흡연청소년의 치아우식경험도 및 구강위생 관련요인
The Factors Associated with Dental Caries Experience and Oral Hygiene Status in Smoking Adolescents
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흡연 청소년의 흡연행태 요인과 구강질환과의 관련성을 조사하여 10대 청소년들의 구강건강을 효율적으로 관리하는데 도움이 될 기초자료를 제공하고자 2009년 6월1일 부터 8월 31일까지 서울지역에 소재하고 있는 S병원 건강교육원 5일 금연학교 프로그램에 참석한 일부 중·고등 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, 흡연행태요인, 자기효능감, 구강건강통제위, 구강건강지식, 구강건강증진행위에 관한 자료를 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 자각정도(p < 0.001), 구강건강관심도(p < 0.01)는 모두 흡연군보다 비흡연 군에서 높게 나타나 통계적으로 유의한 차이를 보였다. 2. 자기 효능감(p < 0.05), 구강건강통제위, 구강건강증 진행위(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 분석 결과, 흡연 청소년의 우식치수와 유의한 관련성이 있는 요인은 구강건강증진행위(p < 0.05), 치태지수(p < 0.01)이었다. 즉 구강건강증진행위가 높을수록, 치태지수가 낮을수록 우식치수가 적었다.
Abstract
This study was conducted to estimate the dental caries experience, oral hygiene status and the factors influencing the dental disease in the smoking adolescents and to provide the baseline data for managing smokers efficiently. We recruited 156 smokers(male: 106, female: 50) in middle, high school students in 5 day Non-smoking program in seoul city and 176 non-smokers(male: 64, female: 112) by matching method for considering sex and age from June 1 to August 31 2009. Data on general characteristics, basic oral health care, smoking factors, self-efficiency, control of oral health, oral health promotion behavior, knowledge of oral health were collected by a questionnaire interview. DMFT index, DT index, MT index, FT index, Plaque index, Calculus index were calculated by the oral examination. The results of this study were as follows. 1. Dental clinic visit(p < 0.05), self-perception of oral health status(p < 0.001), oral health concern (p < 0.01) in non-smoker group were significantly higher than that of smoker group. 2. Selfefficiency( p<0.05), oral health promotion behavior(p < 0.05) in non-smoker group were significantly higher than that of smoker group. 3. DT index, Plaque index, Calculus index in non-smoker group was significantly lower than that of smoker group(p < 0.001). 4. The fewer smoke amount, the lower DT index(p < 0.05), Plaque index(p < 0.01), Calculus index(p < 0.001). 5. It was significant correlated among DT index and self-efficiency, oral health promotion behavior, control of oral health. 6. In multiple regression analysis, oral health promotion behavior, Plaque index was proved as a significant factors related with the degree of dental caries experience in smoking adolescents. In other word, the higher oral health promotion behavior, the lower Plaque index, the fewer DT index.
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