보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제26권1호
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  • Pages.105-115
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  • 2009
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

경북지역 시설장애인의 구강보건 실태

Dental Health States among Disabled People of Residential Care Centers for the Disabled in Gyeongsangbuk Province

  • 전매숙 (영남대학교 환경보건대학원 보건학과, 김천시 보건소) ;
  • 강복수 (영남대학교 의과대학 예방의학교실) ;
  • 황태윤 (영남대학교 의과대학 예방의학교실) ;
  • 이경수 (영남대학교 의과대학 예방의학교실)
  • Jeon, Me-Sook (Department of Health, Graduate School of Environment & Public Health Studies, Yeungnam University, Gimcheon Health Center) ;
  • Kang, Pock-Soo (Department of Preventive Medicine & Public Health, College of Medicine, Yeungnam University) ;
  • Hwang, Tae-Yoon (Department of Preventive Medicine & Public Health, College of Medicine, Yeungnam University) ;
  • Lee, Kyeong-Soo (Department of Preventive Medicine & Public Health, College of Medicine, Yeungnam University)
  • 발행 : 2009.03.30
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초록

Objectives: This study was conducted to assess dental health states of disabled people and analyze association between perception and awareness toward dental health and dental health status. Methods: The survey was performed from June 25 through October 30, 2004. A total of 548 disabled people participated in the study with details of 419 living in eight residential care centers located in Gyeongsangbuk-do and 129 children from a special school and two day-care centers. All subjects underwent oral examination and surveyed through a questionnaire. Parents of 129 children with disabilities were also surveyed through a separate questionnaire. Results: The dental caries experience rate was 82.1% of total 548 subjects. By age, those in their 20s experienced a high rate of dental caries with 87.5%. By educational level, those with a middle school education experienced a high dental caries rate with 91.8% (p<0.05). Of total subjects who experienced dental caries, 78.9% had experience in dental caries treatment. By age, those in their 10s showed a high rate of dental caries treatment with 87.4%(p<0.05). By educational level, those with a high school education showed a high rate of dental caries treatment with 87.7%(p<0.05). Those in residential care centers had a high rate of dental caries treatment with 82.1%, which is significantly higher than 68.8% of those who used day-care centers. A tooth extraction rate was 38.0% of total subjects. Those in their 40s had a higher rate of tooth extraction(p<0.01). Those in residental care centers had a significantly higher rate of extraction with 43.4%, compared with 20.2% of those in day-care centers. Of total subjects, 61.5% had plaque. A high rate of plaque formation was observed in those in their 40s(92.0%), those with a high school education(84.0%) and those with multiple disabilities(77.8%)(p<0.01). Among total subjects, 47.6% maintained healthy periodontal tissue. Those in their 40s and those with multiple disabilities had diseased periodontal tissue(p<0.01). Of 129 disabled children, 43.8% had plaque with parents who were not oral health-conscious while 18.6% had plaque with parents who were oral health-conscious, showing a significant difference(p<0.05) Conclusion: The results of the study suggest the need for educating parents with disabled children about oral health and strengthening programs for oral health for teachers working at special schools and day-care centers.

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