한국 공공의료 구강건강조사 체계 및 아동의 구강건강 현황

최연희(Youn-Hee Choi) 대한치과의사협회 2019 대한치과의사협회지 Vol.58 No.1

This study aimed to introduce what Korea national oral health surveys are and examine recent oral health status in Korean children. Korea Government has implemented national oral health-related surveys during the past two decades. The surveys with oral health examination are Korean Children’s National Oral Health Survey (KCNOHS) since 2000 in 5-year-old and 12-year-old children and Korea National Hhealth and Nutrition Examination Survey (KNHANES) since 2007 aged 1 year and more. KCNOHS provides the information about the distribution of prevalence of dental caries, gingival health , behavioral factors, and dental clinic demands etc. KNHANES has huge amount of health data for representative Korean population including oral health and general conditions. Based on KCNOHS, the prevalence of dental caries and its experience has decreased steadily, and the status of oral hygiene and preventive treatment called sealents has been also improved after the year of 2000. However, there is still a gap to reach to those of Western developed countries. Therefore, more effective oral health policy plans and strategies for Korean children and adolescents are needed to prevent and manage for dental caries in private and clinical field of dentistry with public sector.

Vitamin D deficiency is an independent risk factor for cardiovascular disease in Koreans aged ≥ 50 years: results from the Korean National Health and Nutrition Examination Survey

Sunmin Park,Byung-Kook Lee 대한지역사회영양학회 2012 Nutrition Research and Practice Vol.6 No.2

Vitamin D deficiency is a risk factor for metabolic syndromes. We examined whether vitamin D deficiency altered the prevalence of cardiovascular disease (CVD) in older Koreans. Cross-sectional analysis of data from the Korean National Health and Nutrition Examination Survey IV 2008-2009 was used to examine the association between serum 25-hydroxyvitamin D (25(OH)D) levels and the prevalence of CVD in a representative population-based sample of 5,559 men and women aged ≥ 50 years. CVD was defined as angina pectoris, myocardial infarction, or stroke. The prevalence of CVD (7.0%) in the older Korean population was lower than that in the older US population, although average serum 25(OH)D levels were much lower in the Korean population. Additionally, serum 25(OH)D levels did not differ significantly between the CVD and non-CVD groups. However, subjects in the lowest category (< 25 nmol/l) of serum 25(OH)D level had the greatest prevalence of CVD, about two-fold higher than subjects in the highest category (> 75 nmol/l), after adjusting for age, gender, body mass index, education level, residence location, and region. The prevalence of other risk factors for CVD, including higher waist circumference, fasting glucose, low-density lipoprotein (LDL) cholesterol, and triglyceride levels and lower high-density lipoprotein (HDL) cholesterol levels, was also higher among subjects in the lowest category than among those in the highest category. In conclusion, low serum 25(OH)D may be an independent risk factor for CVD in older Koreans.

한국인의 총당류 섭취실태와 급원식품에 대한 연구 : 2001년과 2002년도 국민건강영양조사 자료를 이용하여

정진은(Chung Chin-Eun) 韓國營養學會 2007 Journal of Nutrition and Health Vol.40 No.S

This study aimed to assess the total sugar intake for Korean and to identify major food sources contributing to those food components. Korean adults aged over 20 years old from the Korean National Health and Nutrition Examination Survey (KNHANES) 2001 and 2002 were selected. The data were analyzed to obtain nationally and seasonally representative in-formation on the health and nutritional status of the Korean. Forty food groups were used in identifying food sources of total sugar and energy intake. Total sugar contents of foods in the KNHANES data sets were estimated by food code matching technique with Release 18 of the USDA National Nutrient Database for Standard Reference. Sample weighted means, standard errors, and population percentages were calculated using SAS and SUDAAN. The mean total sugar intake of the Korean was 60.3 gin 2001, 40.9 g in spring 2002, 45.7 g in summer 2002, and 52.1 g in fall 2002, which were 30-44% of intake of US people. Fresh fruit was identified as the most significant food source for total sugar intake in Korean population in all age groups and all seasons. The next major food sources following fresh fruits were candy/jelly/syrup/ honey, coffee/coffee caream, vegetables, Kimchi, soft drinks, milk, fruit juice, cookie/cracker/cake, and vegetable juice/grain juice, which showed similar results through the seasons. While carbonated soft drink was the most significant food sources for total sugar or added sugar intakes for US people. The total sugar intakes were significantly higher in women, higher educational level, and residing in metropolitan area. As intake of total sugar increased, intakes of protein, fiber, calcium, phosphorus, iron, Vit A, B1, B2, C, niacin showed significantly increased, while high intakes of added sugars showed low intakes of some micronutrients in the US people. Percentages of people who consumed nutrients below EAR were less in higher total sugar intake group than in lower intake group. From these results, we can conclude that the food consumption habits including the total sugar intake of Korean people seems relatively good so far. More reliable database of total sugar and added sugar composition tables in public domain should be established in the future, and also more researches about total sugar and added sugar for Koreans should be continued. (Korean J Nutr 2007; 40 (Suppl): 9 ~ 21)

