산업장 근로자의 치과의료이용양상 및 관련요인

장지언 ( Ji Eon Jang ),이천희 ( Cheon Hee Lee ) 한국치위생학회 2010 한국치위생학회지 Vol.10 No.5

건강행위 및 구강관리행위와 구강건강상태의 관련성

장지언(Ji-Eon Jang) 한국엔터테인먼트산업학회 2015 한국엔터테인먼트산업학회논문지 Vol.9 No.3

본 논문은 치과의료기관에 방문하는 환자들을 대상으로 2013년 12월 2일 부터 12월 31일까지 설문조사를 실시하여 건강행위 및 구강관리행위와 구강건강상태의 관련성을 알아보고자 하였다. 그 결과 구강건강상태에 영향을 주는 요인은 연령, 구강관리 행위, 운동, 학력, 흡연경험 여부 순으로 유의하였다. 즉 연령이 낮을수록, 구강관리행위가 높을수록, 운동은 자주 할수록, 학력이 높을수록, 흡연은 안할수록 구강건강상태가 유의하게 높았다. 따라서 구강건강증진을 위하여 올바른 건강행위 실천을 강조할 뿐만 아니라 구강관리행위를 높일 수 있도록 환자교육을 강화하여야 할 것이다. This research is aimed to evaluate the correlation among the health behavior, oral management behaviors and oral health status of the patients visiting the dental clinic. The data acquisition period was from December 2 in 2013 to December 31, and the survey was carried out. As a result, education, age, oral management behaviors, exercise, and yes or not of smoking experience in the order were significant as the fact of effect on oral health status. That is, the higher education, the lower age, the higher oral management behaviors, the more exercise frequently, the lower smoking, oral health status was significantly high. Therefore, the patient education will have to be strengthened so that it can improve oral management behaviors as well as the correct healthy behaviors practice will be emphasized for oral health promotion.

한국 65세 이상 노인의 치과의료 이용률과 미치료율에 관한 조사

장지언 ( Ji Eon Jang ),전성희 ( Sung Hee Jun ),정선락 ( Sun Rak Jeong ) 대한예방치과·구강보건학회 2023 大韓口腔保健學會誌 Vol.47 No.4

Objectives: This study used data from the seventh National Health and Nutrition Survey, a dataset which signifies that dental services in the country exhibit relatively low health insurance coverage and high copay rates compared to other medical healthcare services. We surveyed the utilization rate of dental care and the prevalence of untreated conditions among Korean elders aged over 65. Furthermore, we aimed to present policy implications to improve dental care accessibility and expand health insurance coverage for elders, especially vulnerable individuals who are bedridden or living alone. Methods: We used raw data from the seventh National Health and Nutrition Survey to investigate Korean elders’ dental service utilization and untreated conditions. We opted for elders aged over 65 and finalized 1,712 subjects for the analysis. Statistical analysis was performed using IBM SPSS 25.0 (IBM Corp., Chicago, IL, USA). Groups were detailed in terms of strata of variation estimation and elders aged over 65, cluster of district enumeration, and weighted oral survey. We generated a scheme file and employed complex sampling analysis with a statistical significance level of P<0.05. Results: This study intended to survey the rate of dental care use and untreated care of Korean elders over 65 using the seventh National Health and Nutrition Survey data which represents our country. 1. Dental care use rate based on general traits showed statistically significant relevance (P<0.01) with lower age, higher income, higher education level, residence of ‘Dong’, and ‘with’ private insurance. 2. In untreated rate of dental care by general traits showed the significant total of 26.1% with female, lower income, lower education level, ‘recipient’ of basic living, and subjectively poor status of oral health. 3. The multiple answers of the patients who went to the dentists over the past year showed dental care details of dental checkups 54.3%, prosthetic dentistry 32.1%, preventive treatment 30.9%, cavity of root canal treatment 25.7%, gum treatment 17.1%, and tooth extraction 14.7%. 4. The reasons for untreated dental care of those untreated subjects showed the highest 34.0% of economic reason, mild condition 32.3%, lack of time 8.2%, and scared of treatment 8.0% in order. Based on this analysis, we intended to suggest policy implications for the necessity of dental checkup expansion and the activation of prevention treatment. Conclusions: To improve dental care accessibility for elders aged 65 and above, especially the vulnerable individuals who are bedridden or living alone, it is imperative to expand outpatient insurance coverage and tailor the dental services as per their specific needs. Shifting the focus from treatment-oriented health insurance to preventive measures and examination service expansion and invigoration is essential to improve dental health and overall quality of life. It is deduced that expansion of dental care health insurance coverage and checkup services is critical for vulnerable elders, such as those who are bedridden or living alone.

