노인의 정신건강과 주관적 구강건강상태가 치주질환에 미치는 영향
The effects of mental health status and subjective oral health status on periodontal disease for the elderly
0
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to investigate how mental health status affects oral health in the elderly. Methods: The subjects of the study provided the data for the sixth Korea National Health and Nutrition Examination Survey from 2013 to 2015. Four-hundred and twenty-one subjects were selected for the study. All data were analyzed by complex sampling frequency, chi-square test, and composite multiple regression analysis using SPSS 21.0 version. In addition, a significance level of 0.05 was considered. Results: The general factors affecting cases of periodontal disease were general characteristics, mental health status, oral health status, elderly males, household income, education level, daily brushing frequency, speaking, and stress. The effect of periodontal disease was 1.64 times higher in the male group than in the female group ( p <0.001). In the household income level, the ‘low’ group had 1.91 times more periodontal disease, while the ‘mid low’ group had 1.64 times more periodontal disease than the ‘high’ group ( p <0.05). Periodontal disease was found to be lower in the group that recognized subjective oral health status as ‘good’ ( p <0.05). The study subjects had low levels of periodontal disease when there was no speaking difficulty ( p <0.05). Conclusions: Therefore, in order to improve oral health of the elderly, it is necessary to understand the mental health condition of the elderly and prepare proper oral health education programs accordingly. Institutional devices for various oral health projects should be prepared, as well.
Abstract
Objectives: The purpose of this study was to investigate how mental health status affects oral health in the elderly. Methods: The subjects of the study provided the data for the sixth Korea National Health and Nutrition Examination Survey from 2013 to 2015. Four-hundred and twenty-one subjects were selected for the study. All data were analyzed by complex sampling frequency, chi-square test, and composite multiple regression analysis using SPSS 21.0 version. In addition, a significance level of 0.05 was considered. Results: The general factors affecting cases of periodontal disease were general characteristics, mental health status, oral health status, elderly males, household income, education level, daily brushing frequency, speaking, and stress. The effect of periodontal disease was 1.64 times higher in the male group than in the female group ( p <0.001). In the household income level, the ‘low’ group had 1.91 times more periodontal disease, while the ‘mid low’ group had 1.64 times more periodontal disease than the ‘high’ group ( p <0.05). Periodontal disease was found to be lower in the group that recognized subjective oral health status as ‘good’ ( p <0.05). The study subjects had low levels of periodontal disease when there was no speaking difficulty ( p <0.05). Conclusions: Therefore, in order to improve oral health of the elderly, it is necessary to understand the mental health condition of the elderly and prepare proper oral health education programs accordingly. Institutional devices for various oral health projects should be prepared, as well.
참고문헌 (25)
- 정순둘, "세대 내, 세대 간 교류가 여성노인과 남성노인의 삶의 질에 미치는 영향 : 세대 내 교류의 조절효과를 중심으로", 사회복지연구, 47(2), pp.253~280 (2016), 한국사회복지연구회[DOI]
- 김경덕, "한국 노인과 뉴질랜드 노인의 우울, 불안 및 스트레스 비교 연구", 한국산학기술학회논문지, 16(9), pp.6190~6200 (2015), 한국산학기술학회[DOI]
- 김주연, "일부 노인의 구강 내 불편감에 영향을 미치는 요인", 대한구강보건학회지, 40(1), pp.49~54 (2016), 대한예방치과·구강보건학회
- Panchbhai AS, "Oral health care needs in the dependant elderly in India", Indian J Palliat Care, 18(1), pp.19~26 (2012)
- Park MS, "The relationship between oral health behavior and depressive symptoms in Korean elderly(Community Health Survey,2009)", Doctor, pp.2016
- 이규은, "성별에 따른 노인의 구강 건강정보 이해능력 관련요인", 지역사회간호학회지, 25(1), pp.54~64 (2014), 한국지역사회간호학회[DOI]
- 이홍자, "구강건강이 여성 노인의 일상생활수행 능력, 우울 및 삶의 질에 미치는 영향", Korean Journal of Health Promotion, 14(2), pp.50~58 (2014), 대한임상건강증진학회[DOI]
- Wiebe DJ, "Health practices and hardiness as mediators in the stress-illness relationship", Health Psychol, 5(5), pp.425~438 (1986)
- Akhter R, "Relationship between stress factor and periodontal disease in a rural area population in Japan", Eur J Med Res, 10(8), pp.352~357 (2005)
- Amy E. Rosania, "Stress, Depression, Cortisol, and Periodontal Disease", Journal of Periodontology, 80(2), pp.260~266 (2009), Wiley[DOI]
- Gernot Wimmer, "Coping With Stress: Its Influence on Periodontal Disease", Journal of Periodontology, 73(11), pp.1343~1351 (2002), Wiley[DOI]
- Koshino H, "Quality of life and masticatory function in denture wearers", J Oral Rehabil, 33(5), pp.323~329 (2006)
- Yamaga E, "A structural equation model relating oral condition, denture quality, chewing ability, satisfaction, and oral health-related quality of life in complete denture wearers", J Dent, 41(8), pp.710~717 (2013)
- 최은실, "노인의 스트레스 인지가 전반적인 건강상태 및 구강건강상태에 미치는 영향", 한국치위생학회지, 17(5), pp.899~910 (2017), 한국치위생학회[DOI]
- Allan CE, "Depression in older people is under diagnosed", Practitioner, 258(1771), pp.19~22 (2014)
- Hwang MY, "A study on oral health of the elderly in the community", Bulletin of Dongnam Health College, 20(2), pp.143~148 (2002)
- Kushiyama M, "Relationship between metabolic syndrome and periodontal disease in Japanese adults", J Periodontol, 80(10), pp.1610~1615 (2009)
- Ju OJ, "A study on the self-perceived relationship of dental caries and periodontal diseases in the Korean elderly", Doctor, pp.2009
- 원영순, "한국 성인의 치주질환 위험 요인", 대한구강보건학회지, 38(3), pp.176~183 (2014), 대한예방치과·구강보건학회
- 심연수, "주간보호시설노인의 건강위험요인이 잔존치아에 미치는 영향", 보건의료산업학회지, 11(2), pp.81~91 (2017), 보건의료산업학회
- 정정옥, "한국 성인의 흡연과 치주질환과의 관련성 : 2010년 국민건강 영양조사 자료", 한국치위생학회지, 13(3), pp.481~489 (2013), 한국치위생학회[DOI]
- 박현민, "한국노인의 구강건강행위 및 상태가 정신건강과 삶의 질에 미치는 영향", 보건의료산업학회지, 8(4), pp.175~185 (2014), 보건의료산업학회
- 김한나, "55~84세 한국 성인의 현존치아수와 구강기능의 관계", 치위생과학회지, 15(3), pp.340~347 (2015), 한국치위생과학회
- Tayler PB, "Health promotion: principles and clinical applications", Norwalk, pp.339~371 (1982)
- 하정은, "국민건강보험 요양급여자료를 이용한 한국 성인의 영구치 발거원인 구강상병 비중", 대한구강보건학회지, 36(1), pp.32~37 (2012), 대한예방치과·구강보건학회