노인의 구강건강과 자살시도와의 관련성 분석 : 제 7기(2016-2018년) 국민건강영양조사를 바탕으로
The association between oral health and suicide attempts in Korean elderly : The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018)
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ2 test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.
Abstract
Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ2 test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.
참고문헌 (26)
- 권혁창, "노후소득보장제도의 심리적 효과: 노후소득보장제도와 노인의 자아존중감의 관계", 인문사회 21, 11(1), pp.537~552 (2020), 인문사회 21
- Kalaria RN, "Alzheimer's disease and vascular dementia in developing countries: prevalence, management, and risk factors", Lancet Neurol, 7(9), pp.812~826 (2008)[DOI]
- 황성호, "농촌 전기 노인과 후기 노인의 건강행태와 건강상태", 농촌의학.지역보건, 36(4), pp.207~217 (2011), 한국농촌의학.지역보건학회
- 이선애, "고령자 운동지속 행동의 사회심리적 결정요인 분석", 한국노년학, 28(4), pp.1213~1225 (2008), 한국노년학회
- A study on developing strategies for oral health promoting, "Chae JS", KIHSA, 90~92 (2010)
- Adolph M, "Oral health in relation to all-cause mortality: The IPC cohort study", Sci Rep, 15(7), pp.44604~ (2017)[DOI]
- 원영순, "노인의 구강상태와 식습관 및 건강의 관계", 석사, 보건관리학, pp.2003
- 장종화, "의치장착 노인의 구강건조증이 주관적 구강건강인지도에 미치는 영향", 대한구강보건학회지, 30(4), pp.438~446 (2006), 대한예방치과·구강보건학회
- Sandra F, "Xerostomia: Clinical aspects and treatment", Gerodontology, 20(2), pp.64~77 (2003)[DOI]
- 최광현, "노인의 자살관념에 영향을 미치는 요인에 관한 연구", 석사, 사회사업학, pp.2006
- 구춘영, "노인의 성별에 따른 자살생각 영향요인", 지역사회간호학회지, 25(1), pp.24~32 (2014), 한국지역사회간호학회[DOI]
- Choi HI, "A study on factors affecting elderly suicidal ideation", Development of Social Welfare, 12(3), pp.273~298 (2006)
- 정호영, "노인 자살생각에 영향을 미치는 요인에 관한 연구-우울과 스트레스의 매개효과를 중심으로-", 한국노년학, 27(4), pp.789~805 (2007), 한국노년학회
- 양경미, "배우자 유무에 따른 노인의 자살생각 영향요인", 스트레스 硏究, 23(1), pp.27~37 (2015), 대한스트레스학회
- 이현경, "우리나라 남녀 노인의 문제음주 관련요인", 보건정보통계학회지, 37(1), pp.64~75 (2012), 한국보건정보통계학회
- 양남영, "노인의 건강상태, 사회적 지지 및 생활만족도가 자살생각에 미치는 영향", 디지털융복합연구, 10(11), pp.515~524 (2012), 한국디지털정책학회
- 박현민, "한국노인의 구강건강행위 및 상태가 정신건강과 삶의 질에 미치는 영향", 보건의료산업학회지, 8(4), pp.175~185 (2014), 보건의료산업학회
- 이현옥, "Association of Psychological Health and Perceived Oral Health in Elderly Individuals: Focusing on Depression, Stress, and Suicidal Ideation", 치위생과학회지, 17(5), pp.398~404 (2017), 한국치위생과학회[DOI]
- Analysis of factors that determine suicide risk and regional gaps, "Lee SY", Korea Institute for Health and Social Affairs, 4~ (2014)
- Appleby L, "Aftercare and clinical characteristics of people with mental illness who commit suicide : a case-control study", Lancet, 24(353(9162)), pp.1397~1400 (1999)
- Kapur N, "Emergency department management and outcome for self-poisoning : a cohort study", Gen Hosp Psychiatry, 26(1), pp.36~41 (2004)[DOI]
- Kushnir D, "Validation of a Hebrew version of the Oral Health Impact Profile 14", J Public Health Dent, 64(2), pp.71~75 (2004)[DOI]
- 김설희, "구강건강영향지수를 이용한 삶의 질과 관련된 구강건강평가", 대한구강보건학회지, 28(4), pp.559~569 (2004), 대한예방치과·구강보건학회
- Lee JS, "A Study on the factors influencing elderly suicidal ideation: Based on Korea National and Nutrtion Examination Survey(2013)", Master, pp.2013
- Joo SH, "The Association between the number of lost teeth, suicidal ideation and suicide attempt: Data analysis of the first year (2013) of the 6th Korea National Health and Nutrition Examination Survey(KNHANES)", Master, pp.2013
- Kessler RC, "Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003", JAMA, 293(20), pp.2487~2495 (2005)[DOI]