55~84세 한국 성인의 현존치아수와 구강기능의 관계
The Association between Number of Present Teeth and Oral Function in Korean Adults Aged 55∼84 Years
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초록
본 연구는 2007∼2009년 제4기 국민건강영양조사 자료를 분석하여 만 55∼84세 한국인의 현존치아수와 인구사회경제적 요인, 주관적 건강수준, 그리고 구강기능 요인간의관련성을 파악하고자 하는 목적으로 수행되었으며, 그 결과성별과 교육수준, 부정구강진료여부, 주관적 건강 및 구강건강상태, 씹기와 말하기 행동이 현존치아수와 관련된 변수임을 확인하였다. 인구사회경제적 요인 중, 성별에 따른 결과에서는 남성이여성에 비해 현존치아수가 1.12개 적었으며(p＜0.001), 교육수준이 높을수록 현존치아수가 많았다. 부정치과진료시술 유무와 현존치아수의 분석 결과에서는 부정치과진료 경험자가 비경험자보다 2.43개 적은 치아를 가지고 있었다(p＜ 0.001). 주관적 건강 및 구강건강상태는 현존치아수에서 유의한 차이를 보였다. 구강기능 요인과 현존치아수의 관계에서 씹기 행동과 구강기능간의 유의한 차이를 확인하였고, 특히 말하기 행동은 불편함의 정도가 높다고 응답한 그룹일수록 현존치아수가 통계적으로 확연하게 감소하였다(p＜ 0.001). 이러한 결과를 통해 구강기능 중에서 씹기보다는 말하기가 현존치아수와 더 밀접한 관련성을 가진다는 사실을확인할 수 있었다. 따라서 본 연구의 결과는 만 55∼84세 한국인의 구강건강및 구강기능 향상을 위한 기초자료로 활용될 수 있을 것이다.
Abstract
The purpose of this study is to analyze the factors of oral function associated with number of present teeth (NT) in Korean elderly adults. The research was designed as cross-sectional study using the data of the 4th Korea National Health and Nutritional Examination Survey, and the samples were selected by stratified clusters sampling. The subjects aged 55 to 84 years were 4,780 that joined the oral examination survey and questionnaires. The respective variables reflecting socioeconomic status, subjective health status and oral function factor were analyzed and their distributional differences were confirmed by complex sampling logistic regression analysis. Multivariable liner regression models considering covariates were applied to explain the associations between the number of present teeth and other variables. Gender, educated level, illegal dental treatment, self-rated oral health and oral functional factors, including chewing behavior and speaking behavior, were associated with the number of present teeth (p＜0.05). Subjects with better self-rated oral health had more NT than those with worse. Subjects with worse speaking behaviors had less NT than those with better. Interventions aiming to enhance oral health in elderly adults should consider socioeconomic, demographic, and oral functional factors.
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