저소득층아동의구강보건인식과행위및치아우식실태조사 ( 인천광역시지역아동센터를중심으로 )

Transcription

1 Journal of Dental Hygiene Science Vol. 8, No. 3 pp. 147~153 (2008) 저소득층아동의구강보건인식과행위및치아우식실태조사 ( 인천광역시지역아동센터를중심으로 ) w Áy Á Á½ ƒ w w, w w 1, w 2, w w 3 A Study on Oral Health Awareness, Oral Health Behavior and Dental Caries among low Socio-Economic Status Children: the cases of local children s center in Incheon Su-Jin Han, Yoon-Sook Hwang 1, Jung-Sook Yoo 2 and Yoon-Sin Kim 3 Dept. of Dental Hygiene, Gachon University of Medicine and Science, Yeonsu-dong Yeonsu-gu Incheon , Korea. 1 Dept. of Dental Hygiene, Hanyang Women's college, haengdang-dong Seongdong-gu Seoul , Korea, 2 Dept. of Dental Hygiene, Keuk Dong college PO Box(No.) 1, Danpyeong-ri Gamgog-myeon, Eumsung-gun , Korea, 3 Dept. of Health Science, Graduate School Hanyang University, haengdang-dong Seongdong-gu Seoul , Korea "CTUSBDU The purpose of this study was to attempt to lay the foundation for the development of oral health programs geared toward promoting the oral health of low socioeconomic class children. The subjects in this study were 257 school children who used local children's centers. The findings of the study were as follows: 1. The children mean scored 5.74 on oral health knowledge. 2. In terms of oral health awareness, 47.1% viewed the right toothbrushing as the best way to stay away from dental caries % of the subjects reported toothbrushing at least three times daily. 21.4% visited dental institutions three or more times in the past year. 33.1% had never undergone application of fluoride. 30.4% had never received oral health education. 4. The mean level of caries was 4.61 dft index in 1-2th grade, 3.27 DMFT index in 5-6th grade, 1.47 DMFT index in the 3-4th grad and 1.19 DMFT index in the 1-2th grade. 5. The mean level of Patient Hygiene Performance (PHP index) was 3.59, and there was no significant association was pound between PHP index and grade. 6. Oral health behavior wasn t affected by their oral health awareness, and knowledge.,fz XPSET Oral health knowledge, Oral health behavior, Dental caries 서 론 y š z y ƒ» k w, ú, w w. w w, qk y w w, ù e e w š y 1). ù 12 x e , , 2003 Corresponding author Tel: Fax: sjhan@gachon.ac.kr 3.25 ƒ 2) ƒ, ) š ù w e. p w w» 4) eƒ k wš eƒ w», e w e y» s» ƒ x» w. e j» w w p w w» w w w. ù k w w wù ù z š, z û w kƒ w 5-8) šƒ š,» w ù w e e s ùkü e

2 A Study on Oral Health Awareness, Oral Health Behavior and Dental Caries among low Socio-Economic Status Children... š x w w š w 9-11), š x p q w, w v w w v ƒ.» y z š w x s w 12), ù ƒ 2005 tw z ( ) s w y wì wù w 13). ù, ù d kù w šw 14-18) ù, ù w š w w 19) d k q w ƒ w. w w» w w šd k k wš z e q w» w v w. l 1984 d Á y w œ. IMF z w ƒw š, ƒ, z w w w wì œw w w 20) š w w š, l y l 2007 x 2,272 ƒw ƒ y w, Ÿ 2007 x 126 ƒ š 21). l w 79.8% ƒ w š, 65.6%ƒ ( ) «l w 5BCMF Distribution of the subjects Total 1-2 Sex (n=257) (n=73) z d w w 22). z d w l w e k w d w v» œwš w. 