성인들의 건강관리와 구강건강관리행태에 따른 주관적 건강과 구강건강, EQ-5D수준

박충무,윤현서 대한통합의학회 2023 대한통합의학회지 Vol.11 No.1

Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people’s health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

일부지역 재래시장 상인들의 구강보건행태와 주관적인 구강건강인지와의 관련성

김지영,정천수 대한치과위생학회 2015 대한치과위생학회지 Vol.17 No.3

This study was conducted to provide a basis for oral health education programs and ongoing oral care methods. Developed to investigate the relevance of whether any selected some local traditional market traders 387 people targeted oral health behavior and subjective oral health. To obtain a result of the analysis are as follows. 1. As for subjective oral health awareness, 37.0 percent replied they were in bad oral health when they were asked about self-rated oral health status. Regarding oral health concern, 62.5 percent answered they were sort of concerned about oral health. Importance of oral health, 87.0 percent answered they were sort of Importance about oral health. 2. As for Subjective Awareness by sociodemographic characteristics, there were statistically significant differences according to gender, number in families, business period.. 3. As for Subjective Awareness according to practice behavior of oral health were statistically significant differences according to not brushing after lunch(42.5%), unlicensed medical practice experience(54.7%). They were replied ‘bad’ oral health. 4. As for Regarding oral health concern according to practice behavior of oral health were statistically significant differences according to visiting a dental clinic for the last year(67.5%), experience of scaling(69.8%), unlicensed medical practice(76.4%). They were replied ‘concern’ oral health. 5. As for Importance of oral health according to practice behavior of oral health were statistically significant differences according to experience of scaling(96.3%), health examination(94.6%). They were replied ‘Importance’ oral health. 6. According to the regression analysis results of the factors related to between subjective oral health awareness and practice behavior of oral health, there was statistical significance. There were statistically significant differences in subjective oral health awareness according to not brushing after lunch(β=-0.147) and unlicensed medical practice experience(β=-0.127). There were statistically significant differences in Regarding oral health concern according to male(β =-0.120), visiting a dental clinic for the last year(β=-0.110) and experience of scaling(β=-0.149). There were statistically significant differences in Importance of oral health according to male(β =-0.142), experience of scaling(β=-0.146). In conclusion, taking into account the factors related to whether or not the health of subjective oral of community oral health business plan when adult, ongoing health management method of oral health education program of the oral cavity that is customized to the population or individual basis We think that there is a need of development.

