DOI QR코드

DOI QR Code

서울시 학생치과주치의 사업이 구강 건강과 관련된 삶의 질에 미치는 영향

Effects of the Dental Preventive Health Services for Children on Oral Health-Related Quality of Life

  • 송지수 (서울대학교 치의학대학원 소아치과학교실) ;
  • 정호정 (카이아이컴퍼니, 데이터분석팀) ;
  • 임대근 (카이아이컴퍼니, 데이터분석팀) ;
  • 김영재 (서울대학교 치의학대학원 소아치과학교실)
  • Song, Ji-Soo (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Chung, Ho-Chung (Data Science Team, Kai-i company) ;
  • Im, Dae-Keun (Data Science Team, Kai-i company) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University)
  • 투고 : 2020.07.06
  • 심사 : 2020.07.31
  • 발행 : 2020.11.30

초록

이 연구의 목적은 서울시 학생치과주치의 사업이 구강 건강과 관련된 삶의 질에 미치는 영향을 확인하는 것이다. 2018년 사업의 전체 대상자인 20,802명 중 무작위로 선정된 110명의 10세 초등학생들을 대상으로 하였으며, 사업 시행 전과 후에 Child Oral Health Impact Profile (COHIP) 설문 문항을 작성하도록 하였다. 사업 전후 설문을 모두 작성한 107명의 어린이들을 대상으로, COHIP 점수와 우식 치아의 수, 결손 치아의 수, 부정교합, 구강위생상태와 같은 임상검사 결과들이 분석되었으며, 응답의 신뢰도와 타당도가 확인되었다. COHIP 점수는 사업 시행 후 증가되었으며(p < 0.001, effect size 1.05), 우식 치아와 결손 치아가 있는 어린이들은 낮은 COHIP 점수를 보였다. 결론적으로, 서울시 학생치과주치의 사업은 10세 초등학생들의 구강 건강과 관련된 삶의 질에 긍정적으로 기여할 수 있다.

The purpose of this study was to investigate the effects of public preventive dental healthcare services named the "Dental Preventive Health Services for Children" (DPHSC) on oral health-related quality of life (OHRQoL) in Korean children. Of the total 20,802 beneficiaries in 2018, 110 10-year-old elementary school students were randomly selected and were requested to complete a survey using the Korean version of Child Oral Health Impact Profile (COHIP) questionnaire before and after participating in DPHSC. Overall, 107 participants completed the pre- and post-survey. COHIP scores and clinical results such as numbers of decayed and missing teeth, malocclusion, and oral hygiene status from dental examination were statistically analyzed and the reliability and the validity of the responses were verified. There was a significant clinical increase in mean overall COHIP scores following DPHSC (p < 0.001, effect size 1.05). Children with decayed and missing teeth demonstrated poor OHRQoL. In conclusion, DPHSC can improve the OHRQoL of 10-year-old children.