연구대상및방법 3-4 (n=101) 5-6 (n=83) Males 142 (55.3) 45 (61.6) 50 (49.5) 47 (56.6) Females 115 (44.7) 28 (38.4) 51 (50.5) 36 (43.4) 1. Ÿ w l r w 18 l w w 305, ù e w w wš 257 w. w s Table l 6» G w w l š, x e w e z z e Á w e š mw sw z z w. y w»» w, w w w 3~4 z w š, w z w w. w w 23) šw w 5BCMFOral health knowledge by grade Correct N(%) Classification Total(n=259) 1-2(n=73) 3-4(n=101) 5-6(n=83) X 2 /F 1. Dental caries occur due to plaques (ø) 200(77.8) 50(68.5) 78(77.2) 72(86.7) 7.017* 2. Dental caries mostly heal by themselves ( ) 246(95.7) 66(90.4) 97(96.0) 83(100.0) 8.487* 3. Dental caries make feel pain from the beginning of occurrence ( ) 154(59.9) 28(38.4) 63(62.4) 63(75.9) *** 4. Fluoride pervents beforehand dental caries from occurring(ø) 229(89.1) 65(89.0) 91(90.1) 73(88.0) The right tooth brushing prevents dental caries (ø) 235(91.4) 60(82.2) 93(92.1) 82(98.8) ** 6. Fruit, milk, cheese and vegetables prevent dental caries (ø) 178(69.3) 57(78.1) 68(67.3) 53(63.9) Chocolate, cake and candy cause a lot of dental caries (ø) 233(90.7) 61(83.6) 97(96.0) 75(90.4) 7.440* Score of oral health knowledge(mûsd) 5.74Û Û Û Û ** *p < 0.05, **p < 0.01, ***p < 0.001

3 Journal of Dental Hygiene Science Vol. 8, No. 3, pp. 147~153 (2008) 5BCMF Most important preventive of dental caries by grade Classification Total(n=257) 1-2(n=73) 3-4(n=101) 5-6(n=83) X 2 Correct toothbrushing 121(47.1) 18(24.7) 47(46.5) 56(67.5) *** Not to eat tooth-decaying foods. 53(20.6) 23(31.5) 19(18.8) 11(13.3) Have a regular dental checkup. 46(17.9) 16(21.9) 20(19.8) 10(12.0) Use a good toothpaste and toothbrush. 32(12.5) 14(19.2) 14(13.9) 4(4.8) No answer 5(1.9) 2(2.7) 1(1.0) 2(2.4) ***p < BCMF Oral health care by grade Tooth brushing frequency Tooth brushing method Classification Practice rate by toothbrushing time Frequency of visiting dental clinics within the last one year Experience of fluoride application Experience of oral hygiene education *p < (n=73) 3-4(n=101) 5-6(n=83) Total(n=257) X 2 1 time 11(15.1) 11(10.9) 7(8.4) 29(11.3) times 23(31.5) 37(36.6) 44(53.0) 104(40.5) 3 times over 36(49.3) 48(47.5) 32(38.6) 116(45.1) No answer 3(4.1) 5(5.0) 8(3.1) Rolling 31(42.5) 51(50.5) 35(42.2) 117(45.5) Vertical 13(17.8) 22(21.8) 13(15.7) 48.0 (18.7) Horizontal 10(13.7) 7(6.9) 5(6.0) 22.0 (8.6) Fones 9(12.3) 10(9.9) 11(13.3) 30.0 (11.7) Irregular 6(8.2) 10(9.9) 18(21.7) 34.0 (13.2) No answer 4(5.5) 1(1.0) 1(1.2) 6.0 (2.3) before breakfast 28(38.4) 26 (25.7) 21(25.3) 75 (29.2) after breakfast 38(52.1) 64(63.4) 57(68.7) 159 (61.9) after lunch 31(42.5) 49(48.5) 28(33.7) 108 (42.0) after dinner 41(56.2) 66(65.3) 53(63.9) 160 (62.3) after snack 9(12.3) 9(8.9) 9(10.8) 27 (10.5) before sleeping 35(47.9) 59(58.4) 43(51.8) 137(53.3) no experience 21(8.2) 5(6.8) 7(6.9) 9(10.8) * 1 time 40(15.6) 19(26.0) 7(6.9) 14(16.9) 2 times 52(20.2) 13(17.8) 24(23.8) 15(18.1) 3 times over 55(21.4) 14(19.2) 25(24.8) 16(19.3) No answer 89(34.6) 22(30.1) 38(37.6) 29(34.9) no experience 85(33.1) 21(28.8) 29(28.7) 35(42.2) 1 time 46 (17.9) 19(26.0) 14(13.9) 13(15.7) * 2 times 36 (14.0) 12(16.4) 19(18.8) 5(6.0) 3 times over 81(31.5) 19(26.0) 36(35.6) 26(31.3) No answer 9(3.5) 2(2.7) 3(3.0) 4(4.8) No experience 78.0 (30.4) 28(38.4) 29(28.7) 21(25.3) 1 time 67(26.1) 23(31.5) 22(21.8) 22(26.5) times 41(16.0) 9(12.3) 16(15.8) 16(19.3) 3 times over 61(23.7) 10(13.7) 31(30.7) 20(24.1) No answer 10(3.9) 3(4.1) 3(3.0) 4(4.8) w, p, e w, e, 1 s³ z,», 1 e» z, s x w. e 1 ƒ w s e» ƒ w» e e k y (PHP index) w. e w, w, e w e w, w e e x, e e, x e x e, y (PHP index) w. SPSS(Version 12.0) v w m w.

