• 치위생과학회지
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• 제9권5호
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• pp.497-506
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• 2009

흡연 청소년의 흡연형태 요인과 구강질환과의 관련성을 조사하여 10대 청소년들의 구강건강을 효율적으로 관리하는데 도움이 될 기초자료를 제공하고자 2009년 6월 1일부터 8월 31일까지 서울지역 소재하고 있는 S병원 건강교육원 5일 금연학교 프로그램에 참석한 일부 중 고등학교 학생 흡연자 156명(남자: 103명, 여자: 50명)과 흡연군과 성별, 연령을 고려하여 짝짓기 방식으로 선정한 비흡연군 176명(남자: 64, 여자: 112명)을 분석대상으로 하였다. 설문지를 이용하여 인구 사회학적 특성, 기초구강건강관리, 흡연형태요인, 자기효능감, 구강건강통제위, 구강건강지식, 구강건강증진행위에 관한 지료를 수집하였다. 구강검사를 실시하여 DMFT index, DT index, MT index, FT index, Plaque index, Calculus index를 사용하여 치아 및 구강위생상태를 평가하여 다음과 같은 결과를 얻었다. 1. 치과방문(p < 0.05), 구강건강 자각적도(p < 0.001), 구강건강관심도(p < 0.01)는 모두 흡연군보다 비흡연군에서 높게 나타나 통계적으로 유의한 차이를 보였다. 2. 자기 효능감(p < 0.05), 구강건강통제위, 구강건강증진행위(p < 0.001), 구강건강지식 모두 비흡연군에서 높게 나타났다. 3. 우식치수(p < 0.001), 치태지수(p < 0.001), 치석지수(p < 0.001)는 비흡연군보다 흡연군에서 높게 나타나 통계적으로 유의한 차이를 보였다. 4. 흡연량이 적을수록 우식치수 (p < 0.05), 치태지수(p < 0.01), 치석지수(p < 0.001)가 낮게 나타나 통계적으로 유의한 차이를 보였다. 5. 우식치수와 자기효능감, 구강건강통제위, 구강건강증진행위와는 유의한 상관성이 있었다.(p < 0.01). 6. 흡연량과 치태지수(p < 0.05), 치석지수(p < 0.05)와 유의한 상관성이 있었다. 7. 다변량 분석결과 흡연 청소년의 우식치수와 유의한 관련성이 있는 요인은 구강건강증진행위(p < 0.05), 치태지수(p < 0.01)이었다. 즉 구강건강증진행위가 높을수록, 치태지수가 낮을수록 우식치수가 적었다.

• 보건행정학회지
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• 제32권2호
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• pp.205-215
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• 2022

Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective by newly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators. Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urban regeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified using the urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation. Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependent variables. Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The health vulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. The decline region was all higher than the stable region but had no significant effect. Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior but also environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers the resources within the community and reflects the characteristics of the population.

• 보건의료산업학회지
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• 제11권1호
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• pp.171-180
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• 2017

Objectives : The objective of this study was to compare oral health behaviors and oral health indices between regular scaling group and irregular scaling group. Methods : This study was performed at M Dental Clinic in Busan on 352 dental patients treated between January 2014 and June 2015 using V6.0 software and medical interviews. The 352 patients were divided into 3 groups and oral health behavior (OHB) and oral health indices were compared. Results : The OHB scores significantly differed among Groups C and A. Group C had the lowest number of "Bad" scores for the Simplified Debris Index (S-DI), Simplified Calculus Index (S-CI), and Simplified Oral Hygiene Index (S-OHI). Groups B and A had the lowest number of "Excellent" scores. Group C had the lowest bleeding on probing (BOP), calculus rate (CR) and decayed teeth (DT). Furthermore, Group C had the highest number of missing teeth (MT) and filled teeth (FT). Conclusions : Patients who underwent regular scaling had the highest OHB and oral health index scores. This emphasizes the importance of regular scaling for prevention and early detection of oral disease.

• 보건행정학회지
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• 제21권4호
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• pp.541-564
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• 2011

This study aimed to investigate health outcome of acute myocardial infarction (AMI) patients such as mortality and length of stay in hospital and to identify factors associated with the health outcome according to the comorbidity index. Nation-wide representative samples of 3,748 adult inpatients aged between 20-85 years with acute myocardial infarction were derived from the Korea National Hospital Discharge Injury Survey, 2005-2008. Comorbidity index was measured using the Charlson Comorbidity Index (CCI). The data were analyzed using t-test, ANOVA, multiple regression, logistic regression analysis in order to investigate the effect of comorbidity on health outcome. According to the study results, the factors associated with length of hospital stay of acute myocardial infarction patients were gender, insurance type, residential area scale, admission route, PCI perform, CABG perform, and CCI. The factors associated with mortality of acute myocardial infarction patients were age, admission route, PCI perform, and CCI. CCI with a higher length of hospital stay and mortality also increased significantly. This study demonstrated comorbidity risk adjustment for health outcome and presented important data for health care policy. In the future study, more detailed and adequate comorbidity measurement tool should be developed, so patients' severity can be adjusted accurately.

