• 치위생과학회지
• /
• 제12권6호
• /
• pp.591-599
• /
• 2012

본 연구는 2011년 10월 1일부터 2012년 3월 30일까지 5개월간 편의로 5개의 지역을 추출하여 부산거주 233명(일반인 132명, 환자 101명), 울산거주 210명(일반인 116명, 환자 94명), 양산거주 112명(일반인 62명, 환자 50명), 창원거주 82명(일반인 42명, 환자 40명), 김해거주 60명(일반인 30명, 환자 30명)을 대상으로 해당 지역 치과병의원에 내원 중인 환자 315명과 일반성인 382명을 포함하여 총 697명을 대상으로, 그들의 구강건강 행태를 분석한 결과 다음과 같은 결론을 얻었다. 1. 사회인구학적인 변인에 의한 t검정결과로, 성별은 전제, 강화, 구강건강행위, 건강${\cdot}$QOL요인들에, 학력은 전제, 강화, 건강${\cdot}$QOL요인들에, 치아개수는 건강${\cdot}$QOL요인에 대하여 각각 통계적으로 유의한 차이를 나타났다(p<0.05). 2. 사회인구학적인 변인에 의한 F검정결과로, 나이는 전제, 실현, 건강${\cdot}$QOL요인, 지역구 분은 건강${\cdot}$QOL요인, 경제수준은 강화, 구강건강행위 요인에 대하여 각각 통계적으로 유의한 차이를 나타내었다(p<0.05). 3. 구강건강행위를 종속변수로 하는 최적화 척도분석에서는 성별, 전제, 실현, 강화 요인들 이 뚜렷하게 통계적으로 유의하였으며, 설명력은 28,3%로 나타났다. 4. 건강 QOL을 종속변수로 하는 최적화 척도분석에서는 연령, 치아개수, 실현, 구강건강 행위 요인들이 뚜렷하게 통계적으로 유의하였으며, 설명력은 17.9%로 나타났다.

• 한국치위생학회지
• /
• 제17권3호
• /
• pp.527-537
• /
• 2017

Objectives: The purpose of this study was to examine the practice of oral hygiene behaviors and oral health status of long-term care facility residents and to analyze the factors related to salivary hemoglobin level which can predict active periodontal disease. Methods: From 30th October 2015 to 7th January 2016, a questionnaire was provided to 63 participants and their dental plaque and saliva samples were collected to assess the levels of salivary hemoglobin and dental plaque acidogenicity. In order to analyze the factors related to salivary hemoglobin level, multiple linear regression analysis was performed. Results: Toothbrushing was most frequently performed by the participants themselves (98.4%) and toothbrushing was performed after eating breakfast (81.3%). 68.8% of participants reported brushing their tongue. 35.9% of participants perceived having bad teeth, and 87.5% had high dental caries activity. The percentages of participants with hyposalivation and ${\geq}0.20{\mu}g/ml$ salivary hemoglobin level were 45.3% and 59.4%, respectively. The salivary hemoglobin level was significantly higher in the group in which stimulated salivary flow rate was ${\leq}0.70ml/min$, dental plaque acidogenicity was superior, and perceived having bad teeth (p<0.05). There was also a tendency for the salivary hemoglobin level to increase with age (p<0.05). Conclusions: Oral health status of the long-term care facility residents was still not improved, and the characteristics of salivary volume and dental plaque were important factors affecting salivary hemoglobin level. Therefore, it is necessary to operate an oral hygiene intervention program by oral health professionals in such facilities in order to provide residents with effective oral care aligned with their respective needs. Furthermore, it is necessary for caregivers to complete mandatory oral health education to improve the oral hygiene status of the long-term care facility residents.

