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한국인의 구강기능에 영향을 미치는 요인 -정신건강 수준을 중심으로-

The factors affecting oral function in Korean - focusing on mental health

배정희|홍민희|최다예
대한턱관절교합학회 (Korean academy of stomatognathic function and occlusion)|2024.11|구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)|제40권 제4호|pp. 212-224

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키워드

mental health정신건강저작불편치아통증말하기불편masticationphonationtooth pain
주제분류치의학

초록

"목적: 본 연구에서는 일반적인 특성과 정신건강수준이 구강기능에 영향을 미치는 요인을 분석하고자 하였다. 연구 재료 및 방법: 국민건강영양조사 9기(2022 - 2024) 1차년도 원시자료를 활용하여 20세 - 80세 3,518명을 분석 대상으로 하였으며, 정신건강 수준에 따른 구강기능 문제의 차이는 Chi-squared test를 시행하여 평가하였다. 정신건강 수준이 구강기능 문제에 영향을 미치는 위험 요인은 Logistic regression을 시행하여 평가하였다. 결과: 구강기능에 영향을 미치는 정신건강요인에 대해 살펴본 결과 스트레스가 낮은 집단보다 높은 집단에서 저작불편과 말하기불편, 치아통증이 높게 나타났으며 유의한 차이를 보였다. 일반적인 특성을 보정하였을 때 우울과 불안 수준이 심할수록 저작불편, 말하기불편, 치아통증에 유의미한 영향을 미치는 것을 확인하였다. 결론: 구강기능과 정신건강 사이에 밀접한 관련이 있음을 인식하고, 구강기능의 문제를 겪는 사람들에게 정기적인 구강검진을 제공할 뿐만 아니라 정신건강을 체계적이고 주기적으로 관리할 수 있는 연계 프로그램을 개발하는 것이 필요하다고 사료된다."

Abstract

Purpose: The purpose of this study is to analyze the factors affecting oral function by general characteristics and mental health level. Materials and Methods: Raw data from the 1st year of the 9th National Health and Nutrition Examination Survey (2022 - 2024) were used to analyze 3,518 individuals aged 20 to 80 years. The difference in oral function problems according to mental health level was assessed using the Chi-squared test. Logistic regression was performed to determine the risk factors affecting mental health level and oral function problems. Results: Chewing difficulty, phonation difficulty, and tooth pain were found to be higher in the high stress group than in the low stress group, showing a significant difference. When adjusting for general characteristics, it was confirmed that more severe levels of depression and anxiety had a significant impact on chewing difficulty, phonation difficulty, and tooth pain. Conclusion: Recognizing the close relationship between oral function and mental health, it is important to develop integrated programs that not only provide regular oral checkups for individuals suffering from oral function problems but also manage mental health systematically and periodically.

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