• Health Policy and Management
• /
• v.31 no.1
• /
• pp.74-90
• /
• 2021

Background: It is getting important to improve the oral health status of the elderly because oral health status may affect their health status of the whole body. In this respect, we aimed to explore the association of oral health status and behavior factors with self-rated health status by sex. Methods: Using the data from the 7th Korea National Health and Nutrition Examination Survey for health surveys and oral examinations (2016-2018), we analyzed a total of 3,070 people aged 65 or older (men: 1,329; women: 1,741). Our dependent variable, self-rated health status, was divided into two groups: not good (bad and very bad) and good (very good, good, and fair), whereas our independent variables of interest were oral health status and behavior factors. In addition to descriptive analysis and the Rao-Scott chi-square test, reflecting survey characteristics, we conducted hierarchical multivariable logistic regression analyses adjusted for socio-demographics and health status and behavior factors. All analyses were stratified by sex. Results: The proportion of people having 'not good' self-rated health was 36.5% in women but 24.5% in men. In a model adjusted for all covariates, the self-rated health status showed significant association with the self-rated oral health status. For example, in men, the risk of having 'not good' self-rated health was high in people having 'poor' (odds ratio [OR], 5.31; 95% confidence interval [CI], 2.34-12.03) self-rated oral health status and in those having 'fair' (OR, 4.03; 95% CI, 1.68-9.70) in comparison with those having 'good' self-rated oral health status. Dental status regarding speaking difficulty seemed to be very important in influencing self-rated health status. For instance, in women, compared to people having 'no discomfort' speaking difficulty, the risk of having 'not good' self-rated health was high in people having 'not bad' (OR, 1.60; 95% CI, 1.14-2.24) and 'discomfort' (OR, 1.79; 95% CI, 1.30-2.47) speaking difficulty. The covariates significantly associated with the risk of having 'not good' self-rated health were: physical activity, chronic disease, stress, and body mass index in both sexes; health insurance type and drinking only in men; and economic activity only in women. Conclusion: Oral health status and behavioral factors were associated with self-rated health status among the elderly, differently by sex. This suggests that public health policies toward better health in the elderly should take their oral health status and oral health behaviors into account in a sex-specific way.

• Journal of Korean society of Dental Hygiene
• /
• v.16 no.5
• /
• pp.725-732
• /
• 2016

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.

• Journal of Korean society of Dental Hygiene
• /
• v.18 no.4
• /
• pp.585-595
• /
• 2018

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.

• The Journal of Korean Society for School & Community Health Education
• /
• v.14 no.2
• /
• pp.85-92
• /
• 2013

Objectives: The purpose of this study is to examine correlation between subjective oral health status and oral-related appearance satisfaction of college students. 100 college students at a college located in Gyeonggi-do participated in the survey, oral examinations, and self-rated oral hygiene management ability tests. The data was then analyzed accordingly. Methods: Frequency test and chi-square statistical analysis were conducted on general characteristics and subjective oral health status, and SAS version 9.2 was used. Results: As a result of this study, students' subjective perceptions about oral health had positive correlation with oral-related appearance(p <0.05). It is noteworthy that those who responded on 'satisfactory' oral health status indicated that 16% 'unsatisfactory', 28% 'average' and 68% 'satisfactory' on oral-related appearance. Students' self-rated oral hygiene management ability and irregular teeth conditions were also found relevant in causing discomfort in interpersonal activities, whereas students responded 'satisfactory', 0.00%; 'average', 31.82%; 'unsatisfactory' 68.18% (p <0.05). Conclusion: This study suggests that oral-related appearance can have an impact on oral health status and that oral-related appearance can be a contributing factor to improve oral health status and therefore results in promotion of general health. In the future, further research should be considered about perception on oral-related appearance, oral health status and any resulting behavior changes.

