Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Relationship between Health Risk Behaviors and Toothbrushing among School-Going Adolescents in Poor Urban Areas of Peru

페루 도시 빈민 지역 청소년들의 칫솔질 빈도와 건강위험행동의 관련성

  • Kim, Yeun Ju (Department of Health Administration, Graduate School, Yonsei University) ;
  • Nam, Eun Woo (Department of Health Administration, Graduate School, Yonsei University)
  • 김연주 (연세대학교 일반대학원 보건행정학과) ;
  • 남은우 (연세대학교 일반대학원 보건행정학과)
  • Received : 2017.05.10
  • Accepted : 2017.06.30
  • Published : 2017.08.31
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Abstract

The aim of this study was to explore the association between daily toothbrushing frequency and health risk behaviors of school-going adolescents in poor urban areas of Peru. A cross-sectional survey was conducted among 959 school-going adolescents 11~19 years of age in poor urban areas of Peru in 2014. Health risk behaviors we assessed in the study were smoking; drinking; consuming sugar-sweetened soft drinks (more than one cup); leisure time activities including watching television, playing games, and using the Internet; and never or rarely handwashing with soap. Daily toothbrushing frequency was divided into two groups (once and twice daily). For statistical analyses, the chi-square test and hierarchical logistic regression were used at 5% level of significance. Of the total respondents, 63 (14.3%) were boys and 53 (10.3%) were girls and 116 (12.1%) engaged in toothbrushing (${\leq}1$ times daily). According to the adjusted logistic regression analysis for socio-demographic characteristics, two behaviors (leisure time use activities, including watching television, playing games, and using the Internet (odds ratio [OR], 2.29; 95% confidence interval [CI], 1.20~4.35), and never or rarely hand washing with soap (OR, 4.09; CI, 2.48~6.75) were statistically associated with toothbrushing frequency (${\leq}1$ times daily). We found two health risk behaviors (leisure time activities, including watching television, playing games, and using the Internet, and never or rarely handwashing with soap) associated with toothbrushing frequency among adolescents in the study area. Thus, oral health promotion programs should consider these health risk behaviors associated with toothbrushing frequency.

본 연구는 2014년 페루 리마 및 까야오 지역 학생 건강증진 프로그램의 기초조사 자료를 활용한 단면연구이며, 연구대상은 페루 리마북부 및 까야오 지역 내 일반 국 공립 중학교에 다니고 있는 11~19세의 청소년 959명이었다. 연구의 목적은 페루 도시 빈곤 지역 학생들의 각 건강위험행동과 칫솔질 빈도 간에 관련성을 파악하기 위해 분석되었으며, 다음과 같은 결론을 얻었다. 첫째, 페루 리마 및 까야오 지역 청소년들의 12.1% (116명)는 하루 1회 이하로 칫솔질 하였으며, 87.9% (843명)는 하루 2회 이상 칫솔질을 하였다. 하루 칫솔질 빈도의 평균은 2.42회였다. 둘째, 연구대상자들의 인구 사회학적 특성을 보정 한 후에 두 가지의 건강위험행동과 칫솔질 빈도 간에 관련성이 나타났으며, 해당 건강위험행동은 여가시간에 주로 비활동성 여가생활(TV, game, internet)을 하는 학생과 외출 후 비누를 이용하여 손을 씻지 않는 학생(never/rarely)이 하루 칫솔질을 1회 이하로 할 OR이 더 높았다. 이상의 결과를 종합하여 보면, 페루 리마 및 까야오 지역 연구대상 청소년들의 하루 칫솔질 평균치는 WHO에서 권장하는 최소 수준인 2회 정도로 파악되었으며, 건강위험행동(비활동성 여가생활, 외출 후 손씻지 않기)을 하는 학생들은 하루 칫솔질 빈도 또한 낮은 것으로 나타났다. 향후 페루 도시 빈곤 지역 청소년들을 대상으로 한 ODA 건강증진 프로그램을 개발할 때에는 본 연구에서 도출된 결과를 토대로 신체활동 프로그램과 개인위생 프로그램에 구강보건교육을 통합적으로 실시할 필요가 있다.

Keywords

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