4 A Study on Oral Health Awareness, Oral Health Behavior and Dental Caries among low Socio-Economic Status Children... 5BCMFOral health state by grade(%) df rate Primay teeth prevalence of dental caries dft index DMF rate Permanent teeth prevalence of dental caries DMFT index BCMF PHP index by grade N MÛSD F Û Û Û0.54 Total Û0.60 결 과 1. e e d w w e û (95.7%) e w (91.4%), g,, k e k (90.7%) š, e ¼ l v Ï (p < 0.001) e w (p < 0.01), e v ¼, e û, g,, k e k (p < 0.05) w w ƒ. e w 1 w z ww w e 5.74 š, w w, w ƒ (p < 0.01; Table 2). 2. e w e w w w 47.1%ƒ w e ƒ z š w. 5-6w 3-4w š w ƒƒ 67.5%, 46.5% ƒ ù, 1-2w e j 31.5% ƒ (p < 0.001; Table 3). 3. w 1 s³ z 3z w š w 45.1% ƒ,, š w 45.5% ƒ. ƒ» s Table 4 z w 62.3% ƒ š, e z(61.9%),» (53.3%). 1-2w 3-4w z(56.2%, 65.3%), 5-6w e z(68.7%) w ƒ ù ƒ» w ƒ (p >0.05). 1 e» w z 3z (21.4%), 2z(20.2%), 1 (15.6%), 3-4w 5~6w 3 w ƒ š, 1-2w 1z w ƒ (p < 0.05). s xw w š w 33.1% ƒ š, 3z (31.5%). xw w 30.4%, 1z (26.1%), 3z (23.7%). 5BCMF Oral health care by Oral health awareness and knowledge Most important preventive of dental caries Oral health knowledge Tooth brushing Other X 2 Mean under(5>) Mean ove (6 ) X 2 Tooth brushing frequency 1 time 15(12.4) 14(10.7) * 12(14.1) 17(9.9) time 61(50.4) 43(32.8) 30(35.3) 74(43.0) 3 times over 43(35.5) 68(51.9) 39(45.9) 77(44.8) no answer 2(1.7) 6(4.6) 4(4.7) 4(2.3) Tooth brushing method Rolling 53(43.8) 63(48.1) (44.7) 79(45.9) Vertical 22(18.2) 26(19.8) 16(18.8) 32(18.6) Horizontal 8(6.6) 14(10.7) 6(7.1) 16(9.3) Fones 14(11.6) 14(10.7) 9(10.6) 21(12.2) Irregular 21(17.4) 11(8.4) 11(12.9) 23(13.4) no answer 3(2.5) 3(2.3) 5(5.9) 1(0.6) Total 121(100.0) 131(100.0) 85(100.0) 172(100.0) *p < 0.05

5 Journal of Dental Hygiene Science Vol. 8, No. 3, pp. 147~153 (2008) 4. e e k w e k Table 5. e xw 1-2w 86.1%, 3-4w 80.0% š, x e ƒƒ 4.61( ), 3.64( ). e x 5-6w ƒƒ 78.3%, 33.7% ƒ š, x e 5-6w 3.27( ), 3-4w 1.47( ), 1-2w 1.19( ). 5. y (PHP index) y (PHP index) Table 6 1-2w 3.67 ƒ š, 3-4w 5-6w 3.56, 3.55, w. 6. e w w w w ƒ w w w Table 7. ƒ w e š wš»k z ƒ (p < 0.05). w ƒ. 고 찰 p e zy w w w y 24), k z 25-26) û w y š, e š x w mw û w 14,27). w w» w w n š, w w». w eƒ k wš eƒ w e y» eƒ w». e y e ƒ ü w z 1~2 ƒ»,» e» w,» ü e e w e 28). w w» x k s» ƒ w w w. z d w w» k, w z y v w v ƒ. ( ) «d w l w, e k w, e x 1-2w 48.0%, 3-4w 56.4%, 5-6w 78.3% 2006 k (6 13.1%, %, %, %, %, 11 29) 54.7%) w x, x e ƒ š txw e 28.8%(1-2w ), 18.8%(3-4w ), 33.7%(5-6w ) k (4.1%, 7.8%, 10.8%, 7%, 14.2%, 16.3%) 29). ù 12 s³ x e 2006 x 2.16 š š, 5-6(10-11 )w 3.27 s ³e. y (Patient Hygiene Performance) 24) p w 6 e s³e ³ š w e 0, še 5 s 2¾ ƒ ù m, 2, 3 sƒw. y 3.59 w sƒ. 77.8% eƒ v ¼ š, e w š š 91.4%, e w ƒ š. e w w ƒ 47.1% ƒ š, w 1 3z w 45.1%,, z 45.5% ƒ, e z w 60%. 1 3z w w 5-6w w 23) 23.9% šw 6w w 30) 24.6%, 3w 6w w ½31) 19.8%, ½31) 10.4% w» wš ùkû. w» wš š w, y w ƒwš ƒ ùkû. z w e w» 53.3%, ½ 32) 63.6%, ½ 33) 68.9% û, w 5) l (62.0%) (74.9%) û. e z w» x š, z l wì wš l w w

