치위생과학회지 (Journal of dental hygiene science)

  • 제9권5호
  • /
  • Pages.513-518
  • /
  • 2009
  • /
  • 1598-4478(pISSN)
  • /
  • 2233-7679(eISSN)
한국치위생과학회 (The Korean Society of Dental Hygiene Science)
권호 표지

일부지역 실업계 고등학교 남학생의 구강관리실태 및 흡연과 치은염과의 상관성 분석

Analysis of Correlation between Smoking and Gingivitis an Actual Condition of Oral Health Care in Some Vocational High School Boy Students

  • Kim, Han-Hong (Department of Dental Hygiene, Hye Jeon College) ;
  • Yu, Ji-Su (Department of Dental Hygiene, Hye Jeon College) ;
  • Han, Yang-Keum (Department of Dental Hygiene, Daejeon Health Sciences College)
  • 투고 : 2009.10.09
  • 심사 : 2009.12.12
  • 발행 : 2009.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 청주시 소재 실업계 남자고등학교 2학년 학생 281명을 대상으로 고등학교 남학생의 흡연과 치은염과의 관련성을 알아보고자 설문조사와 구강검사를 시행한 결과 다음과 같은 결론을 얻었다. 1. 본 연구는 대상자의 흡연 경험률은 59.4였으며, 현재 흡연율은 41.3%로 나타났다. 학생들의 평균 치은염이환율은 61.5%, 그 중 흡연 경험이 있는 학생이 44.8%였다. 평균 치은염지수는 $0.20{\pm}0.27$로 그 중 흡연 경험 있는 학생이 $0.29{\pm}0.31$로 나타났다. 2. 흡연경험이 있는 경우 치은염을 가지고 있는 확률이 높았고 (p = 0.000), 음주경험이 있을수록 치은염 이환율이 높았다(p = 0.010). 3. 음주경험, 구강보건교육경험, 최근 1년 동안 치과내원 유무, 치석제거경험, 칫솔질 횟수를 통제한 다변량 분석에서 치은염 이환의 경우 비흡연군에 비해 흡연 경험군이 5.5배(p = 0.000)로 높았다. 하루 흡연량이 6개비 이상인 경우 비흡연군에 비해 8.4배(p = 0.000)로 높았다. 흡연 기간이 25개월 이상인 경우 비흡연군에 비해 13.2배(p = 0.000)로 높았다. 4. 치은염지수의 결정요인분석에서 흡연기간과 치석제거 경험이 높은 관련성을 보였고, 36.2%의 설명력을 보였다. 결론적으로 본 연구의 결과 남자고등학생들의 흡연은 치은염의 영향력을 보였다. 청소년기는 학동기에 이어 영구치의 치아우식이 계속 진행되는 연령이며 치주질환이 시작되는 시기이다. 그러므로 금연으로 구강상태를 조절할 수 있도록 동기 유발과 구강교육이 이루어지도록 청소년 구강보건 향상에 주력해야 할 것이다.

The purpose of this study was to examine correlation between smoking and gingivitis in boy students targeting 281 students in the 2nd grade for vocational boys' high schools where are located in Cheongju city. As a result of carrying out questionnaire research and oral examination, the following conclusions were obtained. 1. The smoking-experience rate in subjects of this study accounted for 59.4%. The current smoking rate was indicated to be 41.3%. Students' average gingivitis prevalence accounted for 61.5%. Out of those students, the students with experience of smoking accounted for 44.8%. The average gingivitis index was $0.20{\pm}0.27$. Out of those students, the students with experience of smoking were indicated to be $0.29{\pm}0.31$. 2. In case of having experience of smoking, the probability of having gingivitis was high(p = 0.000). The more drinking experience led to the higher gingivitis prevalence(p = 0.010). 3. In the multi-variate analysis, a case of gingivitis prevalence was higher in the group with experience of smoking by 5.5 times(p = 0.000) compared to the non-smoking group. A case that the smoking volume for a day is over 6 pieces was higher by 8.4 times(p = 0.000) compared to the non-smoking group. A case of being over 25 months in the smoking period was higher 13.2 times(p = 0.000) compared to the non-smoking group.

