DOI QR코드

DOI QR Code

취약계층 노인의 구강건강상태에 영향을 미치는 요인

Factors Affecting the Oral Health Status in Vulnerable Elders

  • 투고 : 2016.01.14
  • 심사 : 2016.08.25
  • 발행 : 2016.08.31

초록

Propose: This study was to identify the factors affecting the oral health status in vulnerable elders receiving home visiting health care service. Methods: A total of 444 elderly people over the age of 65 at 33 public health centers in Daegu and Gyungbuk areas were included in this survey. The data were collected by personal interview with nurses using oral health knowledge, behavior, and status questionnaires from the $10^{th}$ to $22^{nd}$ of July, 2012. The data were analyzed with t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, and stepwise multiple regression, using SPSS program. Results: Factors affecting the oral health status were chewing satisfaction with denture 14.5% (${\beta}=.391$, p<.001), denture care (wash with water) 3.2% (${\beta}=-.187$, p<.01), and types of health insurance (medical aid type1, 2) 1% (${\beta}=-.111$, p<.05). The factors explained 18.7% of variance in the oral health status of vulnerable elderly subjects. Conclusion: The results of this study indicate that in order to improve the oral health status of vulnerable elders, it is necessary to provide oral health education that includes the proper usage of denture to elders who receive home-visiting care.