치과내원 환자의 치주건강인식도와 자기구강위생관리행위의 관련성

장지언 ( Ji Eon Jang ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.5

본 논문은 치주건강인식도와 자기구강위생관리행위의 수준과 관련성을 파악하여 환자들에게 효율적이고 올바른 구강건강관리를 할 수 있도록 계속구강건강관리프로그램을 위한 기초자료로 제공하고자 시도되었다. D지역의 치과의원 1곳을 임의로 선정하여 치과에 내원하는 환자들을 대상으로 2013년 12월 2일부터 12월 31까지 설문조사하여 회수한 설문지 592부를 분석한 결과는 다음과 같다. 일반적 특성에 따른 치주건강인식도에서 연령은 ‘증상’ 에서 50∼59세가 유의하게 가장 높았고 학력과 월 소득은 높을수록 유의하게 높았으며 주관적 구강건강상태는 ‘치료’와 ‘관리’에서 건강할수록 유의하게 높았다. 일반적 특성에 따른 자기구강위생관리행위에서 성별은 남자보다 여자가 더 유의하게 높았으며 연령은 20∼29세가 가장 유의하게 높았고 학력이 높을수록 유의하게 높았다. 월 소득과 주관적 구강건강상태가 높을수록 치주건강인식도는 유의하게 높았다. 치주건강인식도와 자기구강위생관리행위의 상관관계에서 치주건강인식도 중 관리 및 오개념과 자기구강위생관리 행위는 정(+)의 약한 상관관계가 있었다. 대상자들의 일반적 특성과 치주건강인식도가 자기구강 위생관리행위에 미치는 영향력을 알아본 결과에서 학력과월 소득이 높을수록, 남자보다 여자가, 관리에 관한 치주건강인식도가 높을수록, 치료에 관한 치주건강인식도가 낮을수록 자기구강위생관리행위가 유의하게 높았다. 독립변수중 관리에 관한 치주건강인식도가 상대적으로 자기구강위 생관리행위에 큰 영향을 미치는 것으로 나타났다. 이상의 결과를 종합해 보면 관리와 오개념에 관한 치주건강인식도가 높을수록 자기구강위생관리행위는 높은 것으로 연관성이 있었으며, 자기구강위생관리행위에 영향을 미치는 요인으로는 성별, 학력, 월 소득, 치주건강인식도 하위영역 중 치료와 관리였다. 따라서 치과에 내원하는 환자들의 인구사회학적 특성을 고려하여 치주건강에 관한 교육을 통하여 환자들의 치주건강관리에 대한 태도의 변화를 유도하여 자기구강위생관리행위를 잘 실천할 수 있도록 계속구 강건강관리프로그램을 통해 도와주어야 하겠다. Abstract This paper was trying to investigate the periodontal health recognition and self oral hygiene behaviors and figure out that relationship. The results having analyzed 592 questionnaires returned patient who had visited the dental clinic which is selected randomly were following. There were relationships between the periodontal health recognition and self oral hygiene behaviors. Self oral hygiene behaviors were significantly high when, women did than men did, education level, subjective oral health status, and periodontal health recognition about managements were higher and periodontal health recognitions about treatment were lower. It was the periodontal health recognition that was influential the most in the independent variables. Therefore, knowledge related to the periodontal health should be educated to the patients visiting the dental clinic, and the patients should receive helps to perform self oral hygiene behaviors by inducing the transition of attitude to periodontal health.