당뇨병 유병자 중 혈당 미조절군의 주관적 건강인식 관련 요인: 제4–6기 국민건강영양조사 자료(2007–2015)를 중심으로

이수영,김희진,김규리,이용재,정우진 한국보건행정학회 2019 보건행정학회지 Vol.29 No.4

Background: This study aimed to properly manage diseases such as blood sugar control so that patients with diabetes can benefit from both medication and health activities. Also, these health practices are greatly influenced by self-rated health, a subjective assessment of health status. Because self-rated health does not necessarily match the objective health status, it is important to identify which factors affect self-rated health. Methods: For the study, the data was gathered from the 4th–6th National Health Nutrition Survey (2007–2015). Out of the total 73,353 participants in the survey, 2,303 patients with uncontrolled blood sugar with an HbA1c level of more than 7% were selected for the final study. Dependent variables fell into two categories depending on how the participant reported whether he or she was in good health or not. Independent variables included socio-demographics, health behavioral, and health status factors. This study performed logistic regression analysis. Results: Out of 2,303 participants, 18.1% reported that their heath was ‘good,’ despite the fact that their blood sugar level was not controlled. After running a logistic regression model, the odds ratio of groups that perceive subjective health awareness as good was higher in the groups of people as below: in the people over 60 years old; in the people who graduated from a junior college or higher than those who had a level of education of primary school completion or less; in the people living in Chungnam than those living in Seoul; and in the group with hypertriglyceridemia. Conclusion: The study identified factors associated with those failed to perceive the blood sugar level as a severe health problem despite of the fact that blood sugar was not controlled. To improve public health, diabetes management policies need to be addressed to population groups with these problems above.

노인의 삶의 질 향상을 위한 주관적 구강건강에 영향을 미치는 요인

오한나 ( Han Na Oh ),김지현 ( Ji Hyun Kim ) 한국치위생학회 2016 한국치위생학회지 Vol.16 No.3

Objectives: The purpose of the study was to investigate the influencing factors of the perceived oral health for improvement of quality of life in Korean elderly. Methods: The subjects were 1,289 elderly over 65 years old from the sixth National Health and Nutrition Examination Survey 2013. The dependent variable was subjective oral health status. The independent variable was sociodemographic characteristics. Results: The perceived oral health of the unemployed elderly and those having chewing problems were 1.65-fold(95% CI=1.12=2.44) and 3.45-fold(95% CI=2.37-5.02), respectively than employed and chewable elderly. The perceived oral health of the former was 2.49-fold worse(95% CI=1.73-3.60) than the latter. Conclusions: The influencing factors of perceived oral health status included occupation, perceived health status and chewing problems. To improve the oral health-related quality of life in the elderly, continuous education and hands-on programs should be provided for the elderly in the long term care.