키워드

참고문헌

  1. Hurlbutt M, Young DA : A best practices approach to caries management. J Evid Based Dent Pract, 14:77-86, 2014. https://doi.org/10.1016/j.jebdp.2014.03.006
  2. Mejare I, Axelsson S, Twetman S, et al. : Caries risk assessment. A systematic review. Acta Odontol Scand, 72:81-91, 2014. https://doi.org/10.3109/00016357.2013.822548
  3. Ministry of Health and Welfare : The report of Korea National Children's Oral Health Survey in 2018. Available from URL: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=349638 (Accessed on July 2, 2020).
  4. Jung SH, Shin BM, Park DY, Ma DS : One-year outcomes and reasons for dropout in participants of the continuous dental care program of the Community Child Center in Gangnueng city. J Korean Acad Oral Health, 37:110-116, 2013. https://doi.org/10.11149/jkaoh.2013.37.2.110
  5. Amalia R, Schaub RM, Groothoff JW, et al. : Impact of school-based dental program performance on the oral health-related quality of life in children. J Invest Clin Dent, 8:12179, 2017.
  6. Sischo L, Broder HL : Oral health-related quality of life: what, why, how, and future implications. J Dent Res, 90:1264-1270, 2011. https://doi.org/10.1177/0022034511399918
  7. Broder HL, Wilson-Genderson M : Reliability and convergent and discriminant validity of the Child Oral Health Impact Profile (COHIP Child's version). Community Dent Oral Epidemiol, 35:20-31, 2007. https://doi.org/10.1111/j.1600-0528.2007.0002.x
  8. Hebling E, Pereira AC : Oral health-related quality of life: a critical appraisal of assessment tools used in elderly people. Gerodontology, 24:151-161, 2007. https://doi.org/10.1111/j.1741-2358.2007.00178.x
  9. Ahn YS, Kim HY, Noh HJ, et al. : Validation of a Korean version of the Child Oral Health Impact Profile (COHIP) among 8- to 15-year-old school children. Int J Paediatr Dent, 22:292-301, 2012. https://doi.org/10.1111/j.1365-263X.2011.01197.x
  10. Tsakos G, Allen PF, Steele JG, Locker D : Interpreting oral heal-related quality of life data. Community Dent Oral Epidemiol, 40:193-200, 2011. https://doi.org/10.1111/j.1600-0528.2011.00651.x
  11. Ismail AI, Sohn W, Pitts NB, et al. : The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol, 35:170-178, 2007. https://doi.org/10.1111/j.1600-0528.2007.00347.x
  12. Brook PH, Shaw WC : The development of an index of orthodontic treatment priority. Eur J Orthod, 11:309-320, 1989. https://doi.org/10.1093/oxfordjournals.ejo.a035999
  13. Shaw WC, Richmond S, Stephens CD, et al. : Quality control in orthodontics: indices of treatment need and treatment standards. Br Dent J, 170:107-112, 1991. https://doi.org/10.1038/sj.bdj.4807429
  14. Podshadley AG, Haley JV : A method for evaluating oral hygiene performance. Public Health Rep, 83:259-264, 1968. https://doi.org/10.2307/4593265
  15. Pearce A, Dundas R, Whitehead M, Taylor-Robinson D : Pathways in inequalities in child health. Arch Dis Child, 104:998-1003, 2019. https://doi.org/10.1136/archdischild-2018-314808
  16. Fisher-Owens SA, Gansky SA, Newacheck PW, et al. : Influences on children's oral health: a conceptual model. Pediatrics, 120:510-520, 2007. https://doi.org/10.1542/peds.2006-3084
  17. Broadbent JM, Zeng J, Thomson WM, et al. : Oral healthrelated beliefs, behaviors, and outcomes through the life course. J Dent Res, 95:808-813, 2016. https://doi.org/10.1177/0022034516634663
  18. Alhabdan YA, Albeshr AG, Yenugadhati N, Jradi H : Prevalence of dental caries and associated factors among primary school children: a population-based cross-sectional study in Riyadh, Saudi Arabia. Environ Health Prev Med, 23:60, 2018. https://doi.org/10.1186/s12199-018-0750-z
  19. Nishide R, Mizutani M, Hatashita H, et al. : Homecare protective and risk factors for early childhood caries in Japan. Environ Health Prev Med, 23:57, 2018. https://doi.org/10.1186/s12199-018-0746-8
  20. Ha DH, Do LG, Roberts-Thomson K, Jamieson L : Risk indicators for untreated dental decay among Indigenous Australian children. Community Dent Oral Epidemiol, 47:316-323, 2019. https://doi.org/10.1111/cdoe.12460
  21. Macpherson LMD, Anopa Y, Conway DI, McMahon AD : National supervised tooth brushing program and dental decay in Scotland. J Dent Res, 92:109-113, 2018. https://doi.org/10.1177/0022034512470690
  22. Mbawalla H, Masalu JR, Masatu M, Astrom AN : Changes in adolescents' oral health status following oral health promotion activities in Tanzania. Acta Odontol Scand, 71:333-342, 2013. https://doi.org/10.3109/00016357.2012.680907
  23. de Silva AM, Hegde S, Yousefi-Nooraie R, et al. : Community-based population-level interventions for promoting child oral health. Cochrane Database Syst Rev, 9:CD009837, 2016.
  24. Locker D : Measuring oral health: a conceptual framework. Community Dent Health, 5:3-18, 1988.
  25. Weintraub JA : Uses of oral health related quality of life measures in Public Health. Community Dent Health, 15:8-12, 1998.
  26. Antunes LA, Andrade MR, Luiz RR, et al. : Change in the quality of life of children and adolescents younger than 14 years old after oral health interventions: a systematic review. Pediatr Dent, 35:37-42, 2013.
  27. Abanto J, Paiva SM, Bonecker M, et al. : The impact of dental caries and trauma in children on family quality of life. Community Dent Oral Epidemiol, 40:323-331, 2012. https://doi.org/10.1111/j.1600-0528.2012.00672.x
  28. de Paula JS, Sarracini KL, Mialhe FL, et al. : Longitudinal evaluation of the impact of dental caries treatment on oral health-related quality of life among schoolchildren. Eur J Oral Sci, 123:173-178, 2015. https://doi.org/10.1111/eos.12188
  29. Pakpour AH, Lin CY, Jansson H, et al. : Predictors of oral health-related quality of life in Iranian adolescents: A prospective study. J Invest Clin Dent, 9:12264, 2018.
  30. Schuch HS, Costa Fdos S, Goettems ML, et al. : Oral health-related quality of life of schoolchildren: impact of clinical and psychosocial variables. Int J Paediatr Dent, 25:358-365, 2015. https://doi.org/10.1111/ipd.12118
  31. Severo Alves L, Dam-Teixeira N, Susin C, Maltz M : Association among quality of life, dental caries treatment and intraoral distribution in 12-year-old South Brazilian schoolchildren. Community Dent Oral Epidemiol, 41:22-29, 2013. https://doi.org/10.1111/j.1600-0528.2012.00707.x
  32. Knapp R, Gilchrist F, Rodd HD, Marshman Z : Change in children's oral health-related quality of life following dental treatment under general anaesthesia for the management of dental caries: a systematic review. Int J Paediatr Dent, 27:302-312, 2017. https://doi.org/10.1111/ipd.12259
  33. Slade GD, Bailie RS, Morris P, et al. : Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial. Community Dent Oral Epidemiol, 39:29-43, 2011. https://doi.org/10.1111/j.1600-0528.2010.00561.x
  34. Wennhall I, Matsson L, Schroder U, Twetman S : Outcome of an oral health outreach programme for preschool children in a low socioeconomic multicultural area. Int J Paediatr Dent, 18:84-90, 2008. https://doi.org/10.1111/j.1365-263X.2007.00903.x
  35. Jaime RA, Carvalho TS, Mendes FM, et al. : Oral health education program on dental caries incidence for school children. J Clin Pediatr Dent, 39:277-283, 2015. https://doi.org/10.17796/1053-4628-39.3.277