Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.
Objectives : This research was conducted to find the subjective symptoms of musculoskeletal system for main jobs and job posture. Methods : A survey was conducted from September 15, 2011 to October 7, 2011 and 357 dental hygienists were responded. The survey was consisted of the working environment and medical equipments, psycho-social characteristics, health habits and education, job posture, subjective symptoms of musculoskeletal system pain, and so on. Results : In the survey on the frequency of job posture of dental hygienists by jobs, said they cast down or tilt their head by 15 degrees or more or twist or bend their back. The result of the analysis on the subjective symptoms of musculoskeletal system by main job showed that they experienced a pain in neck, shoulder, and back, although the order differed. The order of subjective symptoms of musculoskeletal system for casting down or turning head by 15 degrees or more, twisting or bending back, having shoulders not parallel to the ground, sitting at the end of a chair, and supporting the whole body with one leg or pressing on a pedal for treatment was from the shoulders to the neck to the back. The order of subjective symptoms of musculoskeletal system for having arms too far from the body or hunching for treatment and bending wrists inward or outward for treatment was from the shoulders to the back to the neck. Conclusions : Due to the characteristics of the job which requires one to have a proper view of a patient's oral cavity, most of the postures included casting down of head or bending of back. Therefore a development of new postures is needed to replace the existing job postures which pressure the musculoskeletal system. And shift rotation can be used as a preventive measure.
Objectives : The purpose of this study was to examine the oral health programs for children of the low income classes in order to prevent oral health problems and to provide the effective oral health programs in community children's centers. Methods : The subjects were 464 teachers in community children's centers in Seoul, Incheon, Gyeonggi-do, Chungcheongbuk-do, and Jeollabuk-do. Results : There were differences between the regions(p<0.05) in oral health guidance among teachers in municipal and provincial community children's centers. The oral health education was considered as the most important thing in those who had more than 6 years career(71.8%), and followed by those having less than five years career(61.3%) and those having two years career(53.8%)(p<0.05). Although many children registered the program and newsletter was sent to the children's homes, but 70% of the children did not brush their teeth regularly(p<0.05). Regardless of region, gender, teaching career, and number of enrolled children, 90 percent or more people found that it necessary for community children's centers to collaborate with dental clinics. There were gender differences between the male and female(p<0.05). Male accounted for 42.4% response rate and female accounted for 36.4%. Approximately About 48.5% of male and 61.6% of female thought that the oral health program is the most important thing(p<0.05). Conclusions : The development of the customized oral health program is the most critical factor to the oral health behavior change in the children in the community children's centers and public dental clinics.
Objectives: The purpose of the study was to examine the influencing factors of oral health-related quality of life in adults. Methods: A self-reported questionnaire was completed by 300 adults in Seoul and Gyeonggido from June to July, 2015 by convenience sampling method. Except 19 incomplete answers, 281 data were analyzed by t test, one way ANOVA, Pearson's correlation coefficient analysis, and multiple linear regression analysis using SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects, health-related characteristics, whole body dry symptoms and subjective perception of dry mouth. The oral health-related quality of life was measured by Likert five points scale, and a higher score indicated a lower quality of life. Results: The oral health-related quality of life in adult varied by age, systemic diseases, oral health status, missing tooth, stress, decayed tooth, gingival disease. The oral health-related quality of life had positive correlations with the subjective perception of dry mouth and whole body dry symptoms. The subjective perception of dry mouth(${\beta}$=0.245) had the influence on the oral health-related quality of life, oral health status(${\beta}$=-0.209), gingival disease(${\beta}$=-0.151), and decayed tooth(${\beta}$=-0.146) in order. Conclusions: The oral health-related quality of life was closely related to the subjective perception of dry mouth and the oral health status. It is necessary to develop the quality of life improvement programs including oral health prevention and care program in the adults.
Objectives: The purpose of the study is to investigate the effect of social network service(SNS) information on intention to dental office use. Methods: A self-reported questionnaire was completed by 410 users of social network service between twenty and thirty years old in Seoul and Gyeonggido after receiving informed consent from July 1 to August 3, 2015. The questionnaire consisted of general profiles of the subjects(6 items), use of dental office(3 items), use of SNS(3 items), use of dental SNS(4 items), use of general SNS(6 items), application of dental SNS(6 items), and intention to dental office use(2 items). Except 8 incomplete answers, 402 data were analyzed using SPSS 18.0 program. Results: The first choice of dental office was recommendation by the acquaintances. There were close correlations between the use of SNS information and the use of general SNS information according to sex(p=0.016) and the frequency of SNS(p=0.012). The use of SNS for dental information showed a meaningful correlation with sex(p=0.003). The intention to use was influenced by sex(p=0.016) and the use of SNS for dental information(p<0.001). Conclusions: The important factor of visit intention to dental service was recommendation by the acquaintances through SNS. The appropriate advertisement of visit intention is very important to improve dental health care.