키워드

참고문헌

  1. Center for Disease Control and Prevention. (2003). Public health and aging: Retention of natural teeth among older adults-United States, 2002. Morbidity and Mortality Weekly Report, 52(50), 1226-1229.
  2. Cho, G. S. & Jang, J. H. (2010). Clinical predictors related to oral health in elderly for visiting healthcare. Journal of Dental Hygiene Science, 10(6), 983-990.
  3. Cho, K. A. (2007). Oral health status of aged people who are subject of home visiting health care in rural community. Unpublished master's thesis, Kyungpook National University, Daegu.
  4. Cho, Y. Y. (2009). The influence that has the aged's oral health activities on subjective oral health condition. Unpublished master's thesis, Ajou University, Suwon.
  5. Choi, J. M., Lee, E. J., & Kwon, S. J. (2014). The effect of subjective oral health knowledge and oral health behavior on personal oral hygiene management ability. The Korean Journal of Health Service Management, 8(2), 221-232. http://dx.doi.org/10.12811/kshsm.2014.8.2.221
  6. Gwon, M. Y., Won, Y. S., & Kim, Y. S. (2009). The study on the state of elderly oral health and food habits. Journal of Korean Society of Dental Hygiene, 9(2), 13-23.
  7. Gwon, M. Y. & Young, J. Y. (2006). A study on the relationships between the oral health activities and oral health conditions of the elderly. Journal of Dental Hygiene Science, 6(4), 271-276.
  8. Hwang, J. M. (2006). A study on relationship among the oral health knowledge, oral health behavior and oral health status of elderly people. Unpublished master's thesis, Hanyang University, Seoul.
  9. Kim, S. J., Ahn, S. H., Kim, Y. H., & Chung, E. S. (2004). Relationships between knowledge, attitudes, and behaviors about the dental health and the dental health conditions in elementary students in the Pusan area. Korean Journal of Health Education and Promotion, 21(1), 69-84.
  10. Kim, H. N., Ku, I. Y., Kim, E. H., Lee, M. S., Ka, K. H., & Moon, S. J. (2013). Comparison of subjective health condition and subjective oral health condition of the elderly in Gumi. Journal of Korean Society of Dental Hygiene, 13(4), 685-692. http://dx.doi.org/10.13065/iksdh.2013.13.4.685
  11. Korea Centers for Disease Control & Prevention. (2008, November). Oral health status and the related risk factors in Korean adults. Retrieved February 13, 2016, from http://www.cdc.go.kr/CDC/contents/CdcKrContentLink.jsp?fid=31&cid=12196&ctype=6
  12. Krall, E. A., Wehler, C., Carcia, R., Harris, S. S., & Dawson-Hughes, B. (2001). Calcium and vitamin D supplements reduce tooth loss in the elderly. The American Journal of Medicine, 111(6), 452-456. http://dx.doi.org/10.1016/s0002-9343(01)00899-3
  13. Kullberg, E., Sjogren, P., Forsell, M., Hoogstraate, J., Herbst, B., & Johansson, O. (2010). Dental hygiene education for nursing staff in a nursing home for older people. Journal of Advanced Nursing, 66(6), 1273-1279. http://dx.doi.org/10.1111/j.1365-2648.2010.05298.x
  14. Kwon, Y. O., Choi, M. S., Lee, J. H., & Yun, H. K. (2014). Analysis of structural relationship among geriatric denture-related characteristics, denture satisfaction, and GOHAI. Journal of Digital Convergence, 12(4), 399-407. http://dx.doi.org/10.14400/jdc.2014.12.4.399
  15. Lee, S. M., Hwang, J. M., & Kim, S. H. (2007). A study on the relationship of oral health knowledge women's college. Bulletin of Dongnam Health College, 25(1), 7-16.
  16. Lim, H. J. & Lee, E. K. (2013). Factors influencing the number of remaining natural teeth in elderly people visiting dental care services. Journal of Korean Society of Dental Hygiene, 13(4), 693-700. http://dx.doi.org/10.13065/iksdh.2013.13.4.693
  17. Ministry of Health and Welfare Affairs. (2013). Guidebook for 2013 community integrated health promotion program. Sejong: Author.
  18. Ministry of Health and Welfare. (2014). Korea health statistics 2013: Korea national health and nutrition examination survey (KNHANES VI-1) (Issue No. 11-1351159-000027-10). Seoul: Author.
  19. Ministry of Health and Welfare. (2015). 2015 Community integrated health promotion service guide (Oral health) (Issu No. 11-1352000-000873-10). Seoul: Author.
  20. Noh, E. M. & Back, J. U. (2010). Subjective oral health status of elderly and social impact efficacy. Journal of Dental Hygiene Science, 10(4), 233-239.
  21. Park, H. R. & Moon, S. J. (2013). Connections between the subjective awareness characteristics of oral health of certain adults and their oral health knowledge and practice behavior of oral health. The Journal of the Korea Contents Association, 13(1), 300-310. http://dx.doi.org/10.5392/jkca.2013.13.01.300
  22. Park, H. R., Ku, I. Y., & Moon, S. J. (2014). A study on social efficacy of senior citizens in welfare centers in some areas according to their subjective oral health and their quality of life related to oral health. Journal of the Korea Academia-Industrial cooperation Society, 15(2), 1000-1009. http://dx.doi.org/10.5762/kais.2014.15.2.1000
  23. Park, J. R. & Lee, Y, K. (2009). Research on subjective status of oral cavity's health following senior citizen's characteristics. Journal of Korean Society of Dental Hygiene, 9(3), 344-356.
  24. Shi, L. (2001). The convergence of vulnerable characteristics and health insurance in the US. Social Science & Medicine, 53(4), 519-529. https://doi.org/10.1016/S0277-9536(00)00357-9
  25. Shin, M. W., Min, S. H., Park, Y. N., & Min, H. H. (2010). Complete denture satisfaction by the subjective oral health state among the elderly. Journal of Korean Society of Dental Hygiene, 10(5), 789-796.
  26. Statistics Korea (2014, September). Elderly statistics 2014. Retrieved January 18, 2016, from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=330349
  27. Won, J. H. (2008). Oral health perception, knowledge, and behavior among visiting health care providers. Unpublished master's thesis, Hanyang University, Seoul.
  28. Won, Y. S. & Jin, K. N. (2003). The relationship of oral state and health condition among elderly people. Journal of Korean Society of Dental Hygiene, 3(2), 157-168.
  29. Yang, S. K., Jeong, G. H., Kim, S. J., Kim, K. W., Lee, S. H. Sang, S. Y., & Baik, S. H. (2012). The effects of oral function improving exercise on the UWS, oral function and OHIP in elderly. Journal of Korean Public Health Nursing, 26(3), 478-490. http://dx.doi.org/10.5932/JKPHN.2012.26.3.478
  30. Yu, S. H. (2008). A study on denture satisfaction and oral health related life satisfaction among elderly with removable denture. Unpublished master's thesis, Wonkwang University, Iksan.