• 보건교육건강증진학회지
• /
• 제24권4호
• /
• pp.241-249
• /
• 2007

Health education aims at behavior change rather than just delivering health knowledge to people. In Korea health education activities in public sector began in 1960 and they were included in the primary prevention program in communities. This article reviewed current health education programs in healthy living practice programs provided by local public health centers in Korea and drew implications for the future role of health education in community setting. Health education has been a core function of the National Health Promotion programs in the nation since the enactment of the National Health Promotion Law in 1995. The National Health Promotion programs are funded by the National Health Promotion Fund which are drawn from tobacco tax. The National Health Promotion programs include healthy living practice programs (smoking prevention and cessation programs, moderate alcohol use programs, physical activity promotion programs, and nutrition programs), chronic disease prevention programs, oral health programs and public hygiene programs. Methods of the National Health Promotion programs include health education, health counseling, health class, health information management, survey and research. Smoking prevention and cessation programs include smoking cessation clinic, smoking cessation education, non-smoking environment program, and non-smoking campaign. Moderate alcohol use programs include alcohol use education, moderate alcohol use campaign, alcohol use counseling, and alcohol free environment programs. Physical activity promotion programs include obesity control, targeted exercise program, and exercise civic group programs. Nutrition programs include nutrition management, obesity management, nutrition education, breakfast eating program, and nutrition counseling and treatment programs. The health education programs in community are not efficient today because there are many overlapping contents and short term goals. Community health education programs needs to be more comprehensive. Workforce development is another big issue at the moment because the National credential program will begin in 2009. Variety of community health education programs should be developed and funded by the national health promotion fund.

• 한국치위생학회지
• /
• 제17권3호
• /
• pp.331-342
• /
• 2017

Objectives: This study aimed at helping oral health prevention of the blind and related management plan, which is defined as the influence factors between missing and filled permanent teeth index and general feature and oral health behavior of the blind in Korea (estimates 229,678 persons) using data of the 6th Korea National Health and Nutrition Examination Survey from 2014 Korea Centers For Disease Control and Prevention. Methods: The blind over the age of 30 were selected as study subjects who have conducted health survey and dental inspections in KNHANES VI-2. Estimates of the subjects were 229,67 persons. For analyzing data, general linear models: GLM and covariance analysis were conducted to identify the relation between general feature and oral health behavior and missing and filled permanent teeth index. SPSS 21 statistical program was used, which is possible to conduct complex sampling design, and the significance level was 0.05. Results: The missing and filled permanent teeth index was 8.58 points. Regarding the results of the analysis, R-squared of the missing and filled permanent teeth index depending on general features of the blind was 0.839 points, which shows gender, age, residence, education level, individual income, disability rating, kinds of health insurance, marital status and recipient of basic living had an effect on the missing and filled permanent teeth index. R2 of the missing and filled permanent teeth index depending on oral health form of the blind was 0.728 points, which shows oral examination, dental treatment, smoking and toothbrushing after lunch had an effect on the missing and filled permanent teeth index. Conclusions: With the result of this study, we found the oral health actual condition of the blind in Korea. Therefore, it is considered that the government needs to introduce the personalized oral health education program to maintain oral health of the blind and to develop a program that uses braille and voice device which enables to access and utilize to improve oral health behavior that the government could use it as a reference to establish the policy plan.

• 한국학교보건학회지
• /
• 제30권1호
• /
• pp.59-69
• /
• 2017

Purpose: This study aimed to analyze the health education conducted for adolescents in the past 10 years by 5-year cycles. Methods: This study was conducted, targeting 200,008 students attending junior high school and high school, using the data of the Korea Youth Risk Behavior Web-based Survey in 2005, 2010 and 2015. The collected data was analyzed by Rao-Scott $x^2$ test, using SPSS program. Results: The overall implementation of health education has increased over the past decade, showing statistically significant differences between 2005, 2010 and 2015 (p<.05). The type of health education given the most was sex education (68.9~74.5%) in 2005 and 2010 and safety education (83.8%) in 2015, whereas the least given health education was personal hygiene education (18.2%) in 2005 and oral health education (22.0~24.0%) in 2010 and 2015. In addition, the implementation rate of health education was statistically significantly lower in high school than in middle school in all three years, 2005, 2010 and 2015. As the grades got higher, the implementation rate of health education showed a statistically significant decrease (p<.05). Conclusion: Health education for adolescents needs to be provided equally. Therefore, it is necessary to prepare an education policy for students to benefit from adequate health.