한국 성인여성의 자궁경부암 미수검 관련 요인분석: 국민건강영양조사(2010–2012년) 자료 이용

최원미,한남경,정우진 한국보건행정학회 2019 보건행정학회지 Vol.29 No.4

Background: This study aimed to explore the associations of social-demographic, health-behavioral, and woman-specific factors with the non-screening status of the cervical cancer screening test in Korean adult women. Methods: This study was a cross-sectional analysis of 9,698 Korean adult women aged 20 years or more who participated in the Korea National Health and Nutrition Examination Surveys V (2010–2012). Rao-Scott chi-square tests and survey logistic regression analyses were employed respectively to analyze the difference in the non-screening status of the cervical cancer screening test by each characteristic and to explore the factors related to the non-screening status. Results: The rate of the non-screening status of the cervical cancer screening test was 53.5% over the previous 2 years. In the survey logistics regression analysis, age, marital status, educational levels, income levels, residential area, occupation, private health insurance, smoking, alcohol, obesity, menstrual status, pregnancy experience, and hormone replacement therapy were significantly associated with the non-screening status of the cervical cancer screening test. Conclusion: On the basis of the results of this study, some social-demographic, health-behavioral, and woman-specific characteristics of Korean adult women seem to affect the non-screening status of the cervical cancer screening test. Therefore, appropriate health policies need to be designed, implemented, monitored, and evaluated to reduce the non-screening status of the cervical cancer screening test of them.

An Empirical Analysis of Korean Traditional Dietary (Hansik) Choices Considering Consumers’ Health Status and Attitude

이예영,김유나,유성은,김관수,안동환 한국농업경제학회 2018 農業經濟硏究 Vol.59 No.4

This study aims to discover the health-related lifestyles about Korean traditional dietary (Hansik) choices. We identified which food items are widely perceived as Hansik based on the 2013~2015 Korea National Health and Nutrition Examination Survey (KNHANS) data and investigated distinct patterns of health-related status and behaviors using cluster analysis. Relying on a Tobit approach, we found that age, region, education level, household income, number of household members and marriage status significantly contributed to individual’s rate of Hansik consumption. We also found that the group with relatively younger people characterized by a busy lifestyle and more social activities, those who showed a higher household income, and people who live in metropolitan areas tended to consume less Hansik dietary. We also highlighted that the group with unhealthy lifestyles and risk-averse(cluster 4) tended to consume more Hansik dietary, while the group with healthy lifestyles and risk-prone habits(cluster 2) were likely to consume less Hansik dietary. Regarding policy implications, the result of our study can be used to develop a tailor-made strategy for each group of clusters aimed at increasing Hansik consumption.

한국 노인의 잔존치아 수에 영향을 주는 요인

이미라(Mi-Ra Lee) 한국산학기술학회 2024 한국산학기술학회논문지 Vol.25 No.1

The purpose of this study was to use the data from the eighth Korea National Health and Nutrition Examination Survey (KNHANES), 2019 to identify the factors affecting the number of remaining teeth in the South Korean elderly population aged ≥60. Data from a total of 1,388 respondents were analyzed. An IBM SPSS 66 program was used for weight estimation, followed by complex sample analysis. In terms of socio-demographic characteristics, the younger and the less educated the person, the larger the number of remaining teeth. The chronic disease of stroke led to fewer number of remaining teeth (B=-2.77, p =.035). In terms of health-risk behavior, smoking (B=-3.29, p =.001) led to fewer number of remaining teeth. In terms of oral health status and behavior, a higher level of subjective oral health status, a toothbrushing frequency of at least twice a day, and using dental floss (B=2.00, p =.002) and an interdental brush (B=3.20, p <.001) led to a significantly higher number of remaining teeth. Thus, the factors affecting the number of remaining teeth in the elderly population were education, a stroke event, smoking, subjective oral health status, toothbrushing frequency, and using dental floss and an interdental brush. Therefore, it is necessary to develop an oral health promotion program, taking the socio-demographic characteristics, presence of chronic diseases , and oral health behavior into account, to improve the quality of life and preserve the number of remaining teeth in the elderly population.

국내 성인 녹내장 환자의 건강관련 삶의 질 관련요인: 제7기(2016-2018) 국민건강영양조사 자료 활용

남경화(Kyung Hwa Nam),배선형(Sun Hyoung Bae) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.5

