DOI QR코드

DOI QR Code

우리나라 청소년의 COVID-19로 인한 가정경제악화가 치은 출혈 및 통증에 미치는 영향

Effect of worsening family economy due to COVID-19 on gingival bleeding and pain in Korean adolescents

  • Kim, So-Yeong (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 투고 : 2021.09.16
  • 심사 : 2021.11.03
  • 발행 : 2021.12.30

초록

연구목적: 본 연구는 우리나라 청소년의 코로나바이러스감염증-19로 인한 가계경제 악화가 치은 통증 및 출혈에 미치는 영향을 알아보고자 하였다. 연구방법: 제16회 청소년건강행태조사 KYRBS(2020) 자료를 사용하였다. 이 연구는 단면 연구로서 총 57,925명의 청소년을 대상으로 하였다. 코로나바이러스감염증-19로 인한 가정경제악화와 치은 통증 및 출혈의 관련성을 파악하였다. 모든 설문조사는 비대면 온라인 설문조사방법으로 평가되었으며, 분석방법은 기술통계, 카이제곱 검정 및 로지스틱 회귀분석을 사용하여 분석하였다. 통계프로그램은 SPSS 26.0을 사용하였다. 연구결과: 우리나라 청소년의 치은 통증 및 출혈 증상의 전반적인 유병률은 19.2%이었다. 코로나바이러스감염증-19로 가정경제의 악화가 없는 경우보다 가정경제가 악화된 청소년에서 치은 통증과 치은 출혈을 겪을 가능성이 더 높았다. COVID-19로 인한 가정경제악화가 없는 경우를 기준으로 악화된 경우(aOR=1.048, 95% CI=1.034-1.227), 매우 악화된 경우(aOR=1.358, 95% CI=1.164-1.585)으로 갈수록 치은 출혈 및 통증이 나타날 확률이 높았다. 결론: 코로나바이러스감염증-19로 인한 가계경제악화가 없는 경우에 비해 COVID-19로 인해 가정경제가 악화 청소년에서 치주질환의 초기 증상인 치은 통증 출혈이 더 많았다.

Objectives: This study aimed to determine the effect of COVID-19-induced household economic deterioration on gingival pain and bleeding. Methods: Data from the 16th Adolescent Health Behavior Survey 2020 were used. A total of 57,925 adolescents were included in this cross-sectional study. We evaluated the worsening of the COVID-19-induced household economic situation, gingival pain, and bleeding. All surveys were assessed in a subjective non-face-to-face online interview. Data were analyzed using descriptive statistics, chi-squared tests, and logistic regression. Results: The overall prevalence of gingival pain and bleeding symptoms in the study population was 19.2%. People with COVID-19 were more likely to suffer from gingival pain and gingival bleeding than those who did not have economic deterioration due to COVID-19. There was no economic deterioration due to COVID-19 (aOR=1.048, 95% CI=1.034-1.227) and worsened very much (aOR=1.358, 95% CI=1.164-1.585). Conclusions: There were more cases of gingival pain and gingival bleeding, which are early symptoms of periodontal disease, in patients with COVID-19 compared to cases without deterioration of the household economic situation due to COVID-19. It is necessary to measure and study gingival bleeding objectively rather than relying on self-reports.

키워드

참고문헌

  1. Worldometer. COVID-19 CORONAVIRUS PANDEMIC[Internet]. Weekly Trends. [cited 2021 Aug 02]. Available from: http://www.worldometers.info/coronavirus.
  2. OECD Policy Responses to Coronavirus. Testing for COVID-19 : a way to lift confinement restriction[Internet]. [cited 2021 Aug 02]. Available from: http://www.oecd.org/coronavirus/policy-responses/testing-for-covid-19-a-way-to-lift-confinementrestrictions-89756248.
  3. Person B, Sy F, Holton K, Govert B, Liang A. Fear and stigma: the epidemic within the SARS outbreak. Emerg Infect Dis 2004;10(2):358-63. https://doi.org/10.3201/eid1002.030750
  4. Tao N. An analysis on reasons of SARS - induced psychological panic among students. Journal of Anhui Institute of Education 2003;21:78-9. https://doi.org/10.3969/j.issn.1674-2273.2003.06.031
  5. Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry 2020;7(4):300-2. https://doi.org/10.1016/s2215-0366(20)30073-0
  6. Chin MJ, Sung MA, Son SH, Yoo JE, Lee JR, Chang YE. Changes in family life and relationships during the COVID-19 pandemic and their associations with perceived stress. Family and Environment Research 2020;58(3):447-61. https://doi.org/10.6115/fer.2020.032
  7. Celik B, Ozden K, Dane S. The effects of COVID-19 pandemic outbreak on the household economy. J Res Med Dent Sci 2020;8(4):51-6.
  8. Rogers MP, Dubey D, Reich P. The influence of the psyche and the brain on immunity and disease susceptibility: a critical review. Psychosom Med 1979;41(2):147-64. https://doi.org/10.1097/00006842-197903000-00008
  9. Ishisaka A, Ansai T, Soh I, Inenaga K, Awano S, Yoshida A, et al. Association of cortisol and dehydroepiandrosterone sulphate levels in serum with periodontal status in older Japanese adults. J Clin Periodontol 2008;35(10):853-61. https://doi.org/10.1111/j.1600-051X.2008.01309.x
  10. Goyal S, Jajoo S, Nagappa G, Rao G. Estimation of relationship between psychosocial stress and periodontal status using serum cortisol level: a clinico - biochemical study. Indian J Dent Res 2011;22(1):6-9. https://doi.org/10.4103/0970-9290.79966
  11. Elm VE, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Bull World Health Organ 2007;85(11):867-72. https://doi.org/10.2471/blt.07.045120
  12. Kim YJ, Choi SH, Chun CM, Park SY, Khang YH, Oh KW. Data resource profile: the Korea youth risk behavior web - based survey (KYRBS). International Journal of Epidemiology 2016;45(4):1076-e.
  13. Bae JS, Joung HJ, Kim JY, Kwon KN, Kim YT, Park SW. Test - retest reliability of a questionnaire for the Korea Youth Risk Behavior Web-based Survey. Journal of Preventive Medicine and Public Health 2010;43(5):403-10. https://doi.org/10.3961/jpmph.2010.43.5.403
  14. Nemoto M, Yim DK. Exposure to social and economic vulnerabilities due to COVID-19 and rule of social economic organization : case of chungbuk region. Korean Journal of Local Government & Administration Studies 2020;34(4):237-53. https://doi.org/10.18398/KJLGAS.2020.34.4.237
  15. World Bank. The global economic outlook during the COVID-19 pandemic: a changed world[Internet]. [cited 2021 Jul 03]. Available from: http://www.worldbank.org/en/news/feature/2020/06/08/the-global-economic-outlook-during-the-covid-19-pandemic-a-changed-world.
  16. Song JI, Lee GH, Kim ME, Kim KS. Study on short term smoking cessation treatment in dental hospitals in Korea. Journal of Oral Medicine and Pain 2010;35(4):245-58.
  17. Taylor R, Denham J, Ureda J. Health promotion: principles and clinical applications. Norwalk, CT: Appleton-Century-Crofts; 1982: 1-16.
  18. Ha JE, Yeo BM, Roh HY, Paik DI, Bae KH. Periodontal condition and pathogens distribution of pregnant women. Journal of Korean Academy of Oral Health 2010;34(4):587-94.