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The Association of Oral Impacts on Daily Performances for Children (C-OIDP), Oral Health Condition and Oral Health-Related Behaviors

어린이 일상생활구강영향지수(C-OIDP)와 구강관리 및 구강건강행태와의 관련성

  • Jo, Hwa-Young (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University) ;
  • Jung, Yun-Sook (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University) ;
  • Park, Dong-Ok (Department of Dental Hygiene, Daegu Health College) ;
  • Lee, Young-Eun (Department of Dental Hygiene, Daegu Health College) ;
  • Choi, Youn-Hee (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University) ;
  • Song, Keun-Bae (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University)
  • 조화영 (경북대학교 치의학전문대학원 예방치과학교실) ;
  • 정윤숙 (경북대학교 치의학전문대학원 예방치과학교실) ;
  • 박동옥 (대구보건대학교 치위생학과) ;
  • 이영은 (대구보건대학교 치위생학과) ;
  • 최연희 (경북대학교 치의학전문대학원 예방치과학교실) ;
  • 송근배 (경북대학교 치의학전문대학원 예방치과학교실)
  • Received : 2016.05.23
  • Accepted : 2016.06.01
  • Published : 2016.06.30

Abstract

The purposes of this study were to investigate the factors affection the Oral Impacts on Daily Performances for Children (C-OIDP) in elementary and middle school students, and identify the association between oral health-related behaviors, oral health condition and C-OIDP. A cross-sectional study was conducted in three schools in Incheon, Asan, Korea. A total of 175 selected children were interviewed by a trained examiner using a questionnaire. Oral Health Related Quality of Life was assessed by the Korean version of C-OIDP. Socio-economic characteristics, oral health-related behaviors, oral health condition and C-OIDP were verified using the questionnaire. ANOVA analysis was performed to determine the oral health and C-OIDP, and multiple regression analysis was performed to determine the factors affecting the C-OIDP. The activities with the greatest effect were eating (28.0%), cleaning teeth (22.9%), and smiling (18.9%). In the logistic regression model, the high item score of C-OIDP was associated with experiencing dental caries and gum pain in the past month. The more the C-OIDP prevalence item, the more the fillng deciduous tooth surface (fs) (p=0.024), caries experienced deciduous tooth surface (dfs) (p=0.049), total caries tooth surface (ds+DS) (p=0.021), and total caries experienced tooth surface (dfs+DMFS) (p=0.047). It can be concluded that the factors affecting C-OIDP are fs, dfs, dfs+DMFS, and gingival pain. Based on these results, we can improve C-OIDP to advance preventive practice.

이 연구는 일부 아동들을 대상으로 일상생활구강영향지수와 구강건강관련행태, 구강건강상태를 조사하였으며, 일상생활구강영향지수에 영향을 미치는 요인을 파악하고, 서로간의 연관성을 알아보고자 2012년 3월부터 5월까지 인천광역시와 천안시 소재 일부 학교 아동 200명을 대상으로 설문조사를 하였다. 그 중 설문조사가 완료된 175명을 최종 분석대상으로 하여 SPSS WIN 20.0 프로그램을 이용하여 분석한 후 다음과 같은 결과를 얻었다. 일반적 특성과 C-OIDP 불편경험 항목 수, 구강건강관련 행태와 C-OIDP 불편경험 항목 수는 통계적으로 유의한 차이가 없었다(p>0.05). 그리고 C-OIDP 불편 경험 항목 수가 많을수록 충전유치치면과(p=0.024), 우식경험유치치면이 많고(p=0.049), 구강 내 전체충전치면과(p=0.021) 구강내 전체우식경험치면 역시 많은 것으로 나타났다(p=0.047). 이것은 객관적인 구강건강상태와 주관적 지표인 C-OIDP가 서로 관련성이 있음을 보여준다. C-OIDP 여덟 항목 중 영향빈도가 높은 것은 식사하기, 치아 닦기, 웃기 순이었으며, 구강 내 전체 우식경험치면수가 많고, 지난 한 달간 잇몸 통증을 경험한 대상자에서 C-OIDP 항목점수가 높았다. 이것은 C-OIDP가 우식과 치주 상태와 관련이 있음을 보여주는 것이다. 이 연구는 주관적 구강건강지표와 실제 구강건강과의 관련성을 본 연구로서 매우 의미 있는 연구이며, 앞으로 C-OIDP에 영향을 미치는 다양한 요인에 대한 연구가 필요할 것으로 생각된다.

Keywords

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  1. 일상활동구강영향지수(OIDP)를 이용한 교정환자의 구강건강관련 삶의 질과 만족도 평가 vol.18, pp.4, 2016, https://doi.org/10.13065/jksdh.20180042