농어촌 지역 성인 여성의 주관적 잇몸증상과 구강건강인식도와의 관련성 –태안군 지역을 중심으로–

김은희,문선정 한국도서(섬)학회 2022 韓國島嶼硏究 Vol.34 No.4

The purpose of this study was to investigate the association between oral health awareness and a variety of subjective gingival symptoms in adult women and provide basic data necessary to develop an oral health improvement program that could help with oral disease prevention and oral care and maintenance. For this purpose, a structured, self-administered questionnaire was used to conduct a survey in adult women residing in Taean, South Chungcheong, which has numerous islands and various coastline types, Province from March to August 2021 and 567 copies were finally analyzed. An SPSS 25.0 Version program was used to perform frequency analysis for the general characteristics and oral health awareness and multiple regression analysis for oral health awareness by the subjective gingival symptoms and the relations among the tooth-brushing, oral health, and scaling areas in terms of oral health awareness. The majority of the respondents were aged 20-29 and high school graduates; the married formed the highest percentage. Many of them were housewives; nonsmokers and nondrinkers formed the highest percentage. In the area of tooth-brushing, the highest percentage of them suggested gum disease prevention, tooth-brushing within three minutes after a meal, the importance of a tooth-brushing method, and the need of tongue-brushing as a good tooth-brushing method; in the area of oral health, the highest percentage of them suggested the need of regular oral examination, the need of oral hygiene products, and the need of oral health education and indicated plaque and tartar as causes of gum disease. The majority of them indicated gingival bleeding, bad breath, gingival pain, tooth mobility, and gum swelling, an average level of food caught between teeth and tartar, and no sensitive tooth in terms of gingival symptoms. The better state of such subjective gingival symptoms as gingival bleeding, tooth mobility, and tartar, the better oral health awareness in general. As for the effects of the subjective gingival symptoms on the tooth-brushing area, the better tooth mobility, the better awareness of the tooth-brushing area. As for the effects of the subjective gingival symptoms on the oral health area, the better state of gingival bleeding, gum swelling, and tartar, the better awareness of the oral health area. As for the effects of the subjective gingival symptoms on the scaling area, the better tooth mobility, the better awareness of the scaling area. These results demonstrate that the subjective gingival symptoms are associated with oral health awareness in adult women. It is necessary to develop an oral health program aimed at making a plan for improving subjective gingival symptoms with the objective of allowing adult women to have better awareness of general oral health, which is expected to subsequently improve the quality of life related to oral health. 본 연구는 성인 여성의 구강건강인식과 다양한 주관적 잇몸증상과의 관련성을 조사하여 구강병 예방과 구강관리 및 유지에 도움이 되는 구강건강향상 프로그램 개발에 필요한 기초자료를 제공하고자 여러 개의 섬과 다양한 해안선을 보유하고 있는 농어촌 지역인 충남 태안에 거주하는 성인 여성을 대상으로 2021년 3월부터 8월까지 구조화된 설문지를 이용하여 자기기입식 설문조사를 실시하였고, 567부를 최종 분석하였다. 자료 분석은 SPSS 25.0 Version을 사용하여 일반적 특성, 구강건강인식도, 주관적 잇몸 증상은 빈도분석을 실시하였고, 주관적 잇몸증상에 따른 구강건강인식도와 구강건강인식도의 칫솔질 영역, 구강건강 영역, 치석제거 영역 간의 영향력을 알아보기 위하여 다중회귀분석을 실시하였다. 연령은 20-29세가 높았고, 학력은 고등학교 졸업이 높았으며, 결혼여부는 기혼이 가장 높았다. 직업은 주부가 많았고, 흡연 및 음주여부는 아니오가 가장 많았다. 칫솔질 영역에서 올바른 칫솔질 방법으로 잇몸병 예방, 식사 후 3분 이내 칫솔질, 칫솔질 방법 중요, 혀솔질 필요에서 그렇다가 가장 높았고, 구강건강 영역에서는 정기적인 구강검진 필요, 구강위생용품 필요, 치태와 치석은 잇몸병의 원인, 구강보건교육 필요에서 그렇다가 가장 높았다. 주관적 잇몸 증상은 잇몸 출혈, 입 냄새, 잇몸 통증, 치아 동요, 잇몸 종창에서 그렇다가 높았고, 음식물 삽입, 치석 유무에서는 보통이 높았으며, 치아 시림 유무에서는 그렇지 않다가 높았다. 주관적 잇몸증상인 잇몸 출혈, 치아 동요, 치석 유무가 양호할수록 전체 구강건강인식이 높았다. 주관적 잇몸증상이 칫솔질 영역에 미치는 요인에서는 치아 동요가 양호할수록 칫솔질 영역의 인식이 높았다. 주관적 잇몸증상이 구강건강 영역에 미치는 요인에서는 잇몸 출혈, 잇몸 종창, 치석 유무가 양호할수록 구강건강 영역의 인식이 높았다. 주관적 잇몸증상이 치석제거 영역에 미치는 요인에서는 치아동요가 양호할수록 치석제거 영역의 인식이 높았다. 이상의 결과 성인 여성의 주관적 잇몸증상에 따른 구강건강인식도는 관련이 있음을 알 수 있다. 성인 여성의 구강건강인식을 향상시키기 위해 주관적 잇몸증상을 개선할 수 있는 방안을 마련하는 방향의 구강보건사업이 필요하며, 이는 구강건강과 관련된 삶의 질을 향상시킬 수 있을 것으로 사료된다.

구강건강신념이 주관적 구강건강을 매개하여 전신건강에 미치는 영향

최유진,엄숙 중소기업융합학회 2020 융합정보논문지 Vol.10 No.1

본 연구는 구강건강신념이 주관적 구강건강을 매개로 하여 전신건강에 미치는 영향을 파악하고자 성인 249명을 대상으로 설문조사를 시행하였다. 그 결과 연구대상자의 구강건강신념은 평균 3.75점, 구강건강신념의 구성요인 중 민감성 3.41, 심각성 3.73, 중요성 4.22, 유익성 4.19으로 나타났으며, 주관적 구강건강은 3.77점, 전신건강은 3.06점으로 나타났다. 구강건강신념과 주관적 구강건강은 부의 상관(r=-0.54, p<0.001)을 가지며, 구 강건강신념과 전신건강도 부의 상관(r=-0.30, p<0.001)을 가지며, 주관적 구강건강과 전신건강은 정의 상관 (r=0.47, p<0.001)을 가지는 것으로 나타났다. 또한 구강건강신념은 주관적 구강건강을 완전 매개하여 전신건강에 영향을 미치는 것으로 나타났다. 이와 같은 연구 결과를 토대로 성인의 구강건강신념 대한 구강보건교육프로그램 을 개발하여 올바른 지식과 태도를 바탕으로 구강건강관리를 포함한 포괄적 개념의 전신건강관리를 위한 기초 자 료로 활용할 수 있으리라 생각된다. This study conducted a survey of 249 adults to determine the effect of oral health beliefs on total body health by mediating subjective oral health. The results showed that the subject's oral health belief averaged 3.75 points, the component of oral health belief was 3.41, the severity 3.73, the importance 4.22 and the benefit 4.19, and the subjective oral health was 3.77 points and the overall health was 3.06. Oral health belief and subjective oral health were found to have a correlation of wealth (r=-0.54, p<0.001), oral health belief and total body health also had a correlation of wealth(r=-0.30, p<0.001), subjective oral health and total body health had a relationship of justice(r=0.47, p<0.001). It was also found that oral health beliefs affect total body health by fully mediating subjective oral health. Based on these findings, it is thought that oral health education programs for adult oral health beliefs can be developed and utilized as basic data for comprehensive general health care, including oral health care, based on correct knowledge and attitudes.

