노인의 구강건강 실태와 사회적 지지 및 신체적 기능과의 관련성

다국어 초록 (Multilingual Abstract)

ABSTRACT

Relationship between Elders' Oral Health Realities and Social Support
and Physical Function*


Kwon-suk Ahn

Department of Public Health, Graduate School
Chungnam National University
Daejeon, Korea

(Supervised by Professor Tae-Yong Lee)

This study was attempted in order to grasp oral health level according to socio-demographic characteristics, social support, and physical function in elders in some communities, and to evaluate its relative importance on which relationship the factors like social support and physical function have with oral health.
The research subjects were researched targeting 500 elders who dwell in Daejeon Metropolitan City and who use the leisure welfare center for the elderly. A survey was carried out the face-to-face interview from August 4th, 2008 to August 8th. Then, the following conclusions were obtained.

1. As for Oral Health Impact Profile(OHIP-14) in the whole research subjects, OHIP-14 was mostly low in women, old age, non-academic background, group without medical insurance, group whose subjective living economic level is not good, and group of living together with a person, not with spouse or family. This implies that the self-reported oral health status is not good clinically.

2. The older age in the whole research subjects and the lower educational level led to the less remaining teeth and the larger missing teeth index. The decayed missing filled teeth index and the decayed missing filled teeth rate were higher in more women and older age and in the lower educational level. Tooth mortality rate was higher in the older age, the lower educational level, and the group of living together with spouse. The maxillary-mandibular fixed-bridge status in the mouth was indicated to be the highest in the full-denture mounting ratio as for elders in over 80 years old.

3. The group with high social support was high in OHIP-14, thereby having been high in self-reported oral health level, high in decayed missing filled teeth index and decayed missing filled teeth rate, and high in maxillary full-denture mounting ratio.

4. In Korea Activity of Daily Living(K-ADL), the normal range group was higher in all the spheres of OHIP-14 than the impaired IADL group. As for the remaining teeth and the filled teeth index, the Korea Instrumental Activity of Daily Living(K-IADL) was high in the normal range group. Tooth mortality rate was high in the impaired IADL group. As for maxillary fixed-bridge status, the full-denture mounting ratio accounted for 21.2%, thereby having been less than the full-denture mounting ratio with 34.9% in the impaired IADL group.

5. The decayed missing filled teeth index and the decayed missing filled teeth rate showed significantly positive correlation with the decayed missing filled teeth rate, tooth mortality rate, social support, and K-ADL, and showed significantly negative correlation with OHIP-14. Tooth mortality rate showed significantly negative correlation with OHIP-14, and showed significantly positive correlation with K-IADL.
OHIP-14 showed significantly positive correlation with social support. Social showed significantly positive correlation with K-IADL. K-ADL showed significantly positive correlation with K-IADL.

6. As for the independent variables, which have influence upon objective oral health status in elders as the whole research subjects, the gender, age, smoking group, social support, fixed bridge status, and OHIP-14 had influence.

Accordingly, the policy effort is considered to be necessary that implements and offers the social-support network in elders in order to spend active senescence, and that elders' health and oral-health behavior can be implemented continuously and preventively through classification according to elders' physical function.

목차 (Table of Contents)

• 목 차
• 서 론 1
• 연구방법 5
• 1. 연구대상 및 기간 5
• 2. 자료수집 방법 5
• 3. 연구에 사용한 변수 6
• 4. 자료처리 및 통계분석 10
• 연구결과 11
• 1. 연구대상자의 인구사회학적 특성 11
• 2. 연구대상자의 구강건강실태 13
• 3. 인구사회학적 특성에 따른 구강건강 15
• 4. 사회적 지지에 따른 구강건강 27
• 5. 신체적 기능에 따른 구강건강 30
• 6. 사회적 지지 및 신체적 기능에 따른 구강건강영향지수 36
• 7. 구강건강영향지수, 치아상태, 사회적 지지 및 신체적 기능간의 상관관계 37
• 8. 객관적 구강건강상태에 영향을 미치는 요인 39
• 고 찰 41
• 결 론 46
• 참고문헌 48
• ABSTRACT 55
• 부 록 58