한국 고등학생들의 식이습관 및 체질량지수와 구강질환증상경험의 관련성-2019년도 제15차 청소년건강행태온라인조사를 중심으로

장지언 ( Ji Eon Jang ),정선락 ( Sun Rak Jeong ) 한국보건정보통계학회 2021 보건정보통계학회지 Vol.46 No.4

Objectives: This study was to survey the distribution of Korean high school students’ dietary habits, body mass index (BMI) and oral symptom experiences and analyze the relevance of those to contribute to the development of a program to prevent and manage their oral diseases. Methods: The analysis was based on the raw data of the 15th Online Youth Health Behavior Survey in 2019 and the subjects were 27,919 high school students which went under complex sample analysis. Results: In the dietary habits of the subjects, the highest were ‘once or twice a week’ with 33.8% in recent 7 days’ fruit intake frequency, 42.9% of ‘once or twice a week’ in soda intake frequency, 35.8% of ‘once or twice a week’ in sweet drinks frequency, and 56.1% of ‘once or twice a week’ in fast food frequency. BMI showed the highest 52.9% of ‘normal’, 19.5% of ‘obesity’, 14.1% of ‘overweight’, and 13.5% of ‘underweight’ in order. In the recent 12-month experience of oral disease symptoms, the highest was 39.2% of ‘none’ with 25.4% of ‘one’, 18.0% of ‘more than three’, and 17.4% of ‘two’ in order. In the affecting factors on BMI ‘3 or 4 times a week’ in soda, ‘once or twice a week’ in sweet drinks were significantly high and ‘3 or 4 times a week’ were significantly low in vegetable intake (p<0.05). The affecting factors on oral disease symptoms were significantly lower with male than female, and those on academic achievements and economic status were significantly lower in ‘mid’ than in ‘low’ (p<0.01). ‘Once or twice a week’ soda intake and less sweet drinks and fast food were significantly low (p<0.01). Less vegetable intake showed significantly higher (p<0.01), and there were no significant relevance between BMI and oral disease symptoms. Conclusions: It is suggested that a program be developed as soon as possible for preventing and managing oral diseases for adolescents to grow up to be healthy adults in terms of surveying characteristic distribution of dietary habits, BMI and oral disease symptoms and analyzing the relevance among them efficiently.

일부 치과진료 환자의 구강건강상태와 라이프케어를 위한 구강관리용품 인지 및 사용의 관련성

장지언(Ji-Eon Jang),양귀예(Kui-Ye Yang),정선락(Sun-Rak Jeong),최연희(Youn-Hee Choi) 한국엔터테인먼트산업학회 2018 한국엔터테인먼트산업학회논문지 Vol.12 No.2