일부 대학생의 주관적 구강건강 인지특성과 구강보건지식 및 행태관련 조사

신아라(Ah Ra Shin),김지혜(Ji-Hye Kim),박동옥(Dong-Ok Park),최연희(Youn-Hee Choi),송근배(Keun-Bae Song) 한국보건교육건강증진학회 2016 보건교육건강증진학회지 Vol.33 No.1

Objectives: This study is aimed to evaluate oral health knowledge and behavior according to subjective awareness characteristics of oral health in university student. Methods: The data was collected from June, 2015 in K university, Korea. It was investigated about subjective awareness characteristics, knowledge and behavior of oral health by questionnaires in university students. The data was analysis into t-test and one-way ANOVA by SPSS 22.0. Results: Subjects who responded that they had a problem with oral health in subjective awareness characteristics were a statistically significant differences according to gender. Subjects who were interested of oral health and responded to their subjective oral health state as good condition were higher than the others in oral health knowledge. According to subjective awareness characteristics of oral health, the oral health behaviors were a statistically significant differences. Conclusions: There were statistically significant differences in oral health knowledge and behavior according to subjective awareness characteristics of oral health.

주관적으로 인지한 구강건강수준에 따른 건강실천행위와 구강건강관련 삶의 질의 관련성

허성은 한국구강보건과학회 2022 한국구강보건과학회지 Vol.10 No.1

Objectives: This study attempted to understand the relationship between health practice behavior and oral health-related quality of life through self-evaluation of oral health. Methods: After conducting a one-month survey of some adults living in region B from September 2021, the data of the final 150 people were analyzed u sing t he S PS S 26.0 program. Results: The group with a high subjective oral health level showed significantly higher health practice and oral health-related quality of life than the group with a lower subjective oral health level(<.001), and the higher the subjective oral health level(<.001), the higher the health practice and oral health-related quality of life(p<.01). Conclusions: Therefore, it is judged that this study will be the basic data for the development of an integrated education program for general and oral health.

Differences Between Social Classes in Terms of the Subjective Level of Oral Health of the Elderly*

장윤정,김민영 융합연구학회 2022 융합연구학회지 Vol.6 No.2

The subjective level of oral health may be affected by a number of individual socio-economic factors, and the problem of oral health related inequality due to social polarization has also been highlighted continuously. Hence, this study attempted to examine and understand the differences between the social classes in the terms of the subjective level of oral health of the elderly’s oral health related inequality by using the secondary data of the 2020 Community Health Survey. A final analysis was performed for the 72,812 people aged 65 and older who responded to the questionnaire on their subjective perception of oral health. As a result of the study, it turned out that the probability that managers perceived subjective level of oral health as healthy was higher among women, the younger the age, the higher the education level, and for the elderly with spouses, in terms of occupational classification. As a result of the results in the above, the differences in terms of the subjective level of oral health of the elderly were confirmed by the social class, and it may be claimed that a comprehensive project implementation would be needed for the selective management of social determinants of oral health for the extension of healthy life expectancy and improvement of health equity and consideration of oral health across all policies.