키워드

참고문헌

  1. Korean Association of Smoking and Health: http://www.kash.or.kr/user_new/mainasp[On line] exploring date. 2008.
  2. Korean Association of Smoking and Health: 2007' National middle-high school students smoking research on the actual, 2007.
  3. Lee SG: The determining factor of youth smoking behavior. Social Welfare Review, 2001.
  4. World Health Organization: http://www.who.int/tobacoo/global_data/country_profiles/en/index.html[On line]exploringdale. 2003.
  5. Kelder SH: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 84(7): 1121-1126, 1994. https://doi.org/10.2105/AJPH.84.7.1121
  6. World Health Organization: http://www.who.int/topics/tobacco/en[On line]exploring date. 2002.
  7. Miller JA: Monographs on the evaluation of the carcinogenic risk of chemicals to humans. IARC 38:83-375, 1985.
  8. Yu MH: Smoking and oral health. Health and Medical Development Conference 1(1): 52-259, 2004.
  9. Bergstrm J: Cigarette smoking as risk factor in chronic periodontal disease. Community Dent Oral Epidemiol Oct 17(5): 245-247, 1989. https://doi.org/10.1111/j.1600-0528.1989.tb00626.x
  10. Linden GJ, Mullally BH: Cigarette smoking and periodontal destruction in young adults. J Periodontol 65(7): 718-723, 1994. https://doi.org/10.1902/jop.1994.65.7.718
  11. Turnbull B: Smoking and periodontal disease. A review. J N Z Soc Periodontol (79): 10-15, 1995.
  12. Telivuo M et al.: Smoking and oral health a population survey in Finland. J Public Health Dent 55(3): 133-138, 1995. https://doi.org/10.1111/j.1752-7325.1995.tb02355.x
  13. Obeid P, Bercy P: Effects of smoking on periodontal health a review. Adv Ther 17(5): 230-237, 2000. https://doi.org/10.1007/BF02853162
  14. Axelsson P, paulander J, Lindhe J: Relationship between smoking and dental status in 35-, 50-, 65-, and 75-year-old individuals. J Clin Periodontol. 25(4): 297-305 1998. https://doi.org/10.1111/j.1600-051X.1998.tb02444.x
  15. Han DK: A clinical study on the effects of smoking on periodontal. Master's thesis of Graduate School of Pusan National University, 1998.
  16. Seong DG: The effect of smoking on young adolescent's oral health. Master's thesis of Graduate School of Yonsei University, 2000.
  17. Yang JY: The effects of smoking on oral environment. Master's thesis of Graduate School of Chungang University, 2001.
  18. Ramfjord SP: Indices for prevalence and incidence of periodontal disease. J Periodontol 30:51, 1959.
  19. Park IS, Lee SH, Youn HJ: A comparative study on oral environment between smokers and non-smokers. J Dent Hyg Sci 8(3):139-146, 2008.
  20. Aron A et a1.: Alveolar bone loss as a function of tobacco consumption. Acta Odontol Scand 17:3-10, 1959. https://doi.org/10.3109/00016355909011228
  21. Kowalski CJ: Relationship between smoking and calculus deposition. J Dent Res 50(1): 101-104, 1971. https://doi.org/10.1177/00220345710500010101
  22. Jo GS et al.: The effects of smoking on healing after periodontal flap surgery. J Korean Acad Periodontol 29(1): 103-115, 1999.
  23. Haffajee AD, Socransky SS: Relationship of cigarette smoking to subgingival microbiota. J Clin Periodontal 28(5):377-388, 2001. https://doi.org/10.1034/j.1600-051x.2001.028005377.x
  24. Ludwick W, Massier M: Relation of dentaJ caries experience and gingivitis to cigarette smoking in male 17 to 21 years old(at the Great Lake Naval Training Center). J Dent Res 31(3):319-322, 1952. https://doi.org/10.1177/00220345520310030401
  25. Matinez-Canut P, Lorca A, Margan R: Smoking and periodontal disease severity. J Clin Periodontol 22(10): 743-749, 1995. https://doi.org/10.1111/j.1600-051X.1995.tb00256.x
  26. Haber J et al.: Evidence for cigarette smoking as a major risk factor for periodontitis. J Periodontol 64(1):16-23, 1993. https://doi.org/10.1902/jop.1993.64.1.16