이 연구는 치과내원 환자의 진료특성에 따른 주관적 구강건강상태, 구강관리용품에 대한 인지 및 사용, 주관적 구강건강상태와 구강관리용품에 대한 인지 및 사용의 관련성을 조사하였다. 자료는 2013년 12월 2일에서 12월 31일까지 약 한 달 동안 대구시 일부 치과의원에 내원하는 592명 환자를 대상으로 자기기입식 설문지조사를 하였다. 환자특성별에 따른 주관적 구강건강상태는 정기구강검진환자가 가장 높았으며, 구강관리용품 인지와 사용은 교정환자가 가장 높았다. 주관적 구강건강상태와 구강관리용품 인지 및 사용의 관련성은 주관적 구강건강상태가 높을 수록 구강관리용품에 대한 인지는 높게 나타났으나 사용은 유의한 관련성이 없는 것으로 나타났으며, 구강관리용품에 대한 인지가 높을수록 구강관리용품 사용이 높게 나타났다. 따라서 주관적 구강건강상태가 높은 환자는 구강관리용품 사용의 필요성을 못 느끼고 있는 반면, 치과를 자주 방문하거나 치과의료진으로부터 적극적인 구강관리용품 교육을 받은 교정환자나 임플란트 환자는 구강관리용품에 대한 인지나 사용이 높았다. 또한 구강관리용품에 대한 인지가 높은 환자일수록 사용이 높기 때문에 구강건강상태가 건강한 환자를 비롯하여 건강하지 못한 환자까지 치과를 방문하는 모든 환자에게 구강상태에 알맞은 구강관리용품의 홍보와 교육이 이루어져야 한다. The purpose of this study was to investigate subjective oral health status according to patient characteristics, Awareness and utilization of oral hygiene devices according to patient characteristics, correlations among subjective oral health status, awareness and utilization of oral hygiene devices. The data were collected from 592 patients who were visited in dental clinic in Daegu from December 2 to December 31, 2013. The subjective oral health status according to the patient characteristics was the highest in the regular oral examination patients, and the orthodontic patients had the highest Awareness and utilization of oral hygiene devices according to patient characteristics. Subjective oral health status was significantly related to the awareness of oral hygiene devices, but not to the utilization of oral hygiene devices. The higher the awareness of oral hygiene devices were, the higher the utilization of oral hygiene devices were. Therefore, patients with high subjective oral health status do not feel the necessity of using oral hygiene devices, and patients who have high awareness of oral hygiene devices are more likely to use them. so, It is necessary that the promotion and education about oral hygiene devices appropriate to their oral health status are made to all patients visiting the dental clinic, including those with healthy oral health patients and unhealthy.

일부 지역 남자 고등학생들의 진로 스트레스와 구강건강관련 자기효능감이 학교생활만족도에 미치는 영향

장지언(Ji-Eon Jang) 한국엔터테인먼트산업학회 2022 한국엔터테인먼트산업학회논문지 Vol.16 No.1

본 연구는 학생들의 진로 스트레스 및 구강건강관련 자기효능감과 학교생활만족도의 상관관계를 알아보고, 학생들의 진로 스트레스와 구강건강관련 자기효능감이 학교생활 만족도에 얼마나 영향을 미치는지 분석하여 진로상담과 구강보건교육 프로그램을 개발하는 데 기초를 자료를 제공하고자 실시하였다. 대구 지역의 K고등학교 1곳을 편의표본추출법에 의해 임의로 선정하여 설문조사하여 회수한 204부를 SPSS Statistics 20.0을 이용하여 회귀분석하였다. 그 결과 학년, 일반적 진로 스트레스, 구강건강관련 자기효능감, 학업성적, 진로상담 순으로 영향을 주었다, 즉 학년이 낮을수록, 일반적 진로 스트레스가 낮을수록, 구강건강관련 자기효능감이 높을수록, 학업성적이 높을수록, 진로상담을 한 경우가 학교생활만족도가 유의하게 높았다. 이상의 결과로 고등학생들의 학교생활만족도를 높이기 위해서는 진로교육과 진로상담 프로그램운영을 활성화하여 진로 스트레스를 낮추어야 한다. 또한 고등학생들의 구강건강관련 자기효능감을 높일 수 있는 구강보건교육 프로그램을 운영하여 좀 더 나은 학교생활을 할 수 있도록 한다. This study aims to provide the basis for developing career counseling and oral health education programs by analyzing the effect of high school students’ career stress and oral health-related self-efficacy on school life satisfaction. The conclusions of the analysis of 204 questionnaires collected by randomly selecting one K high school in Daegu area according to the Convenience Sampling, distributing questionnaires from August 7 to 11, 2019, and filling them out in a self-written manner are as follows. Looking at the correlation between career stress and oral health-related self-efficacy and school life satisfaction, career stress showed a negative correlation with social support, interpersonal relationships, and class and learning activities. Oral health-related self-efficacy showed a positive correlation with social support and interpersonal relationships. As a result of stepwise regression analysis to find out the factors affecting school life satisfaction, the lower the grade, and general career stress, the higher the oral health-related self-efficacy, academic performance, and the higher the career satisfaction. In conclusion, school education managers should be interested in and help students increase their satisfaction with school life by lowering their career stress by activating career education and career counseling programs. In addition, oral health education programs should be operated to enhance oral health-related self-efficacy of high school students.