• Journal of the Korea Convergence Society
• /
• v.9 no.9
• /
• pp.337-343
• /
• 2018

The study is investigated socioeconomic variations in perceived oral health status and contribution of oral health behavioral factors. A nationally representative sample (365 health and 1,787 unhealth aged 20 over years) from the 2015 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Perceived oral health was lower among lower socioeconomic groups compared with higher socioeconomic groups. This association was increased when demo-socioeconomic factors and oral health behavioral were adjusted. When each oral health behavioral factor was considered separately, mediators such as smoking, frequency of tooth brushing and used oral care products or oral health examination explained a large part of the increased socioeconomic oral health status. Subjective bad oral health arise from different socioeconomic status, but this difference is increased by oral health behavioral factors. Therefore, socioeconomic inequity in perceived oral health status can be corrected more effectively by promotional oral health behaviors.

• Journal of dental hygiene science
• /
• v.17 no.3
• /
• pp.250-256
• /
• 2017

The purpose of this study was to examine the influence of maternal socioeconomic status, maternal oral health behaviors, and oral health behaviors of children, on the prevalence of early childhood caries in children aged 5 years. The Korean National Health and Nutrition Examination Survey data collected between 2007 and 2014 were applied to this study, and the study sample included 824 children who received oral examinations and participated in the health behavior survey. The factor that affected the prevalence of early childhood caries were confirmed by maternal and child factors. The data were analyzed using multiple linear regression. The mothers' age, income level, and job status affected the prevalence of early childhood caries. There was a significant difference in the analysis considering the factors of motherhood and children in the prevalence of early childhood caries according to mother's age, education level, income level, and the child's oral examination. The prevalence of early childhood caries was higher in children who received oral examinations than in those who did not. When the mother's educational level was higher than college education, it was found that the index of child, i.e., there was a difference in the prevalence of early childhood caries according to the mother's educational and income levels. These results indicate that maternal socioeconomic characteristics are correlated with the oral health of children. Therefore, oral health education programs that include mothers for the prevention of early dental caries in children may improve the dental health of children. In addition, specific oral health policies are necessary to address the differences in the oral health between the income groups.

• Journal of Korean society of Dental Hygiene
• /
• v.13 no.6
• /
• pp.1005-1014
• /
• 2013

Objectives : The purpose of the study is to obtain the basic data for an industrial oral health project enhancing the quality of life and oral health. Methods : Questionnaire consisted of 17 questions including 7 questions of general characteristics, 5 questions of oral health awareness, and 5 questions of the behavior of oral health. A self-reported questionnaire was carried out from September 1 to September 28, 2012, The subjects were 400 male and female sanitation workers in private corporations in Jeonju. A total of 354 questionnaires were analyzed using SPSS windows ver. 12.0 (SPSS Inc. Korea). Results : The majority of the subjects were male in 50's. Temporary contract workers are older aged and 2 to 5 years of career workers were the majority of the cleaners. Average monthly income was less than 2 million Korean Won. Those who had a higher academic background and permanent position tended to have oral health knowledge (p<0.05). Female workers had healthier subjective oral health status than male workers. Those who were in older age, single, temporary position, and 2 to 5 years of career tended to have healthier subjective oral health status (p<0.05). Those who were in older age, married, and long period of employment were worrying about their health (p<0.05). The subjective oral health knowledge was high in 49.7% of the workers because they were not able to brush teeth during work hours. They were able to brush their teeth only after dinner. It was low in female and older aged workers (p<0.05). The brushing method included a combination of top to bottom and from the side to side. Conclusions : This study showed the influencing factor of oral health in street workers. Work environment, education, age, monthly income, and types of employment were the important factors to oral health care. It is necessary to provide the right oral health care program for the workers in the near future.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.19 no.2
• /
• pp.179-189
• /
• 2012

Purpose: The purpose of this study was to identify the effects of eating habits, activities of daily living and health behaviors on oral health related-quality of life in elders. Methods: The sample consisted of 246 people 65 years or older. Data were analyzed using frequency, percentage, average standard deviation, t-test, ANOVA, Scheff$\acute{e}$, Pearson Correlation Analysis and Hierarchical Multiple Regression. Results: The control variables such as gender, presence of a spouse, subjective health status, presence of chronic disease and existing number of teeth explained 14% (F=7.76, p<.001) of variance in oral health related-quality of life. The control variables, eating habits, activities of daily living and health behaviors collectively explained 20% of variance in oral health related quality of life. Conclusions: The factors that influence oral health related quality of life were presence of spouse presence factor, existing number of teeth and health behavior. Therefore, oral health related quality of life of elders requires the development of programs to boost the quality of life, and help the elderly people to maintain existing number of teeth by focusing on the variety of characteristics.

