Browse > Article
http://dx.doi.org/10.15268/ksim.2022.10.4.035

Subjective Oral Health and Oral Care Behavior of Elderly People Over 65 According to the Diagnosis of Circulatory Diseases  

Park, Chung-Mu (Dept. of Clinical Laboratory Science, Dong-Eui University)
Yoon, Hyun-Seo (Dept. of Dental Hygiene, Dong-Eui University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.10, no.4, 2022 , pp. 35-47 More about this Journal
Abstract
Purpose : As the number of patients with systemic diseases is increasing in the old, the relevance of oral health is gaining particular research interest. To provide fundamental resources for dental services, this study examined the relationship between doctors' diagnoses of circulatory diseases and patients' awareness of oral health and oral care behaviors. Methods : SPSS 26.0 was used to assess various variables, including doctor's diagnosis of circulatory diseases, gender, age, household income quintile, participation in economic activity, marital status, subjective level of oral health awareness, mastication discomfort, speaking and chewing discomfort, dental inspection, use of oral care goods, teeth brushing during the previous day, and untreated oral conditions. Results : The circulatory diseases suffered by the subjects were as follows: 56 % high blood pressure, 36 % dyslipidemia, 6 % stroke, and 8 % myocardial infarction or angina. A higher age meant a higher diagnosis rate of high blood pressure (p<.001) and stroke (p<.001). Those with dyslipidemia showed a higher rate of receiving oral inspection (p=.040), and an untreated oral condition was more frequently observed among those not diagnosed with the disease (p=.035). The subjects who were not diagnosed with stroke showed a higher rate of oral inspection (p<.001), while those who had a prior experience of stroke suffered a higher rate of mastication discomfort (p=.020). People who had high blood pressure showed a lower rate of using oral care goods (p<.001), and those diagnosed with stroke showed a lower rate of brushing teeth the previous day. Conclusion : This study found a correlation between the diagnosis of circulatory diseases and the awareness of oral health and oral care behavior. Consequently, oral health education should be included in mental health-related education, and customized training to teach teeth brushing and the use of oral care goods should be provided to patients with circulatory diseases during dentist visits.
Keywords
circulatory diseases; hypertension; KNHANES; oral care; subjective oral health;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Lee SY(2020). Oral health and systemic diseases in the elderly. Korean J Clin Geri, 21(2), 39-46. https://doi.org/10.15656/kjcg.2020.21.2.39.   DOI
2 Ahn EM, Shin DW, Yang HK, et al(2015). Treatment gap in the national health-screening program in Korea: claim-based follow-up of statin use for sustained hypercholesterolemia. J Korean Med Sci, 30(9), 1266-1272. https://doi.org/10.3346/jkms.2015.30.9.1266.   DOI
3 Belstrom D, Damgaard C, Nielsen CH, et al(2012). Does a causal relation between cardiovascular disease and periodontitis exist?. Microbes Infect, 14(5), 411-418. https://doi.org/10.1016/j.micinf.2011.12.004.   DOI
4 Counsel C, Warlow C, Sandercock P, et al(1995). The cochrane collaboration stroke review group. Meeting the need for systematic reviews in stroke care. Stroke, 26(3), 498-502.   DOI
5 Chong MY(2020). Analyzing the association of dyslipidemia based on total cholesterol according to dietary life and health characteristics using Korea National Health and Nutrition Examination Survey (KNHANES VII-1). J Digit Converg, 18(12), 615-630. https://doi.org/10.14400/JDC.2020.18.12.615.   DOI
6 Chung MS, Seomun GA(2020). Risk factors influencing stroke: using data from the 7th(2016-2018) Korea National Health and Nutrition Examination Survey. J Digit Converg, 18(9), 277-283. https://doi.org/10.14400/JDC.2020.18.9.277.   DOI
7 Han DH(2013). Chewing difficulty and multiple chronic conditions in Korean elders: KNHANES IV. J Korean Dent Assoc, 51(9), 511-517.   DOI
8 Kim SH, Ahn BC, Joung HJ, et al(2012). Lipid profiles and prevalence of dyslipidemia in Korean adolescents. Endocrinol Metab, 27(3), 208-216. https://doi.org/10.3803/EnM.2012.27.3.208.   DOI
9 Jung SJ(2021). Factors related to subjective oral health level of the elderly. J Converg Informa Technol, 11(6), 171-180. https://doi.org/10.22156/CS4SMB.2021.11.06.171.   DOI
10 Mustapha IZ, Debrey S, Oladubu M, et al(2007). Markers of systemic bacterial exposure in periodontal disease and cardiovascular disease risk: a systematic review and meta-analysis. J Periodontol, 78(12), 2289-2302. https://doi.org/10.1902/jop.2007.070140.   DOI
11 Yang JM, Song SE, Heo MH, et al(2020). Association between GOHAI (Geriatric Natural Health Assessment Index) and QOL (Quality of Life). Health Social Welfare Rev, 40(4), 245-263. https://doi.org/10.15709/hswr.2020.40.4.245.   DOI
12 Lee YJ, Kang KS(2016). The effect of harmonica - based music therapy on respiratory function and oral motor function in stroke patients. J Rehabil Psychol, 23(4), 709-724.
