성인의 건강관련 생활양식과 치아우식증과의 관련성
Association of Dental Caries with Health Lifestyle in Adults
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본 연구는 성인의 치아우식증에 영향을 미치는 관련요인을 알아보고자 제6기 1차년도(2013년) 국민건강영양조사중 건강설문ㆍ검진조사, 영양조사를 완료한 10,113명 중 만19세 이상의 성인과 영구치우식 유병자 여부 카테코리에 대한 정보가 갖춰진 4,843명을 최종 분석대상자로 복합표본분석을 실시하였으며, 연구결과는 다음과 같다. 사회ㆍ경제적 특성에 따른 치아우식증 유병률은 성별에서 남자가 여자보다 높았으며(p＜0.001), 연령별로는 30대, 20대, 40대, 60대 이상, 50대 순으로 나타났다(p＜0.05). 교육수준에 따라서는 고졸, 중졸, 대졸 이상 순으로 나타났고(p＜0.05), 월 소득수준은 ‘하’인 경우 가장 높게 나타났다(p＜0.001). 건강관련 생활양식에 따른 치아우식증 유병률은 흡연자가 비흡연자보다 높게 나타났으며(p＜0.001), 비만의 경우정상보다 다소 높았으며(p＜0.05), 구강검진을 받지 않은경우가 받는 경우보다 높았다(p＜0.001). 일일 칫솔질 횟수가 증가할수록(p＜0.05), 치실, 치간칫솔을 사용하는 경우치아우식증 유병률이 감소하는 것으로 유의하게 나타났다. 치아우식증 여부를 종속변수로 로지스틱 회귀분석을 실시한 결과 치아우식증에 영향을 미치는 변수로는 성별, 연령, 소득수준, 흡연, 구강검진, 치실사용 등으로 나타났다. 이상의 결과를 종합해 보면 한국 성인의 사회ㆍ경제적 요인 및 생활양식은 치아우식증에 영향을 미치는 것으로 확인되었으며, 성인의 치아우식증 예방 및 구강건강을 향상시키기 위해서는 건강한 생활습관을 실천할 수 있는 구강건강교육 및 실천 프로그램의 개발이 필요하다고 생각되었다.
Abstract
The study was intended to investigate the factors affecting dental caries in adults. To that end, adults aged 19 years and older among 10,113 subjects who completed the health-related questionnaire, medical examination and nutrition surveys in the first year (2013) of the 6th Korea National Health and Nutritional Examination Survey, and 4,843 subjects categorized as patients with permanent teeth caries were included in the final analysis. The prevalence of dental caries in line with socio-economic aspects was found to be higher in men than in women. In view of education, the prevalence of dental caries was high in high school graduates, middle school graduates, college graduates and other advanced degree holders in the order named. Low monthly income earners showed the highest prevalence of dental caries. As for health-related lifestyles, the prevalence of dental caries was higher in smokers than in non-smokers. Obese subjects showed a little higher prevalence of dental caries compared to people of normal weight. Also, the prevalence was higher in those who failed to get oral examination than otherwise. Frequent daily toothbrushing and use of dental floss and interdental brush significantly decreased the prevalence of dental caries. In the logistic regression analysis with the presence or absence of dental caries employed as a dependent variable, gender, age, income level, smoking, oral examination and use of dental floss were found to serve as independent variables affecting dental caries. Therefore, Korean adults' socio-economic factors and lifestyles were proved to affect dental caries, which warrants some dental health programs and action plans designed to help lead healthy lifestyles whilst preventing dental caries and improving dental health in adults.
참고문헌 (23)
- Pender NJ, "Expressing health through lifestyle pattern", Nurs Sci Q, 3, pp.115~122 (1990)
- Kim JS, "A study on the health promotion life style and related factors of women college students", J Korean Soc Hyg Sci, 14, pp.1~9 (2008)
- O’Donnell MP, "Definition of health promotion: Part III, Expanding the definition", Am J Health Promot, 3, pp.5~ (1989)
- Park YJ, "A meta-analysis of explanatory variables of health promotion behavior", J Korean Acad Nurs, 30, pp.836~846 (2000)
- 김진, "성인의 건강관련 라이프스타일과 치주상태와의 관련성 연구", 치위생과학회지, 15(1), pp.83~89 (2015), 한국치위생과학회
- Sheiham A, "Evaluation of social and psychological factors in periodontal disease", Periodontology 2000, 39, pp.118~131 (2005)
- 진행미, "대학생의 신체구성과 생활양식에 관한 연구", 한국여성체육학회지, 21(4), pp.105~116 (2007), 한국여성체육학회
- 2012 Korean National Oral Health Survey: III summary report, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2013)
- Johnson NW, "Risk markers for oral diseases. Vol. 1: dental caries", pp.1~12 (1991), Cambridge University Press
- 송근배, "한국성인들의 사회경제적 요인 및 구강보건의식행태에 따른 치아우식증 실태분석", 대한구강보건학회지, 27(2), pp.319~328 (2003), 대한예방치과·구강보건학회
- Lee HS, "Children's dental visits in relation to their mothers'socioeconomic factors and dental health behaviors", J Korean Acad Oral Health, 21, pp.87~106 (1997)
- Evashwick C, "Factors explaining the use of health care services by the elderly", Health Serv Res, 19, pp.357~382 (1984)
- 김진경, "간접흡연과 치주건강의 관련성: 2008∼2009 국민건강영양조사 자료분석 결과", 치위생과학회지, 14(2), pp.123~131 (2014), 한국치위생과학회
- Sae-Hee Cheon, "Association of Oral Health Condition between Mothers and Their Preschool Children in Korea", 치위생과학회지, 13(4), pp.426~433 (2013), 한국치위생과학회
- Papas A, "Prevalence & intra oral distribution of coronal and root caries in middle aged & older adults", Caries Res, 26, pp.459~465 (1992)
- Becker MH, "A medical sociologist looks at health promotion", J Health Soc Behav, 34, pp.1~6 (1993)
- 송지연, "근로자들의 건강증진 생활양식에 따른 구강건강 실천요인", 한국치위생학회지, 12(3), pp.621~629 (2012), 한국치위생학회[DOI]
- Ban SA, "Association of oral diseases with diet intake and nutrition consumption in Korean adults-based on the Korea National Health and Nutrition Examination Survey in 2012", master, pp.2012
- 정유진, "성인의 치아우식증 및 치주질환에 영향을 미치는 요인", 한국치위생학회지, 15(1), pp.47~54 (2015), 한국치위생학회[DOI]
- Seong DK, "Effects of young adolescent's smoking on oral health", master, pp.2000
- Jung MH, "Association between metabolic syndrome and oral health status", doctor, pp.2013
- Baek DI, "Knowledge, attitude, and practices about dental caries among Koreans", J Korean Acad Oral Health, 17, pp.1~12 (1993)
- Park JH, "Impacts of high blood pressure and diabetes on oral health conditions", doctor, pp.2007