• 한국치위생학회지
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• 제21권4호
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• pp.383-391
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• 2021

Objectives: Based on the 7th National Health and Nutrition Examination Survey 1,135 adults aged 19 years were selected as the final study subjects to investigate the relationship between oral health and chewing difficulty in adults. Methods: Frequency analysis, chi-square test, and logistic regression analysis were performed for general characteristics, oral health behaviors, awareness symptoms, and oral health using SPSS Program 21.0. Results: Regarding factors related to chewing difficulty, the oral health was 0.44 times lower than the average level and 0.28 times lower than the good condition. In the case of oral examination, chewing difficulty was 0.85 times lower. The speaking problem was 0.11 times lower in usually than inconvenient and 0.06 times lower in not inconvenient. In the case of un-treatment, it was 0.40 times lower than that in the case of treatment. The chewing difficulty was significantly higher by 2.09 times in the case of experience of tooth pain and 1.36 times in the case of periodontal disease. Conclusions: Based on the above results, it is thought that prevention and treatment are actively needed to identify factors of oral health to improve oral health, to solve chewing difficulty and to improve chewing function.

• 디지털융복합연구
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• 제19권12호
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• pp.369-376
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• 2021

본 연구의 목적은 특정 시점 간의 분석을 통해 우울증이 씹기 문제에 미치는 영향과 구강 보조용품의 중요성을 확인하는 것이다. 자료는 국민건강영양조사 제4기(2008, 2차년도)및 제7기(2018, 3차년도)이다. 분석방법은 SPSS/WIN 24.0 프로그램을 사용하여, 빈도 분석과 회귀 분석을 하였다. 연구 결과 우울증은 씹기 문제에 영향을 주었다(p<.001). 만성질환과 구강 보조용품 사용도 씹기 문제에 영향이 있었고, 우울증의 유병 상태나 치료 여부도 씹기 문제에 영향이 있었다(p<.001). 또한, 2008년에 비해 2018년에 민간의료보험 가입은 증가하였다. 향후 다양한 대상과 만성질환을 고려한 비교 연구와 구강 보조용품의 활용을 위한 교육방법에 대한 연구가 필요하다.

• 대한치과기공학회지
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• 제41권4호
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• pp.327-335
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• 2019

Purpose: The purpose of this study was to investigate the relationship between periodontal disease, diabetes and chewing problems in Korean adults over the age of 19 using the 6th National Health Nutrition Survey. Methods: Data from the 6th National Health and Nutrition Survey (Ministry of Health & Welfare, 2013; 2014; 2015) were used. In this study, 17,101 adults aged 19 and older were included in the study to determine the relationship between diabetes and chewing problems in Korean adults. Results: Diabetes and chewing problems have been associated with periodontal disease. Diabetes was 0.719 times lower(p<0.001) in periodontal disease than in the case of diabetes. Chewing problem was 1.360 times(p<0.001) periodontal disease prevalence compared to 'not at all uncomfortable'. It was found that the prevalence of periodontal disease was 2.139 times(p<0.001) compared to 'not at all uncomfortable'. It was found that the prevalence of periodontal disease was 2.296 times higher(p<0.001) compared to 'not at all uncomfortable'. It was found that the prevalence of periodontal disease was 2.119 times higher(p<0.001) compared to 'not at all uncomfortable'. Conclusion: Diabetes and chewing problems were found to be related to periodontal disease, and as reported in previous studies, diabetes and chewing problems related to oral disease need to be prevented and treated with regular checkups. In addition, based on the research results, it can be used as basic data for the health business plan that can maintain and manage health.

• 한국치위생학회지
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• 제16권2호
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• pp.285-293
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• 2016

Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

• Journal of Oral Medicine and Pain
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• 제31권3호
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• pp.245-254
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• 2006

