일부 농촌지역 주민들의 OHIP-14와 EQ-5D에 관한 연구 = A study on OHIP-14 and EQ-5D of residents in some rural areas

다국어 초록 (Multilingual Abstract)

Objectives : OHIP-14 and EQ-5D were used, targeting the residents of farming communities to identify the elements that influence oral cavity`s health and quality of life due to health and to identify the importance of oral cavity`s health in order to increase health of adults` oral cavity and quality of life via improved health. Methods : This research was conducted from July 17th, 2010 to August 16th, 2010 targeting 600 residents in Goryeong-gun, Gyeongsangbuk-do, aging over 40. The data has been analyzed using Mann-Whitney U test, Kruskal-Wallis test and hierarchical multiple regression through SPSS Win Program 18.0 version. Results : 1. OHIP-14 and EQ-5D based on general characteristics showed lower oral health-related quality of life and health-related quality of life on the following cases: women (p=0.004, p＜0.001), older (p＜0.001, p＜0.001), lower scholastic ability (p＜0.001, p＜0.001), lower average of average spending money (p＜0.001, p＜0.001), higher number of chronic disease (p＜0.001, p＜0.001), less drinking (p=0.012, p=0.008), lower perceived oral health and health status (p＜0.001, p＜0.001) and non smoking showed only EQ-5D (p＜0.001). 2. OHIP-14 and EQ-5D based on oral health behavior showed lower oral health-related quality of life and health-related quality of life on the following cases: no periodic oral check-up (p＜0.001, p＜0.001), less experience of oral health education (p＜0.001, p＜0.001), horizontal tooth-brushing method(p＜0.001, p＜0.001) and lower frequency of tooth-brushing showed only OHIP-14 (p=0.042). OHIP-14 and EQ-5D based on oral health status and subjective oral symptom showed lower oral health-related quality of life and health-related quality of life on following cases: number of existing tooth less than 20 (p＜0.001, p＜0.001), the number of missing teeth more than 9 (p＜0.001, p=0.044), DMFT (Decay, Missing, Filling Teeth) index more than 18 (p＜0.001, p＜0.001), wears denture (p＜0.001, p＜0.001), edentulous (p＜0.001, p=0.002), have xerostomia (p＜0.001, p＜0.001) and have chewing discomfort (p＜0.001, p＜0.001). 3. Factors affecting OHIP-14 were gender, age, perceived oral health status, perceived health status, number of existing teeth, dental status, xerostomia and chewing discomfort, and the of reliability (how well it explains) the final model was 48.7%. EQ-5D showed relevance on gender, age, presence of chronic disease, perceived health status, xerostomia, chewing discomfort and oral health-related quality of life, and the reliability of the final model was 42.9%. Conclusions : In order to improve the quality of life of ruralists, oral health needs to be improved or remained by increasing the rate of possession of the existing teeth and preventing the loss of teeth. In order to do so, improvement of accessibility of dental clinic, change of direction from treatment-centered to prevention-centered health care system, development of oral health education program and various oral health care policies which would vitalize continuous oral health care system are considered to be necessary.

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