13 Lee BH(2018). The effect of health behavior practice and jab characteristics on periodontal disease of employees. J Korea Converg Soc, 9(11), 145-152. https://doi.org/10.15207/JKCS.2018.9.11.145.   DOI
14 Korea Population Health and Welfare Association. 2020 World Population Report Published in Korean, Available at http://www.ppfk.or.kr/mobile/sub/data/report_material.asp?mode=view&bid=9&s_type=&s_keyword=&s_cate=&idx=29752&page=32020.06.30. Accessed July 01, 2022.
15 Lee SY, Moon YP(2018). A study of the financial projection of health expenditures of the aged of national health insurance: focused on the healthy ageing of EU. J Critical Soc Policy, 58(1), 53-93. https://doi.org/10.47042/ACSW.2018.02.58.53.   DOI
16 Bahekar AA, Singh S, Saha S, et al(2007). The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J, 154(5), 830-837. https://doi.org/10.1016/j.ahj.2007.06.037.   DOI
17 Doo MA(2015). Associations between subjective stress level, health-related habits, and obesity according to gender. Korean J Obes, 24(3), 156-165. https://doi.org/10.7570/kjo.2015.24.3.156.   DOI
18 Jang SO, Lee JS(2015). Prevalence and management of dyslipidemia among Korean adults: KNHANES 2010-2012. J Korea Acad-Industr Cooper Soc, 16(11), 7978-7989. https://doi.org/10.5762/KAIS.2015.16.11.7978.   DOI
19 Lee EH, Park HJ(2015). Effects of special mouth care with an aroma solution on oral status and oral cavity microorganism growth in elderly stroke patients. J Korean Acad Nurs, 45(1), 46-53. https://doi.org/10.4040/jkan.2015.45.1.46.   DOI
20 Chang IS(2020). An empirical analysis of gender differences in hypertension of the elderly and their factors in Korea. J Korean Official Statistics, 25(3), 54-78. https://doi.org/10.22886/jkos.2020.25.3.54.   DOI
21 Comprehensive National Health Promotion Plan. Health Plan 2030, Available at https://www.khealth.or.kr/hpn/hpnIdx/selectIdxDetailList2030.do?menuId=MENU01426. Accessed July 02, 2022.
22 Park HS, Won YS, Kim MJ, et al(2020). Correlations and comparison among cognitive function, oral cavity structure and function, orofacial strength, swallowing capacity according to characteristics of patients with stroke. J Korean Acad Ther, 12(1), 25-34. https://doi.org/10.31321/KMTS.2020.12.1.25.   DOI
23 Shin BM, Choi YK, Bae SM, et al(2018). Factors related to awareness and education regarding relationship between systemic disease and oral health among dental patients. J Korea Contents Assoc, 18(8), 607-615. https://doi.org/10.5392/JKCA.2018.18.08.607.   DOI
24 Woo KS(2020). The effectiveness of oral neurocognitive rehabilitation therapy on dysphagia and dysarthria of stroke patients. J Neurocog Rehabil, 12(2), 1-8. https://doi.org/10.29144/KSCTE.2020.12.2.01.   DOI
25 Yoon HS, Chae YJ(2017). Oral health care behavior according to dental screening of local community residents (Using community health survey data 2014). J Korea Acad-Industr Cooper Soc, 18(8), 265-272. https://doi.org/10.5762/KAIS.2017.18.8.265.   DOI
26 British Society of Gerodontology. Guidelines for the oral healthcare of stroke survivors. http://www.gerodontology.com/content/uploads/2014/10/stroke_guidelines.pdf Accessed July 16, 2022.
27 The economic times wealth. World Heart Day: 63% fall in health insurance claims for heart disease, Available at https://economictimes.indiatimes.com/wealth/insure/health-insurance/world-heart-day-63-fall-in-health-insurance-claims-for-heart-disease/articleshow/86604808.cms. Accessed July 12, 2022.
28 The Korean Society of Hypertension. Estimated 4.4 million people with hypertension over 65 years of age. Available at http://www.mostonline.co.kr/news/ articleView.html?idxno=96991 Accessed July 02, 2022.
29 Cho HJ. Stroke, one person every 2 seconds and one death every 6 seconds. eMDS, medical adcice Available at http://www.mdon.co.kr/mobile/article.html?no=31626 Accessed July 02, 2022.
30 Korean society of lipidology and atherosclerosis. dyslipidemia fact sheet in Korea 2015, Dyslipidemia +fact+sheet+english+final (3).pdf, Available at http://www.lipid.or.kr/skin/default/download Accessed July 02, 2022.