• Journal of Korean society of Dental Hygiene
• /
• v.12 no.3
• /
• pp.597-609
• /
• 2012

Objectives : The purpose of this study was to determine the influence of workers health behaviorals, oral health behaviorals and metabolic syndrome risk factors on oral health and to identify the relationship between these. and then, a basis data propose for integrative health promotion programs development and effective Management measures. Methods : The subjects were 4,600 workers working at a industrial place in North Gyeongsang Province, data were collected from July 13, 2010 to September 12, 2010. using the results of the subjects medical check-ups and Oral examinations, this study was performed. collected data included workers general characteristics, job characteristics, and smoking, drinking, exercise behavior as lifestyle factors, and waist measurement, fasting blood sugar level, systolic blood pressure, diastolic blood pressure, the level of Triglyceride and HDL-cholesterol as metabolic syndrome risk factor indicator. Data were analyzed by descriptive statistics, chi-square test, correlation analysis, logistic regression using SPSS 18.0. Results : In results of the subjects medical check-ups, 14.1% were above the criterion value of waist measurement, 2.5% fasting blood sugar level, 8.5% hypertension, 16.8% Triglyceride level and 4.0% HDL-cholesterol respectively. according to oral examination results, showing that 43.3% inflammation of the gums. The inflammation of the gums was correlated with gender, age, dental clinic visit, scaling management, smoking, exercise behavior and high triglyceride level and hypertension of metabolic syndrome risk factor indicators. In addition, this result was statistically significant. Conclusions : Based on this study, the workers health should be managed actively and effectively by using periodical workers health check-ups. At a corporate level, the institutional supports were achieved and arranged for activation of regular oral health education programs, and the prevention plan of metabolic syndrome were needed for changing exercise behavior by conducting suitable exercise programs.

• Journal of dental hygiene science
• /
• v.4 no.3
• /
• pp.141-148
• /
• 2004

This study was examed in order to determine influential factors of health promoting behavior on Dental Hygiene students the health promoting behavior. So examed students' health promoting behavior, self-efficacy, perceived benefit, perceived barrier, a health locus of control, self-esteem. A the result of this study were as follows: (1) Performance mean score in health promoting behavior was 2.60, self achievement score was 2.89, health responsibility score was 2.12, exercise score was 1.89, nutrition score was 2.45, interpersonal support score was 2.97, stress management score was 2.63. Performance mean score in self-efficacy was 2.56, perceived benefit was 3.45, perceived barrier was 2.32, a health locus of control score was 3.04, self-esteem score was 2.81. (2) Performance in health promoting behavior was significant differences in year, religion, economical level, experience of disease on family, perceived health status(p<0.05), perceived oral health status(p<0.001). Performance in self achievement was significant differences in year, economical level, perceived health status(p<0.05), religion, perceived oral health status(p<0.01). Performance in health responsibility was significant differences in year, religion, economical level, BMI(p<0.05) and experience of disease on myself, perceived oral health status(p<0.001). Performance in excercise was significant differences in mother's educational level, experience of disease on family, perceived oral health status(p<0.05) and nutrient was economical level, perceived oral health status(p<0.01), perceived health status(p<0.05). Performance in interpersonal relations was only significant differences perceived oral health status(p<0.05) and in stress management was year, perceived oral health status(p<0.05). (3) Performance in self-efficacy was significant differences in economical level, health status(P<0.05) and perceived health status, perceived oral health status(p<0.01). Performance in perceived benefit was significant differences in religion(p<0.05). Performance in perceived barrier was significant differences economical level, perceived oral health status(p<0.05), experience of disease on myself(p<0.01). Performance in a health locus of control was significant differences year(p<0.05), performance in a perceived oral health status(p<0.01). (4) Performance in health promoting behavior was significantly correlated with self-efficacy(r=0.376), perceived benefit(r=0.188), perceived barrier(r=-0.155), a health locus of control (r=0.064), self-esteem(r=0.318). (5) Self-efficacy was the highest factor predicting health promoting behavior.