• 보건의료산업학회지
• /
• 제7권1호
• /
• pp.95-105
• /
• 2013

The purpose of this study is to examine the relationship between characteristics of obesity and oral diseases by sex and grade. To achieve this, a survey was carried out on 830 students at just an elementary school in Chungnam area. The results of this study are as follows. First, the relationship between dental caries and malocclusion prevalence according to obesity by sex and grade showed that there was no difference between dental caries and malocclusion prevalence by sex, and dental caries prevalence by grade. Second, the difference in the level of dental health according to obesity showed that overweight students had more both caries teeth and loss teeth than normal students. Third, the relationship between obesity and the level of dental health showed that overweight students had many caries teeth and loss teeth. In particular, obesity had higher relationship with caries teeth than loss teeth. As the childhood is the period of time when the range of socialization is extended to schools from families, schools are important life zones for children. Consequently, the continuous and intensive instruction of health problems in schools needs to be comprehensively approached in terms of education.

• 한국치위생학회지
• /
• 제17권1호
• /
• pp.145-153
• /
• 2017

Objectives: This paper aimed to contribute to better oral disease prevention and practice of health behavior for immigrant women in multi-cultural families, to define missing and filled permanent teeth index of immigrant women, data from the 6th Korea National Health and Nutrition Examination Survey from the Korea Centers for Disease Control and Prevention was used. Methods: For the immigrant women to be subjects, they needed to be born overseas, had acquired Korean citizenship as a married immigrant women, and the estimate of the number of subjects was 133,093 women. For analyzing data, SPSS 21statistical program was used. We used covariance analysis (ANCOVA) andgeneral linear models for finding the relation with the missing and filled permanent teeth index. The significance level was 0.05. Results: DMFT-index of immigrant women was 7.33 points. $R^2$ was 0.416; and increased with age, and $R^2$ was 0.126 points higher (p<0.01). In household income, 'lower' was 5.933 points lower than 'upper' (p<0.05), and in toothbrushing after lunch, 'yes' was 3.598 points lower than 'no' (p<0.01). In preventive treatment, 'yes' was 4.301 points lower than 'no' (p<0.05). Conclusions: The result of this paper is as follows: for maintaining oral health of immigrant women, we think that the government needs to develop an oral health policy and a customized education system suited to immigrant women for preventive management of dental disease in immigrant women. In addition, basic data will be provided for public dental health programs based on the result of the study.

• 치위생과학회지
• /
• 제18권2호
• /
• pp.113-123
• /
• 2018

본 연구는 치과위생사에게 요구되는 커뮤니케이션 교육에 관한 임상가와 교육자의 견해를 확인하기 위해 치과의사, 치과위생사, 교수의 초점집단면접을 진행하였고, 각 초점집단의 견해를 해석하고 개념화하여 분석한 결과, '커뮤니케이션 교육시기와 방법', '교과목 표준화와 교육환경', '커뮤니케이션 역량 평가', '커뮤니케이션 교과목에 대한 인식'이라는 4개의 핵심범주와 '교육시기', '교육방법', '임상현장실습', '표준화된 교과목의 부재', '교수역량 향상', '평가방법', '국가고시 도입', '교수와 학생의 태도'라는 8개의 하위범주를 확인하였고 다음과 같은 결론을 얻었다. 임상가 및 교육자 초점집단은 공통적으로 인문사회학적 소양은 대학교육이 선행되어야 한다고 진술하였다. 다만, 치과위생사 초점집단은 임상현장에서의 시행착오적 학습도 효과적인 교육이라고 강조하였다. 교수 초점집단은 대학졸업 이후에도 커뮤니케이션 교육의 연속성을 위해 보수교육이 제공되어야 한다고 강조하였다. 임상가 및 교육자 초점집단은 공통적으로 치과 의료기관에서 발생할 수 있는 환자 불만사례를 적용한 역할극을 요구하였다. 교수 초점집단은 교과목 학습목표와 실습모듈 표준화를 요구하였고, 교육 환경 인프라가 구축되어야 한다고 하였다. 더불어, 커뮤니케이션 교과목 담당 교수의 역량을 강화하기 위한 커뮤니케이션 교과목 연구회가 필요하다고 하였다. 본 연구를 통해 치과위생사의 커뮤니케이션 역량 계발을 위하여 임상현장의 요구에 부응하는 교육개발이 필요함을 확인하였고, 치과위생사 커뮤니케이션 역량강화를 위한 교육의 바람직한 방향을 제안할 수 있는 자료로 활용될 수 있을 것으로 생각된다.