6 A Study on Oral Health Awareness, Oral Health Behavior and Dental Caries among low Socio-Economic Status Children... w.» w w w w w y ƒ w ù, z y ƒ ƒ w ƒ w. y ƒ ƒ š w y w v w š. g,, k e k š š 90.7% ù,,, e, e w š š 69.3% w. w wš, e w t w w š. w w z w w v wù» x w e t y t» z w w wš «w t t ù y t kw w e x w w v w. w ƒ w» w w ƒ z š w»k w š w w w ƒ,., l w w e x xe ƒ w w sww v v w. w r ù w w w. w ü w y w k v w, wz w w yw w. w x š l w» d k šw x w w, l w k šƒ v w. e k w d w v w v w» œwš l w w 257 w d, w e k w w. 1. e s³ 5.74, w w (p < 0.01). w e û (95.7%), e w (91.4%), g,, k e k (90.7%). 2. w 47.1%ƒ e w ƒ š w, w 3-4w 5-6w w ù, 1-2w e j 31.5% ƒ (p < 0.001) s³ z 3z w (45.1%),, (45.5%) ƒ, ƒ» s z(62.3%), e z(61.9%),» (53.3%). 1 e» w z 3z (21.4%) ƒ, 3-4w 5-6w 3z w ƒ š, 1-2w 1z w ƒ (p < 0.05). s xw w (33.1%), 3z (31.5%)ƒ, xw w (30.4%), 1z(26.1%). 4. e x 1-2w 86.1% š, x e (dft index) e x 5-6w 78.3%, 33.7%, x e (DMFT index) 5-6w 3.27, 3-4w 1.47, 1-2w y (PHP index) 3.59, w (p > 0.05). 6. w w w w (p > 0.05). 7. d wš k w j» w w j» w w yw v w w. 참고문헌 요 약 l w 1. Kim JB, Choi YJ: Public dental hygiene. KMS, Seoul, pp11-14, Han SJ, Hwang YS: A Study on the necessity of oral health promotion program for children visiting local childcare

7 Journal of Dental Hygiene Science Vol. 8, No. 3, pp. 147~153 (2008) centers: the case of Incheon. J Korean Acad Dental Hygiene Education 7(1): , Kim YN, Kim HJ, Cho EB: Newest oral health index album. Oral Health Promotion Supporting Committee, Jang KW, Hwang YS, Kim JB etc.: Oral health education 2nd ed. Seoul, Komoonsa, pp.41-42, , Song GB, Choe YH, Hong SJ, Kim JB: Dental caries prevalence in relation to socioeconomic factors and dental health behaviors among Korean adults. J Korea Acad Dent Health 27(2): , Watt R. Sheiham A: Inequalities in oral health a review of the evidence and recommendations foraction. Br Dent J 187(1): 6-12, Pattussi MP, Marcenes W, Croucher R, Sheiham A: Social deprivation, income inequality, social cohesion and dental caries in Brasilian school children. Soc Sci 53(7): , Psoter WJ, Pendrys DG, Morse DE, Whang H, Mayne ST: Associations of ethnicity/ race and socioeconomic status with early childhood caries patterns. J Public Health Dent 66(1): 23-29, Cho BK, Kwon HK, Kim KS, Kim YN, Caplan DJ: A twoyear longitudinal study of dental caries in permanent first molars of Korean elementary schoolchildren. J Public Heath Dent 61(2): , Dimitrova MM, Kukleva MP, Kondeva VK: A study of caries polariwation in 1-, 2- and 3- year-old children. Folica Medica(Plovdiv) 42(3): 55-59, Lee YH, Kwon HK: The Significant Caries(SiC) Index of Korean in J Korea Acad Dent Health 28(3): , Petersen PE: The World Oral Health Peport 2003: Continuous improvement of oral Health Programme. Community Dent Oral Epidemiol 31(suppl 1): 2-24, Jung SH, Kim YN, Park YD etc: Oral health promotion strategic and plan( ). Oral Health Promotion Supporting Committee, Song GB, Choe YH, Hong SJ, Kim JB: Dental caries prevalence in