Objectives: The purpose of the study was to investigate the influencing factors of oral health behavior and oral health awareness of university students by assessing oral health practice. Methods: A self-administered questionnaire was completed by 500 university students in Jeonbuk from June 2 to 15, 2014. Except ten incomplete answers, 490 data were analyzed. The questionnaire consisted of general characteristics of the subjects, subjective oral health status (8 items), oral health knowledge (18 items), and oral health practice (22 items) by Likert 5 point scale. Results: Oral health behavior had a significant effect on smoking status (${\beta}=-0.200$, p<0.001), oral health knowledge (${\beta}=-0.235$, p<0.001), dietary control practice (${\beta}=-0.123$, p<0.05), and daily toothbrushing frequency (${\beta}=-0.240$, p<0.001). With respect to factors influencing oral health knowledge, significant effect was found in oral health behavior (${\beta}=0.258$, p<0.001), dietary control awareness (${\beta}=0.208$, p<0.001), and dietary control practice (${\beta}=-0.136$, p<0.05). Conclusions: Oral health knowledge of university students is an important factor to cause a change in the behavior of oral health practice. Consequently, oral health education is essential to university students. In order to help improve the oral health, more customized and organized oral health programs will be necessary and it will encourage changes in university students oral health practices.
The purpose of this study is to analyze the life stress factors and the changing eating behaviors of the students. We selected a dental hygiene college in Seoul and Daejeon and surveyed 387 students with email and self-administered questionnaires. The studying(3.16) of the stress factors was the most contributing factor followed by career path 3.04, economic 2.97. Regarding differences in each life stress factors according to general characteristics, they were found statistically significant to Body mass index, economic condition, family conversation time and self recognition of health status. Results showed that 39.7% of students ate snacks 1 to 3 times per week, 44.0% preferred spicy flavors after stress, 47.7% ate more than usual after stress, also among the group with high stress was revealed bad results of eating behaviors. According to this study, we identified the factors that affect the daily stress of dental hygiene students and the consequent changes in eating behavior and the results will be consulted on the training and counseling to adjust to college life.
Objectives: Smoking is related to periodontal disease and periodontal therapy. So the aim of this study was to investigate the effects of professional tooth cleaning and plaque control instruction (PT & PCI) for smoking behavior. Methods: A total of 151 adults were investigated using the O'Leary Plaque Index (PI), $L\ddot{o}e$ & Silness gingival index (GI) and the number of sextants possessing periodontal pocket (SPP). And adults were given a through dental scaling and Watanabe method for dental plaque control. Follow up examination were conducted after 3 months and compared the pre and post- status. The collected data were analyzed with t-test, paired t-test and one-way analysis of variance. Results: Regardless of smoking behavior, improving effects were identified after PT & PCI on PI, GI and SPP in the whole population. However, the effects of GI improvement were significant in the smoking group alone; those of PI improvement were most significant in the non-smoking group; and those of SPP improvement were more significant in non-smoking and pre-smoking groups than in the smoking group. The shorter period of smoking and the smaller amount of smoking, the greater effects of PT & PCI by smoking-related characteristics. Conclusion: Smoking cessation instruction should necessarily be included in oral health education in that smoking is an important factor to consider in prevention of periodontal diseases and periodontal therapies.
Objectives: The purposes of this study were to comprehend the subjective dental health status and the level of dental health knowledge in some middle school students and to analyze the correlation with dental health behaviors. Methods: A survey was conducted in some middle school students and the final 637 survey data were analysed. As the statistical analysis methods, the subjective dental health status, dental health knowledge and dental health behaviors according to the general characteristics were analyzed by independent t-test, one way ANOVA and Scheffe. The correlations among the subjective dental health status, dental health knowledge and dental health behavior were found by Pearson's correlation and multiple regression analysis. Results: Through correlation analysis of the subjective dental health status, dental health knowledge and dental health behavior, all showed a significant correlation. As a result of the factor analysis affecting dental behaviors, subjective dental health status was the highest (${\beta}=0.304$, p<0.001). Conclusions: The results of this study suggest that the improvement of subjective dental health status and dental health knowledge related to dental behaviors health in the middle school students should be considered. In addition, dental health education should focus on improving subjective dental health status through motivation rather than knowledge transfer training. Moreover, development programs appropriate for the middle school students whose behavioral changes are hard to obtain are needed.
Objectives: The purpose of this study was to investigate the mediating effects of burnout and to identify the moderating effects of individual factors and organizational factors on the relationship between emotional dissonance and job satisfaction. Methods: This cross-sectional study included 270 dental hygienists working full-time at dental care facilities. The data on the socio-demographic characteristics, emotional dissonance, burnout, job satisfaction, and individual and organizational factors were collected. The individual (self-efficacy and ego resilience) and organizational (social support, organizational support and wage satisfaction) factors were considered as the moderating variable. For statistical analyses, t-test, one-way ANOVA and multiple linear regression were used. Results: Burnout was found to be a significant mediator on the relationship between emotional dissonance and job satisfaction(p<0.001). The variables moderating the relationship between emotional dissonance and burnout were identified as social support, organizational support and wage satisfaction (p<0.05), while the variables moderating the relationship between burnout and job satisfaction were wage satisfaction and ego resilience (p<0.05). Conclusions: To prevent the decrease in job satisfaction due to emotional dissonance, the management of dental care facilities should have a better understanding of burnout in dental hygienists, which requires individual and organizational efforts to be moderated. In addition, as organizational support has been identified as the factor mitigating the negative effects of emotional dissonance, it is highly necessary to adopt the preceptor system, improve communication systems and expand welfare policies of organizations.
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