DOI QR코드

DOI QR Code

우리나라 노인의 우울이 삶의 질 및 구강건강과의 관련성: 국민건강영양조사 제8기 1차년도(2019)자료 활용

Relationship of depression with the quality of life and oral health ofthe elderly Koreans: data from the 8th National Health and Nutrition Examination Survey

  • 투고 : 2022.11.29
  • 심사 : 2022.12.06
  • 발행 : 2022.12.30

초록

Background: This study was aimed at reducing depression and improving the quality of life and oral health of the elderly Koreans by elucidating the effect of depression on their life quality and oral health. Methods: Original data from the 8th National Health and Nutrition Survey (2019) were analyzed and implemented. The elderly (age≥65years) Koreans were enrolled. The oral health status was determined using the Decayed, Missing, Filled Teeth (DMFT) index and subjective self-report. The quality of life was quantified as the sum of score of each item in the Euro Qol-5 dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8). The t-test, one-way analysis of variance, correlation analysis, and multiple regression analysis were performed to statistically compare the quality of life, oral health status, and oral health status according to the depression status. Results: EQ-5D and HINT-8 scores differed significantly with the history of depression, current depression, stress perception, depression for 2 weeks, and annual suicidal intention (p≤0.05). The DMFT index score differed significantly with the depression diagnosis and depression for 2 weeks (p≤0.05). EQ-5D, HINT-8, and DMFT index differed significantly with all oral health behavior variables (p≤ 0.05). Conclusions: The results of this study could serve as a basis to formulate oral health programs for the elderly to reduce depression and improve the quality of life.

키워드

과제정보

이 연구는 2022년 전주비전대학 연구비로 지원되었다.

참고문헌

  1. Korean Statistical Information Service, KOSIS: domestic statistics. Future Population Estimation. Retrieved November 1, 2022, from https://kosis.kr/ (2021, December 9) 
  2. Kim Y et al. An investigation of factors affecting elderly depression in Korea, 2021;25(2):120-127. https://doi.org/10.47825/jkgp.2021.25.2.120 
  3. Park JH, Kim KW. A review of the epidemiology of depression in Korea. J Korean Med Assoc 2011;54(4):362-9. https://doi.org/10.5124/jkma.2011.54.4.362 
  4. Korea Disease Control and Prevention Agency: National health information portal. Retrieved November 1, 2022, from https://health.kdca.go.kr/healthinfo/index.jsp(2022, September 1) 
  5. Jeong KH et al. A survey of the elderly in Korea. Ministry of Health and Welfare, Seoul, pp.314-315, 2017. 
  6. D.B.Bromley. Psychology of the elderly. 1th ed, Seongwonsa. Seoul, 1992: pp.507 
  7. Lee TH, Huh SI. Effects of social capital on elderly suicide rate. Health and Social Welfare Review 2021;41(4): 128-146. https://doi.org/10.15709/hswr.2021.41.4.128 
  8. Park JH, Kim KW. A review of the epidemiology of depression in Korea. J Korean Med Assoc 2011;54(4):362-9. https://doi.org/10.5124/jkma.2011.54.4.362 
  9. McFarland ML, Inglehart MR. Depression, self-efficacy, and oral health: An exploration. Oral Health Dent Management 2010;9(4):214-22. 
  10. Migliorati C, Madrid C: The interface between oral and systemic health: the need for more collaboration. Clinical Microbiology and Infection 13:11-16, 2007.  https://doi.org/10.1111/j.1469-0691.2007.01799.x
  11. Tsakos G et al. Clinical correlates of oral health related quality of life: evidence from a national sample of British older people. European journal of oral sciences 114(5):391-395, 2006.  https://doi.org/10.1111/j.1600-0722.2006.00398.x
  12. Jo ED et al. Factors analysis of the oral health-related quality of life in the elderly. J Korean Soc Dent Hyg. 2019;19(1):55-64. https://doi.org/10.13065/jksdh.20190004 
  13. Cho MJ. The relationship between masticatory ability and the quality of life oral health- related using OHIP-14 of the elderly. Journal of Digital Convergence 2016;14(9):341-348. https://doi.org/10.14400/JDC.2016.14.9.341 
  14. Bae JY. The elders' general quality of life and oral health-related quality of life. Journal of Korean Clinical Health Science. 2015;3(4):466-475. https://doi.org/10.15205/kschs.2015.3.4.466 
  15. Lee HJ, Kim CM. Effects of Oral Health Impact Profile (OHIP) on Depression and Quality of Life among Community-dwelling Korean Elderly Persons. J Korean Acad Community Health Nur, 2012;23(3):338-346.  https://doi.org/10.12799/jkachn.2012.23.3.338
  16. Shin DS, Jung YM. Oral health-related quality of life (OHQoL) and related factors among elderly women. J Korean Acad Fundam Nurs 2008;15(3):332-41. 
  17. Kim SY, Kim JH. The relationship between old-age oral health and depression levels. Health and Social Welfare Review 2021;41(4):62-71. https://doi.org/10.15709/hswr.2021.41.4.62 
  18. Wu SR. The impact of oral health status of the elderly in the community on their satisfaction with life. Unpublished master's thesis, Daegu Haany University, Gyeongsan, 2010. 
  19. Cho HN, Choi ES. Association between depression and poor oral health in Korean elderly: the six Korean national health and nutrition examination survey(KNHANES VI-2). J Korean Soc Dent Hyg, 2016;16(6):931-41. https://doi.org/10.13065/jksdh.2016.16.06.931 
  20. Cho EA, Park SH. Correlation between depression, body awareness, physical activity, eating habits and oral health in older women. The Journal of Occupational Therapy for the Aged and Dementia, 2021;15(1):15-22. https://doi.org/10.34263/jsotad.2021.15.1.15 
  21. Lee JC, et al. Factors related to depressive symptoms among the elderly in urban and rural areas. J Agri Med & Community Health, 2008;33(2);204-220. https://doi.org/10.5393/JAMCH.2008.33.2.204 
  22. Gerritsen AE, et al. Tooth loss and oral health-related quality of life: A systematic review and meta-analysis. Health and Quality of Life Outcomes, 2010;8:2-11. https://doi.org/10.1186/1477-7525-8-126 
  23. Takiguchi T, et al. Oral health and depression in older Japanese people. Gerodontology, 2016;33(4):439-446. https://doi.org/10.1111/ger.12177 
  24. Cademartori MG et al. Is depression associated with oral health outcomes in adults and elders? A systematic review and meta-analysis. Clinical Oral Investigations, 2018;22(8):2685-2702. https://doi.org/10.1007/s00784-018-2611-y 
  25. Allen PF et al. A comparison of the validity of generic- and disease-specific measures in the assessment of oral health-related quality of life. Community Dent Oral Epidemiol 1999;27(5):344-352. https://doi.org/10.1111/j.1600-0528.1999.tb02031.x