• 대한치과의사협회지
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• 제15권4호
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• pp.309-311
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• 1977

Statistically inquiring into dental health index of permanent first molar for 1785 pupils of Y primary School in Seoul. I got a conclusion as follows: 1. Female was lower than male in dental health index and conversely in DMF rate. 2. Elder pupils were lower than younger pupils in dental health index and conversely in DMF rate.

• 대한치과의사협회지
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• 제16권3호통권106호
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• pp.196-198
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• 1978

Statistically inquiring into dental health index of upper and lower first permanent molar for 1520 pupils of primary school in seoul. I got a conclusion as follows: 1. Lower first permanent molar was lower than upper first permanent molar in dental health index and conversely in DMF rate. 2. Elder pupils were lower than younger pupils in dental health index and conversely in DMF rate.

• 대한치과의사협회지
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• 제19권6호통권145호
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• pp.535-540
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• 1981

In order to collect the basic data for planning school dental health programmes, the author had examined dental health conditions of 120 males and 120 females of Changgyung Primary School children in the first grade. The percentages of persons with conditions requiring immediate attention, toothbrushing times and daily frequency, df rate, df index, dt index, ft index, it index, DMF rate, DT index, MT index, FT index, IT index, DMFT index, percentages of persons with periodontal status in every of the four categories with soft deposits, calculus, intense gingivitis, and advanced periodontal involvement were calculated and evaluated. The obtained results were as follows: 1. Persons with requiring immediate attention was 7.1% of all the examined children. 2. The df rate was 88.3%, and df index was 3.4 teeth per person. And then the DMF rate was 17.1%, while DMFT index was 0.3 teeth per person. 3. As the periodontal status, the persons with soft deposits was 90.0% of children, calculus 26.3%, intense gingivitis 0.4%, and no advanced periodontal involvement. 4. Average toothbrushing frquency was 1.2 times in a day per person. But 71.5% of toothbrushing was performed before meals, while the others after meals.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.33-42
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• 2015

Objectives: This study was conducted to investigate the correlation between the health-related quality of life assessment according to socio-demographic characteristics, health behavior, and BMI for Gyeonggi-do community population. Methods: The 2012 Community Health Survey data was used. The data were collected by using a cross-sectional study with face-to-face interview. The variables of smoking, AUDIT, exercise, BMI, and Euroqol EQ-5D instrument were selected for analyses. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The EQ-5D index for Gyeonggi-do community was 0.951(${\pm}0.104$). The index were significantly different by sex, age, marital status, education level, and occupation. The health-related quality of life showed lower EQ-5D index in women than men, older than young, and less educated. The index were significantly different by health behavior (smoking, drinking, moderate physical activity and exercise) for both men and women). For BMIs, the index was lower to under-weighted male and over-weighted female. Conclusions: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by health behavior and obese groups.

• 대한치과의사협회지
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• 제10권11호
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• pp.725-729
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• 1972

Ist permanent molars of 3340(1717;1623) primary school children in Kyung Nam and Kang Won province were observed. The results were as follows: 1. In dental health index of permanent 1st molars, male was 98.89, female 97.75, both sexes 95.95 in Kang Won and male was 97.94, female 96.25, both sexes 97.09 in Kyung Nam province. 2. In D.M.F. index, male was 1.11, female 2.25, both sexes 1.68 in Kang Won and male was 2.06, female 3.75, both sexes 2.91 in Kyung Nam province. 3. Female was generally lower than male in dental health index and male was higher than female in D.M.F. index. 4. Epidemiologically, Kang Won was higher than Kyung Nam province in dental health index. 5. In D.M.F. index, Kang Won province was lowest than other districts; city and farm and fishing village. In dental health index, it was increased in Kyung Nam and next was Kang Won province.

• 보건행정학회지
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• 제26권1호
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• pp.71-78
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• 2016

The value of using health insurance claim database is continuously rising in healthcare research. In studies where comorbidities act as a confounder, comorbidity adjustment holds importance. Yet researchers are faced with a myriad of options without sufficient information on how to appropriately adjust comorbidity. The purpose of this study is to assist in selecting an appropriate index, look back period, and data range for comorbidity adjustment. No consensus has been formed regarding the appropriate index, look back period and data range in comorbidity adjustment. This study recommends the Charlson comorbidity index be selected when predicting the outcome such as mortality, and the Elixhauser's comorbidity measures be selected when analyzing the relations between various comorbidities and outcomes. A longer look back period and inclusion of all diagnoses of both inpatient and outpatient data led to increased prevalence of comorbidities, but contributed little to model performance. Limited data range, such as the inclusion of primary diagnoses only, may complement limitations of the health insurance claim database, but could miss important comorbidities. This study suggests that all diagnoses of both inpatients and outpatients data, excluding rule-out diagnosis, be observed for at least 1 year look back period prior to the index date. The comorbidity index, look back period, and data range must be considered for comorbidity adjustment. To provide better guidance to researchers, follow-up studies should be conducted using the three factors based on specific diseases and surgeries.