relation to socioeconomic factors and dental health behaviors among Korean adults. J Korean Acad Dent Health 27(2): , Park JH, Kwon HK, Kim BI, Choi CH, Choi YH: A survey on the oral health condition of institutionalized elderly people resident in free asylum. J Korean Acad Dent Health 26(4): , Kim YN, Kwon HK: Subjective oral health perception of Korean low socio-economic elderly. J Korean Acad Dent Health 28(2): , Kwon HK, Kim YN, Kim BI, Yoo JH: The oral health status of low socioeconomic elderly people in Korea. J Korean Acad Dent Health 28(1): 87-96, Son WS, Hur B, Park SB, Kim JB: Oral Health status of needy old residents in urban area. J of Korean Society for Health Education 13(1): 72-89, Kim MK, Han DH, Bae KH: The association between socioeconomic status and deciduous dental caries among 3-6 year old children in Pusan. J Korean Acad Dent Health 30(4): , Lee HK: A Study on the Relationship among Social support, Empowerment, and Psychosocial adjustment of children in Community Child Center. The Graduate School of Sookmyung Women s University, The ministry of health and welfare: National local childcare center status, Lee GL, Park YS, Hwang JA, An SG: The influences of local childcare center characteristic on the satisfaction user. The ministry of health and welfare, Corporation Busrugy love community, pp.42-46, Choi JS, Han GS: Analysis of factors associated with number of decayed tooth. J of Dental Hygiene Science 6(2): 55-63, Preventive dentistry study group: Modern preventive dentistry. 2nd ed. Koonja publishing co, Seoul. p.10, Oh YB, Lee HS, Kim SN: Children s dental health behavior in relation to their mothers aocioeconomic factors and dental health beliefs. J Korean Acad Dent Health 18(1): 62-83, Chen MS: Children s preventive dental behavior in relation to their mother's socioeconomic status, health beliefs and dental behaviors. J Dent Child (Mar-Apr): , Burt BA: Prevention policies in the light of the changed distribution of dental caries. Acta Odontol Scand 56: , Jin BH, Moon HS, Paik DI, Kim JB: A study on the models predicting 6-year-old children s dmfs increment in one year. J Korea Acad Dent Health 16(2): , The ministry of health and welfare: National Oral Health Status Survey, Shin MS: A Study on the Relationship between Elementary School Students Habit of Eating between Meals and Their Dental Care Condition and Their Dental Caries. Bulletin of Dongnam Health College 21(1): , Kim KD: Dental IQ and oral helath care status in elementary school students. Graduate School Inje University, Kim EK, Moon HS, Jeong JY, Kim YK, Han SJ, Lee BJ: A study on the oral health awareness and behavior of lower graders in elementary school. J Korean Acad Dental Hygiene Education 1(1): 39-51, Kim YK, Jung JY, Han SJ: A study on the oral health awareness and behavior of higher graders in elementary school. J of Dental Hygiene Science 3(1): 45-50, (Received May 20, 2008; Accepted September 11, 2008)