근로자의 구강건강실태 및 구강보건행동에 관한 조사

장지언 ( Ji Eon Jang ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.1

The purpose of this study was to obtain database for development of education and programs of dental examination in industries. survey and dental examination was conducted by dental hygienist and dentist, and the data from 1016 respondents were analyzed. The result obtained was as follows: 1. Dental disease was 58.2% among 1,016, there was most a lot of peridontal disease, and overlapping disease, dental caries, missing tooth, fracture and abrasion, in order. 2. Utilization of dental care was 40% for last six months, it was significant high that age and working periods, married in marriage state, and unhealthy in subjective dental health state. 3. It was significant high that woman, fourty ages, middle economic state and working periods in above three times of tooth brushing a day. 4. Utilization of dental hygiene auxiliary devices was 41.8%, it was significant high that age, marriage state, economic state and working periods. 5. As for relationship between dental disease status and dental health behaviors, a person without periodontal disease was significant high in above three times a day, and a person without extraction, a person with fracture and abrasion, a person without overlapping disease was significant high in utilization of dental hygiene auxiliary devices.

일부 근로자의 치과의료이용모형 연구

장지언(Ji-Eon Jang) 한국구강보건과학회 2014 한국구강보건과학회지 Vol.2 No.1

This study was carried out to examine the factors influencing the behavioral intention and behavior of works with dental disease when utilizing dental care , using the theory of planned behavior. When the effects of attitude toward the behavior, subjective norm and perceived behavioral control on their intention parameter were structurally modeled, it was found that there were the highest level of 0.35 in the subjective norm, 0.15 in the attitude toward the behavior and 0.02 in the perceived behavioral control, as well as 0.27 in the effect of their intention on the behavior. The structure model s R-square of the attitude toward the behavior, subjective norm and perceived behavioral control having an effect on the intention accounted for 20%, and behavior was 7%. The fitness of structure model showed that the structural equation model s goodness of fit index (GFI) was 0.81 and its adjusted goodness of fit index (AGFI) was 0.71 which was average, while its root mean square residual (RMSR) was 0.09 which was sown to be good. To improve the dental care utilization by workers found to have dental diseases as a result of their dental examination, the implementation of an intervention will be necessary to increased behavioral intention and care givers must pay more attention to eventually converting behavioral intention into actual behaviors.

코로나19 상황이 대학생들의 구강건강행태 및 구강증상에 미치는 영향

박지혜 ( Ji-hye Park ),장지언 ( Ji-eon Jang ),최연희 ( Youn-hee Choi ) 대한예방치과·구강보건학회 2021 大韓口腔保健學會誌 Vol.45 No.4

Objectives: The outbreak of coronavirus disease 2019 (COVID-19) has affected the lifestyle of the public, which also holds true for oral health. This study thus aimed to elucidate the effects of wearing a mask due to COVID-19 on oral health behavior and oral symptoms in young adults from South Korea. Methods: A total of 285 university students (mean age 23.4 years; 64.9% men and 35.1% women) responded to a web-based survey. A paired t-test was conducted to identify changes in oral health behaviors before and after the COVID-19 pandemic. Results: The frequency of toothbrushing (P =0.009), dental flossing (P<0.001), and interdental brushing (P =0.019) increased slightly after the pandemic. Conclusions: Our findings indicate that young adults are more concerned about oral hygiene after the pandemic.