A Study on the Level of Self-assessed Oral Health by the Adults

성인의 자기평가 구강건강수준에 관한 연구

  • Hong, Min-Hee (Dept. of Public Health Sciences, Graduate School, Hanyang University) ;
  • Jung, Moon-Hee (Dept. of Nursig, College of Medicine, Hanyang University)
  • Received : 2011.03.22
  • Accepted : 2011.06.22
  • Published : 2011.06.30

Abstract

The purpose of this study is to compare oral hygiene status between young adult group and older adult group and to suggest a pathway model of oral health level in self-assessed. Subjects were totally 80 people with young adult group and the older adult group. The data, which was collected by surveying for one month from July 1, 2010 to July 30, was analyzed with SPSS VERSION 19.0 and AMOS 19.0. Oral hygiene test and questionnaire survey were carried out from targeting. 1. The young adult group and older adult group had the same quality in oral health level score and living habit. 2. The oral hygiene status in young adult and older adult group was same in 7 items(58.33%) out of 12 items. 3. Oral health level score in self-assessed of young adult group could be explained with 34% by 3 variables. Older adult group could be explained with 26% by 2 variables. 4. In young adult, the fitness of path model was very good with 0.96 in CFI, 0.94 in TLI, and 0.00 in RMSEA. In older adults, the fitness of path model was very good with 1.00 in CFI, 1.15 in TLI, and 0.00 in RMSEA. This might imply if TMJ disorder level and number of infection is neglected in young aldults, mastication function will be significantly effected in older adults. Thus, development and management of health education program is needed based on self-assessment oral health level by young adults group and older adults group.

본 연구는 성인과 중 장년 집단의 구강위생상태를 비교하고, 자기평가 구강건강수준의 경로모형을 제시하는데 있다. 성인 및 중 장년 남 여 각각 20명씩 편의 추출한 총 80명이 대상이었다. 2010. 7.1 - 7.30 한 달간 조사하여 수집한 자료를 SPSS VERSION 19.0과 AMOS 19.0으로 분석하였다. 연구결과를 요약하면 아래와 같다. 1. 성인과 중 장년 집단은 자기평가 구강건강수준의 점수와 생활습관이 동질 하였다. 성인 집단의 평균연령은 25.45(${\pm}4.21$)세였고, 중 장년집단의 평균연령은 51.27(${\pm}6.18$)이었다. 2. 성인과 중 장년 집단의 구강위생상태는 12항목 위생검사 중 7항목(58.33%)은 차이가 나타나지 않았다. 그러나 구취 및 설태와 저작기능의 정도, 과민성치아의 수 4 항목은 성인집단보다 중 장년집단이 더 높았고, 반점치아의 수 1항목은 중 장년집단보다 성인집단이 앞과 달리 더 높았다. 이 차이는 매우 유의하였다. 3. 성인 집단의 자기평가 구강건강수준의 점수는 감염 부위의 수, TMJ장애의 정도, PHP의 점수 3변수에 의해서 34% 설명될 수 있었다. 중 장년의 자기평가 구강건강수준의 점수는 저작기능의 정도와 타액분비양의 2변수에 의해서 26%설명될 수 있었다. 4. 성인 집단에서 경로 모형의 적합도는 CFI가 0.96이었고 TLI가 0.94로 RMSEA는 0.00으로 매우 좋았다. 이 경로에 대한 총 효과는 자기평가 구강건강수준의 점수$\rightarrow$감염부위의 수 0.37, 감염부위의 수$\rightarrow$과민성 치아의 수 0.32이였고, 자기평가 구강건강수준의 점수$\rightarrow$TMJ장애의 정도 .26, 부정교합의 정도$\rightarrow$TMJ장애의 정도 -.34이었다. 중 장년 집단에서 경로 모형의 적합도는 CFI가 1.00이었고 TLI가 1.15로 RMSEA는 0.00으로 매우 좋았다. 이 경로에 대한 총 효과는 자기평가 구강건강수준의 점수$\rightarrow$ 저작기능의 정도 0.40, 저작기능의 정도$\rightarrow$감염부위의 수 0.44와 PHP의 점수 0.35, 감염부위의 수$\rightarrow$TMJ장애의 정도 0.41이었다. 이상의 결과는 성인기의 TMJ장애의 정도와 감염부위의 수를 방치한다면 중 장년기 저작기능 악화에 영향이 클 것임을 시사한다. 그러므로 성인기와 중 장년기 집단별로 자기평가 구강건강수준을 바탕으로 한 차별화된 보건교육 프로그램이 개발, 운영되어야 함이 바람직하다.