성인의 주관적 구강 건강 상태와 건강 실천행위가 구강 건강 관련 자기효능감에 미치는 영향

허성은 중소기업융합학회 2020 융합정보논문지 Vol.10 No.5

In order to investigate the effects of subjective oral health status and health practice behavior on oral health-related self-efficacy in adults, a survey was conducted in adults living in Busan and analyzed using the SPSS 21.0 program. The better the subjective oral health status, brushing-related self-efficacy and oral health management self-efficacy were significantly higher. The better the health practice behavior, brushing-related self-efficacy and oral health management self-efficacy were significantly higher. The better the subjective oral health status, the more positively it affected oral health-related self-efficacy. The implementation of health practice behavior in order of exercise, health responsibility implementation, and smoking showed a positive effect on oral health-related self-efficacy. Therefore, we hope that the results of this study are used as fundamental data for development of continued oral health programs converging systemic and oral health and contribute to the promotion of comprehensive and oral health in adults. 본 연구는 성인의 주관적 구강 건강상태와 건강 실천행위가 구강 건강 관련 자기효능감에 미치는 영향을 파악하고자 부산광역시에 거주하는 성인을 대상으로 설문 조사를 시행한 후, SPSS 21.0 프로그램을 사용하여 분석하였다. 주관적 구강 건강 상태가 좋을수록 칫솔질 관련 자기효능감(p<.001)과 구강 건강관리 자기효능감(p<.01)이 유의하게 높게 나타났고, 건강 실천 행위를 이행할수록 칫솔질 관련 자기효능감(p<.001)과 구강 건강관리 자기효능감(p<.001)이 유의하게 높게 나타났다. 주관적 구강 건강상태가 좋을수록 구강 건강 관련 자기효능감에 긍정적 영향을 미치며(p<.001), 운동, 건강 책임이행, 흡연 순으로 건강 실천 행위를 이행할수록 구강 건강 관련 자기효능감에 긍정적 영향을 미치는 것으로 나타났다(p<.05). 따라서 전신건강과 구강건강의 상호 융합적 계속 구강 보건 프로그램 개발의 기초 자료로 활용되어 성인의 포괄적 건강 및 구강건강 증진에 기여하고자한다.

산재환자의 주관적 구강건강상태와 보건태도가 구강건강 영향지수(OHIP)에 미치는 영향

이혜순 ( Hea Shoon Lee ),이경희 ( Kyung Hee Lee ) 한국치위생학회 2014 한국치위생학회지 Vol.14 No.5

Objectives : The purpose of this study was to investigate the oral health impact profile (OHIP) in the industrial accident injury patients, and the effect of subjective perception and attitude of oral health on the oral health-related quality of life in industrial injury patients. Methods : A self-reported questionnaire was filled out by 496 industrial accident injury patients from October 29 to November 30, 2013. Data were analyzed using SPSS ver 20.0 program for chi-square test, t-test, ANOVA, Scheffe test, and Pearson’s correlation coefficient. Results : The OHIP-14 was higher oral health-related quality of life in young people, women, highly educated persons, and those having high income and frequent scaling service. The subjective perception and attitude of oral health was closely correlated to the OHIP-14. The factors influencing on the oral health-related quality of life were the subjective perception and attitude toward oral health. Conclusions : It is necessary to emphasize the oral health promotion program for industrial injury patients. The government should pay more attention to the policy for the improvement of the oral health of industrial accident injury patients in the future.

일부지역 사업장 근로자의 구강건강관련 삶의 질에 미치는 영향

천혜원 ( Hye Won Cheon ) 한국치위생학회 2014 한국치위생학회지 Vol.14 No.6

Objectives: The purpose of this study was to examine the subjective oral health awareness, oral health knowledge, oral health behavior and OHIP-14 in industrial workers. Methods: A self-reported questionnaire was filled out by 243 workers in Jeonbuk May 7 to June 10, 2014. Except incomplete answers, 230 data were analyzed. The questionnaire consisted of general characteristics of the subjects(sex, age, career, marital status, abd family), oral health recognition characteristics(oral health attention, subjective oral health status, and oral health concern), oral health knowledge, oral health behavior, and oral health related quality of life. The instrument was 14 questions od OHIP-14 including functional restriction(2 questions), physical pain(2 questions), psychological discomfort(2 questions), physical ability decease(2 questions), psychological function decease(2 questions), social activity decrease (2 questions), and social discomfort(2 questions). Cronbach’s alpha was 0.949 in this study and it was reliable. Results: Oral health interests showed that 57.8% of the workers had concern for oral health interests and 50.4% perceived that their subjective oral health was moderate status. 55.6% of the workers answered that their oral health status was very worried. Women had more knowledge about the oral health. Those who were in fifties tended to have more knowledge of oral health than the other age groups. Those who had more concern for oral health included female workers, married workers, and workers above 21 years. The concern for oral health made the workers keep good oral health. Higher score of OHIP-14 means good oral health. Conclusions: Good oral health-related quality of life is proportional to continuous management of oral health and subjective oral health status. It is necessary to develop the tailored oral health education program for the workers.