구강안면 영역의 통증이나 치아결손, 부정교합 같은 치아적 요소가 편측저작습관의 주요요인으로 여겨지나, 치아적 요소가 선호하는 저작측에 영향을 주지 않는다는 연구들도 있다. 본 연구에서는 컴퓨터화된 교합분석 시스템인 T-Scan II 시스템을 사용하여 편측으로 저작하는 대상자와 양측으로 저작하는 대상자 사이에 교합양상의 특이점이 있는지 조사하고 편측 저작자의 주저작측과 비저작측 사이의 차이를 함께 평가하고자 하였다. 편측저작습관에 대한 설문을 통하여 20명의 편측 저작자(평균 $25.25{\pm}2.84$세)와 20명의 양측 저작자(평균 $27.00{\pm}5.07$세)를 선정하였으며 치아적 문제나 악골의 통증이나 기능이상 같은 문제가 있는 경우는 모두 제외하였다. 습관적 폐구와 측방운동시의 교합양상은 T-Scan II 시스템을 이용하여 측정하였다. 습관적 폐구는 시간에 따라 초기, 중기, 말기로 나누었다. 각 세 단계에서의 접촉점의 수와 교합력의 비율을 좌우 양측으로 나누어 조사하였다. 습관적 페구 동안의 경과시간 및 치아 활주면적, 좌우측 각각의 측방운동시간이 측정되었다. 편측 저작 습관을 가진 사람들의 경우 양측 저작을 하는 사람에 비해서 치아의 평균 교합 면적이 작았다(p<0.005). 습관적 편측저작자에서 저작측과 비저작측을 비교해보았을 때 비저작측의 교합면적은 저작측에 비해 작았으나 (p<0.005), 편측저작자의 저작측과 양측저작군의 어느 한쪽의 교합면적 사이에는 유의한 차이가 없었다. 최초접촉부터 최대교두감합위까지의 경과 시간 및 측방운동 시간, 치아의 활주 면적 및 교합력의 좌우 비율도 양측저작군과 편측저작군 사이에 유의한 차이가 없었다. 이러한 결과는 저작시 좌우측 중 교합면적이 작은 측을 피하여 교합효율이 높은 방향으로 저작을 한다는 것을 의미한다.

• 한국컴퓨터정보학회논문지
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• 제26권12호
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• pp.187-193
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• 2021

연구의 목적은 전신질환의 활동제한과 구강건강의 연관성을 알아보고자 국민건강영양조사 제7기 원시자료를 활용하여 19세 이상 남자 2,574명, 여자 3,250명전체성인 5,824명의 응답을 분석하였다. 구강건강의 씹기와 말하기 문제가 있을 때 성인의 전신질환 활동제한이 많은 것으로 나타났으며, 치주질환 치료, 발치 및 구강 내 소수술, 보철물 제작·수리의 치과치료를 받았을 때 전신질환의 활동제한이 유의미하게 높았다(p<.001). 전신질환으로 인한 활동제한에 영향력을 주는 요인으로는 연령(1.03배), 남자(0.84배), 교육수준(0.57, 0.45, 0.31배), 음주(0.32배), 씹기(1.86배)와 말하기(1.84배)문제, 치주질환 치료(1.27배), 부러진 치아치료(2.1배)를 받았을 때 전신질환의 활동제한이 발생할 확률이 높았다. 또한 씹기와 말하기 문제가 있을 때 삶의 질이 낮아지는 것이 통계적으로 유의미하게 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4813-4818
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• 2016

Objective: The objective of the study was to determine the Knowledge, Attitude and Practice of chewing gutka,areca nut, snuff and tobacco smoking among the young population in the Northern India Population between the age of 15 to 22 years. Methods: The study was approved by the ethical committee. A total of 10 school and colleges located in the rural and urban areas was selected. A total of 1500 young individuals aged between 15 to 22 years were selected. A self-administered questionnaire was designed comprised of 14 closed ended questions about Knowledge, Attitude and Practice towards consumption of areca nut, gutka and tobacco smoking that were filled by the participants. Descriptive statistics were obtained and mean, standard deviation, frequency and percentages were calculated. Data was analyzed by using SPSS. Result: A total of 1050 out of 1500 students responded to the questionnaire. A total of 227 subjects agreed that they are consuming the tobacco. Out of this, 196 (86.34%) were boys and 31 (13.65%) were girls who agreed in consumption of tobacco product. Out of 196, 150 boys (76.5%) practices the habit of smoking 1 -5 times a day and 46 (23.4% ) practice the habit of chewing areca nut and gutkha 1 - 5 times a day. Out of 31 girls, 25 girls (80.6%) practices the habit of smoking 1 -5 times a day and 6 (19.4%) practice the habit of chewing areca nut and gutkha 1 - 5 times a day. Out of 740 subjects, 530 were boys and 210 girls have full knowledge of deleterious long term effects of tobacco consumption. Conclusion:The present study concluded that young population of North India lack Knowledge, Attitude and Practice regarding consumption of areca nut, gutka and tobacco smoking. Here is an urgent need to take effective steps, especially on launching community awareness programs for the school children and public to educate them about the consequences of tobacco use, and on assessing their effectiveness in curbing the problem.