Keywords

References

  1. Kim YN et al.: The association of perceived oral health with oral epidemiological indicators in korean adults. J Korean academy of dental health 29(3): 250-260, 2005.
  2. Broder H et al : Perceived impact of oral health conditions among minority adolescents. J Public Health Dent 60: 189-192, 2000. https://doi.org/10.1111/j.1752-7325.2000.tb03326.x
  3. Slade G. D: Derivation and validation of a short form oral health impact profile. Community Dent oral epidemiol 25: 284-290, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  4. Locker D, miller Y: Evaluation of subjective oral health status indicators. J. Public Health Dent 53: 167-176, 1994.
  5. Chun JH, Yang JS: A Review study for developing health profile to measure the self-perceived health status of korean. J Preventive Medicine and Public Health 36(1): 11-23, 2003.
  6. Shin SI: The validity and reliability of the korean version of the general health questionaire. Korean J Social welfare 46: 210-235, 2001.
  7. Min SK, Kim KL, Park IH: Korean version of WHOQOL. Institution of Behavioral Science in Medicine, Yonsei University College of Medicine, Hana bachelor of medicine, Seoul, 2002.
  8. Kim YS: Evaluation of the effectiveness of health questionnaire. J Korean Society of health Statisticw 4(1): 7-19, 1978.
  9. Kim JW: The effect of oral health on total health and quality of life. Unpublished doctor's thesis, Keimyung university, Daegu, Korea, 2007.
  10. Weyant RJ et al.: Factors associated with parent's and adolescent's perceptions of oral health and need for dental treatment. Community dentistry and Oral Epidemiology 35(5): 321-330, 2007. https://doi.org/10.1111/j.1600-0528.2006.00336.x
  11. Kim SH, Jang HJ, Park DP: The Relationship of smoking behaviors to perceived oral health among university students. J Dent Hyg Sci 5(5): 139-143, 2005.
  12. Kim YS, Yoon HS: Relationship between oral health perception as well as behavior and subjective bad breath perception presence in dental hygiene students. J Dent Hyg Sci 12(2): 79-86, 2006.
  13. Jung UJ, Kim MY: The oral health perception and its related factor by the patients in metropolitan area. J Dent Hyg Sci 7(4): 213-218, 2007.
  14. Gilbert L: Social factors and self-assessed oral health in South Africa. Community dentistry and Oral Epidemiology 22(1): 47-51, 1994. https://doi.org/10.1111/j.1600-0528.1994.tb01568.x
  15. Locker D, Clarke M and Payne B: Self-perceived oral health status, psychological well-being, and life satisfaction in an older adult population. J Dent Res 79(4): 970-975, 2000. https://doi.org/10.1177/00220345000790041301
  16. National wage data: Wikimedia Foundation, Inc. May 8, 2011, from http://ko.wikipedia.org/wiki/%EB%85%B8%EC%9D%B8
  17. Pendrys DG: The fluorosis risk index: a method for investigating risk factors. J public Health Dent 50(5): 291-298, 1990. https://doi.org/10.1111/j.1752-7325.1990.tb02138.x
  18. Han GS et al.: Relation of oral malodor and periodontal status among adults in metropolitan area. J Korean Academy of dental health 34(1): 50-57, 2010.
  19. Miyazaki H et al.: Correlation between volatile sulphur compounds and certain oral health measurements in the general population. J Periodontol 66(8): 679-684, 1995. https://doi.org/10.1902/jop.1995.66.8.679
  20. Hinode D, Fukui M and Yokoyama N: Relationship between tongue coating and secretory-immunoglobulin a level in saliva obtained from patients complaining of oral malodor. J Clinical Periodontol 30(12): 1017-1023, 2003. https://doi.org/10.1046/j.0303-6979.2003.00407.x
  21. Won JH, Park IS: Oral Health Perception and Behavior among Visiting Health Care Providers. The korea Academiaindustrial cooperation society 11(7): 2459-2467, 2010. https://doi.org/10.5762/KAIS.2010.11.7.2459
  22. Jee YJ et al.: A Study on the relationship between halitosis developments and oral environmental. J Dental Hygiene Science 10(2): 101-107, 2010.
  23. Kim YK: Shinheung international. Shinheung, Seoul, pp. 1- 54, 2008.
  24. Kwon HG et al.: Comparison of bite force with dental prescale and unilateral bite force recorder in healthy subjects. J Korean Academy of prosthodontic society 44(1):103-111, 2006.
  25. Park JH et al.: A survey on the oral health condition of institution of institutionalizes elderly people resident in free asylum. J Korean academy of dental health 26(4): 555-565, 2002.
  26. Hong SM, Kim BK, Kim JH: The Relationship between the Development of Internal Derangement of TMJ and Occlusal and Emotional Factors. J Korean academy of oral medicine 28(2): 239-247, 2003.
  27. Mariette X: Treatment of oral dryness in Sjogren's syndrome. la Revue de medecine interne 25(4): 287-293, 2004. https://doi.org/10.1016/j.revmed.2003.09.017
  28. Avcu N et al.: Oral findings and health status among hospitalized patients with physical disabilities, aged 60 or above. Arch gerontol Geriatr 41(1): 69-79, 2005. https://doi.org/10.1016/j.archger.2004.11.005
  29. Song JK, Kim BK, Choi HR: A study of the relationship between keratinization of oral mucosa and intraoral soft tissue disease. J Korean academy of oral medicine 26(1): 1-10, 2001.
  30. Jang SH: The satisfaction and recognition of the TMJ disorder patients who come in the university hospital dentistry medical center. Unpublished master's thesis, Kyungpook national university, Daegu, Korea, 2007.
  31. Kurita H et al.: Chewing ability as a parameter for evaluating the disability of patients with temporomandibular disorders. J Oral Rehabil 28(5): 463-465, 2001. https://doi.org/10.1046/j.1365-2842.2001.00688.x
  32. Jung YK: A study on the status of the Dental Health of Adults. Korean Society For Health Education and Promotion 17(1): 95-113 2000.
  33. Lee EJ, Lee MO: Analysis on the Effect of the Dental Health Characteristics of Adult on the Status of Recognition and Practical Application of Dental Hygiene Devices. J Dent Hyg Sci 10(4): 241-250, 2010.