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조우순 ( Woo Sun Cho ),전진호 ( Jin Ho Chun ),최미숙 ( Mi Sook Choi ),이정화 ( Jung Hwa Lee ),이혜민 ( Hye Min Lee ),이지희 ( Ji Hi Yi ),손혜숙 ( Hae Sook Sohn ),조영하 ( Young Ha Jo ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.4
Objectives. To figure out and establish the basic data that can help to improve the cognition and management of oral healthcare in international marriage migrant women (IMMW). Methods. Subjects were 200 IMMW living in Changwon, Hananm Sancheong area, Gyungsangnam-do. Questionnaire survey was performed from January to March, 2011 in each translated languages (Vietnamese, Chinese, Japanese, Filipino and English). Oral health examination was conducted on 63 voluntary participants. Data analysis was performed using SPSS (ver. 18.0, Chicago, Illinois, USA) and MedCalc (ver 11.5, Mariakerke, Belgium). Proportion and means of the major characteristics were compared with chi-square test and t-test, and, the rate of over three minutes toothbrushing by the subjects` characteristics were presented with odds ratio (OR). Results. Their nationality was Vietnam 43.5%, China 20.5%, Cambodia 11.5%, Philippines 9.0% and Japan 7.5% and their years of living in Korea was 1∼3 years for 28.5%, 3∼5 years for 23.5% or lesser than 1 year for 22.0%. Mean age was about 29.1 years, and 66.5% of them had no job. 67.0% of them had experienced a visit to dental clinics, and 88% were satisfied with the offered services. Their recognition for the need of dental care and dissatisfaction of dental care were relatively high as 73.5% and 50.5% respectively. The reason for the dissatisfaction of dental care was fear for pain for 35.0%, financial burden was for 34.0%. Difficulty in communication and worry about ignorance were rather low. Mean time for toothbrushing was about 3.2, and brushing after meal was relatively good. However brushing at the rate of over three minutes was as low as 36.5%. On oral examination, they had a lot of oral health problems; periodontal disease was about 74.6%, caries were 71.4%, missing teeth was about 52.4% etc. The rate of prosthesis and filling treatment was as low as 36.5% and 38.1%, respectively. Experiences to visit dental clinics and oral heal education; the rate of dissatisfaction for dental care had no significant differences according to the number of years of stay in Korea, school, job and income level. OR (95% CI) of the desirable toothbrushing rate was higher in the over college educated group [2.20 (1.10∼4.41)], but, rather lower in the ever visited group [0.39 (0.21∼0.71)]. Conclusions. Though they were relatively young, most of them had a lot of oral health problems due to poor oral care. Their major difficulties to access dental care were identified to be due to the fear for pain and economic problems rather than problem of communication and ignorance. In order to assist their oral health improvement, considerations on their economic and language barriers are needed. Enhancing the interest and motivation for their own oral health management is also needed. Community based efforts to support their cultural adaptation and self care would be strengthened through practical education programs and by participating in various activities.
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전진숙(Jin Sook Cheon),이상신(Sang Shin Lee),노종래(Jong Rae Roh),오병훈(Byoung Hoon Oh) 대한노인정신의학회 2005 노인정신의학 Vol.9 No.2
Objectives : The aim of this study was to analyze psychosocial factors associated with suicidal idea among Korean elderly. Methods : The sociodemographic data and psychopathology were evaluated by questionnaire and psychiatric interview in community-dwelling elderly with age over 60 (N=100) and adults with age 30-49 (N=60). Suicidal idea was assessed by 9th item of Beck Depression Inventory (BDI). To analyze factors associated with suicidal idea in Korean elderly, we assessed family function (Family Adaptation Partnership Growth Affection Resolve, APGAR), alcohol problem (Cut Annoyed Guilty Eye-Opener, CAGE), depressive symptoms (HAM-D, BDI), cognitive function (CDR, MMSE-K, GDS), and functional activities (ADL, I-ADL). Results : 1) The frequency of suicidal idea of the elderly with age over 60 (20.0%) was significantly higher than that of adult with age 30-49 (6.7%)(p<0.05). 2) The factors associated with suicidal idea were major depressive disorder (OR=42.17, 95% C.I. : 2.62-679.03), physical illness (OR=27.01, 95% C.I. : 1.18-616.50), depressive symptoms (OR=12.18, 95% C.I. : 2.91-49.98), poor economic status (OR=7.18, 95% C.I. : 1.05-48.86). 3) The means of variables in the elderly with suicidal idea were ADL 6.4±1.1, HAM-D 17.8±7.7, BDI 30.0±9.5, APGAR 4.8±2.6, which were significantly higher than those of the elderly without suicidal idea (p<0.05, respectively). 4) The HAM-D score in the Korean elderly had statistically significant correlation with APGAR (γ=0.376, p<0.01), BDI (γ=0.808, p<0.01), ADL (γ=0.316, p<0.01), GDS (γ=0.282, p<0.01), CDR (γ=0.258, p<0.01) and education level (γ=-0.208, p<0.05). The BDI score had statistically significant correlation with APGAR (γ=0.341, p<0.01), HAM-D (γ=0.808, p<0.01), GDS(γ=0.340, p<0.01), CDR (γ=0.301, p<0.01), ADL (γ=0.325, p<0.05) and I-ADL (γ=0.206, p<0.05). Conclusion : These results suggested early detection, psychogeriatric intervention of the elderly with high risk factors and active treatment of medical illness could reduce suicidal idea among them.
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