保健學會誌 Vol.42 No.4

Objectives: The objectives of this study were to investigate the effects of oral health-related factors on the oral health knowledge, attitude, and practice of students of the Department of Dental Hygiene major, Health-related major, General major, and to provide primary data to improve the oral care ability of university students. Methods: After institutional review board approval, the study was conducted from May 15 to December 1, 2017. All 363 university students in Busan completed a questionnaire. In total, 332 questionnaires were analyzed. Thirty-one cases were excluded due to unreasonable responses. Data were analyzed using SPSS version 24.0. Results: Analysis of the factors related to knowledge, attitude, and practice of oral health according to the major field of study of the respondents indicated that students in the Dental Hygiene major demonstrated significantly better results. Conclusions: It is necessary to determine a way to manage the oral health of university students. In addition, voluntary participation of universities to improve oral health of university students is desirable. It is also necessary to establish national health policies and a national health care education curriculum for university students.