• 치위생과학회지
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• 제15권4호
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• pp.480-487
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• 2015

본 연구는 2013년 KNHANE 자료를 이용하여 우리나라 성인의 구강건강 상태와 HRQoL 관련성을 EQ5D 구성요소를 중심으로 평가하고자 하였다. 16~64세 성인 3,252명을 최종 분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 치아통증과 운동능력, 통증 및 불편은 통계적으로 유의한 관련성을 나타냈고, 저작 불편과 말하기 불편은 EQ5D 구성요소 5가지 모두 통계적으로 유의한 관련성을 나타냈다. 주관적 구강건강 인식은 자기관리, 일상활동, 통증 및 불편, 불안 및 우울과 통계적으로 유의한 관련성을 나타내어 구강건강 상태와 EQ5D 구성요소의 관련성을 확인하였다. 또한 EQ5D 구성요소에 미치는 영향을 통제변수를 보정 후 로지스틱 회귀분석으로 살펴본 결과 치아통증, 저작 불편, 말하기 불편, 주관적 구강건강 인식이 불안 및 우울에 영향을 미치는 것으로 나타났다. 구강건강 증진은 HRQoL을 향상시킬 수 있는 방안이 되므로, 구강건강의 중요성을 인식하고 예방차원의 교육 및 프로그램이 필요하다고 생각된다.

• 한국융합학회논문지
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• 제11권6호
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• pp.341-347
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• 2020

본 연구는 한국 표준직업분류에 따른 근로자의 구강기능문제를 파악하고 근로자들이 집단구강건강관리사업의 혜택을 받을 수 있도록 산업안전보건법의 개정을 촉구하기 위한 근거자료로 제공하고자 시행하였다. 국민건강영양조사 제7기 원시자료(1차,2차)를 이용하여 만 19세 이상 한국 표준직업분류에 따른 근로자를 대상으로 씹기문제와 말하기문제를 조사한 결과 한국 표준직업분류에 따른 근로자의 유형과 씹기문제, 말하기문제의 연관성이 확인되었다(p<0.05). 이에 근로자의 구강건강을 향상시키기 위해서는 집단구강건강관리사업이 실행되어야 하며 집단구강건강관리사업의 주최가 될 전문성을 갖춘 전문보건의료관리자를 채용할 수 있도록 산업안전보건법이 개정되어야 할 것이다.

• 한국치위생학회지
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• 제17권6호
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• pp.1135-1145
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• 2017

Objectives: The objective of the study was to review the correlation between self-perceived oral health status and periodontal diseases in elderly Koreans, using data from the $6^{th}$ (2nd year) Korea National Health and Nutrition Examination Survey (2014). Methods: The subjects for this study were a total of 1,454 elderly people aged 65 years or older who responded to the health questionnaires of the $6^{th}$ (2nd year) Korea National Health and Nutrition Examination Survey conducted in 2014. Their general characteristics were analyzed using frequency analysis, while a cross-tabulation analysis (${\chi}^2-test$) was performed to understand the correlation with periodontal diseases. To clarify any effect of self-perceived oral health status on periodontal diseases, the selected variables were controlled and subsequently analyzed according to the logistic regression analysis. Results: In terms of the difference between elderly people with periodontal disease and those without periodontal disease, higher prevalence rates of periodontal diseases were found in women, those of younger age, those with lower educational and income levels, those with poorer subjective oral health status, those in the presence of chewing discomfort, those who had a toothbrushing frequency of twice per day, and/or those who had received no oral examination over the previous one year. Regarding the effect of self-perceived oral health status on periodontal diseases, 1.78-fold and 1.74-fold higher prevalence rates of periodontal diseases were shown with poorer subjective oral health status and in the presence of chewing discomfort, respectively. Conclusions: Based upon the results above, it is considered that a better understanding of self-perceived oral health status is necessary for a healthy life of the elderly. Furthermore, constant relevant studies and effective prevention programs intended to moderate the progress of or prevent periodontal diseases in the elderly in communities should be performed and implemented for the sake of better quality of life and oral health.