• 치위생과학회지
• /
• 제14권1호
• /
• pp.35-42
• /
• 2014

본 연구는 치과병 의원에 근무하는 치과의료 종사자 144명을 대상으로 치과위생사 업무의 수행빈도와 중요도 및 교육의 필요성을 알아봄으로써 치위생 교육과정을 개발하는 데 참고자료가 되고자 실시하였다. 분석은 PASW Statistics 18.0을 이용하였으며, 다음과 같은 결론을 얻었다. 응답자가 생각하는 직무별 수행빈도와 업무의 중요도, 교육의 필요성 정도를 알아본 결과 수행빈도는 경영관리지원이 4.14, 예방치과처치는 3.51, 치과진료협조는 3.41, 구강보건교육은 3.28 순을 보였다. 업무의 중요 정도 및 교육의 필요성은 경영관리지원, 치과진료협조, 예방치과처치, 구강보건교육 순이었다. 일반적 특성에 따른 직무별 수행빈도를 살펴본 결과 변수 간 유의미한 차이가 없었다. 일반적 특성에 따른 직무별 업무의 중요도를 살펴본 결과 구강보건교육은 연령에 따라 40대(p<0.05)가, 치과진료협조는 직종에 따라 치과위생사(p<0.05)가, 경영관리지원은 여자(p< 0.05)와 치과위생사(p<0.05)가, 또한 경력이 많을수록 중요하다고 하였다(p<0.05). 일반적 특성에 따른 직무별 교육의 필요성을 예방치과처치는 성별에 따라 여자(p=0.014)가, 치과진료협조는 여자(p<0.001)와, 치과위생사(p<0.001)가, 경영관리지원은 지역에 따라 서울(p<0.05)이 가장 높았다. 수행빈도와 업무의 중요도, 교육의 필요성의 관련성을 알아 본 결과 업무의 중요도와 교육의 필요성이 가장 높은 관련성을 보였다. 이상의 결과 현재 임상에서는 치과위생사의 업무영역 중 경영관리지원과 치과진료협조를 중요하게 생각하고 있으며, 직무역량을 기대하고 있다. 따라서 치위생 교육과정 개발 시 경영관리 및 진료협조에 대한 업무의 과목을 적절히 안배하고 임상에서 요구하는 치과위생사가 될 수 있도록 직무능력을 표준화시켜야 할 것이다.

• 한국치위생학회지
• /
• 제23권2호
• /
• pp.125-132
• /
• 2023

Objectives: This study used the 2018 Korea Health Panel Survey data to analyze factors affecting employment status and income relating to unmet dental and medical care needs. Additionally it investigated measures to reduce oral health inequality among various socioeconomic classes. Methods: Descriptive statistics for the subjects' unmet dental and medical care needs were calculated through chi-square test analysis, and multivariate logistic regression analysis was applied to identify factors affecting the unmet dental and medical care needs. The odds ratio and 95% confidence interval were calculated for each level. These data were analyzed using STATA 17.0 SE (64-bit) version, and the statistical significance level was set to p<0.05. Results: As a result of unmet dental and medical care needs according to general characteristics, the lower the education level (p<0.001), the higher the age (p<0.001) and the lower the household equalization income (p<0.024) and the smoker status (p<0.003) were, respectively. Factors that have a statistically significant impact on unmet dental and medical care needs were divorce, separation and bereavement (p<0.001) in individuals than in married persons, and being smokers than non-smokers (p<0.009). The frequency of unmet dental and medical care needs were found to be lower in the cases of a high school graduate than an elementary school graduate (p<0.018), and of higher household equalization income (p<0.001) than the lowest household equalization income, respectively. Conclusions: It was found that various factors such as age, education level, household equalization income, employment status, type of working hours type, and smoking status affect unmet dental and medical care needs.