본 연구는 국민건강영양조사 제7기 2016~2018년 3차 연도 자료를 통합, 분석하여 19세 이상 국내 성인 녹내장 환자의 건강관련 삶의 질에 영향의 미치는 요인을 확인하고자 시도되었다. 최종연구대상자는 17,685명으로 녹내장군은 361명, 정상군은 17,324명으로 구성되었다. SPSS/WIN 26.0 프로그램을 이용하여 기술통계, chi-squqre test, t-test, 복합표본 선형회귀분석으로 분석하였다. 복합표본 선형회귀분석을 이용하여 녹내장 환자의 건강관련 삶의 질의 영향요인을 분석한 결과, 연령, 교육 수준, 경제활동, 주관적 건강인식 정도가 주요 영향요인으로 확인되었으며, 설명력은 49.9%이었고, 모형은 적합한 것으로 나타났다(Wald F=20.72, p <. 001). 즉, 젊은 연령, 낮은 교육 수준과 실업상태, 나쁜 주관적 건강상태 인식이 건강관련 삶의 질을 악화시키는 요인으로 확인되었다. 따라서 성인 녹내장 환자의 건강관리를 위해서는 질병 자체의 관리와 더불어 건강관련 삶의 질을 악화시키는 위험요인을 통합하여 관리할 수 있는 포괄적인 접근이 요구된다. This study was undertaken to identify factors affecting the health-related quality of life of Korean adult glaucoma patients aged 19 years or older. Data were integrated and analyzed from the 7th National Health and Nutrition Examination Survey, 2016 to 2018. The final study subjects were 17,685, consisting of 361 glaucoma and 17,324 non-glaucoma subjects. Descriptive statistics, chi-square test, t-test, and complex sample linear regression analysis were analyzed using the SPSS/WIN 26.0 program. Results of complex sample multiple linear regression analysis identified age, education level, economic activity, and subjective health status as factors affecting the health-related quality of life of the glaucoma group. The explanatory power of patients with glaucoma was 49.9%, and the model was found to be suitable (Wald F=20.72, p <.001). Conversely, young age, low education level, unemployment status, and the perception of bad subjective health status were identified as factors that decreased health-related quality of life. Our results conclude that health care in adult glaucoma patients requires a comprehensive approach that integrating risk factors as well as managing diseases themselves that harm their health-related quality of life.

저교정 굴절이상 유병률 및 관련 요인 분석

강민재(Min Jae Kang),임형택(Tyler Hyung Taek Rim),김성수(Sung Soo Kim),대한안과학회 역학조사위원회 대한안과학회 2016 대한안과학회지 Vol.57 No.8

목적: 국내 저교정 굴절이상의 유병률과 이와 관련된 요인을 밝히고자 하였다. 대상과 방법: 2008년부터 2012년까지 국민건강영양조사를 완료한 36,162명의 우안을 기준으로 유병률을 산출했다. 저교정 굴절이상은 시력 교정을 하였을 때, 시력이 나안 시력 혹은 안경이나 콘택트렌즈를 착용하고 있을 때보다 시력이 2줄 이상 호전을 보이는 것으로 정의하였다. 직업군별로 저교정 굴절이상의 분율을 제시하고, 사회인구통계학적인 요인과 관련성을 다변량 로지스틱 회귀분석을 사용하여 제시하였다. 결과: 총 36,162명의 대상자 중 6,954명이, 40세 이상 19,884명 중 3,980명이 저교정 굴절이상에 해당하였고, 이는 전 연령대상 18.5%, 40세 이상에서 18.8%의 유병률로 추정되었다. 기존의 시력교정기구를 착용하는 군과 시력교정기구가 없는 군을 나누어서 보았을 때, 시력교정기구가 없는 군에서 저교정 굴절이상의 유병률은 23.1%로 높았다. 4줄 이상 시력 상승을 보인 군은 전체에서 7.2%(2,606)를 차지하였다. 직업군에서는 농업, 어업 등에 종사하는 군과 단순노동자에서 각각 22.8% (570/2,499), 20.2% (497/2,457)로 저교정된 굴절이상의 분율이 높았다. 연령별로는 30대를 기준으로 10대와 70대, 80대에서, 여성, 저소득층, 저학력층, 동거인이 없는 경우가 관련 요인으로 조사되었다. 결론: 저교정 굴절이상과 고령, 여성, 낮은 사회경제적 상태가 관련 있으므로, 이러한 취약층에 대한 공중보건학적인 접근이 필요하며, 적절한 시력 교정을 통한 저시력 예방 노력이 필요하다. Purpose: To assess the prevalence and risk factors of undercorrected refractive error in South Korea. Methods: We analyzed 36,162 participants for estimating prevalence using the Korean National Health and Nutrition Examination Survey (KNHANES, 2008-2012). Undercorrected refractive error was defined as an improvement of at least 2 lines in best corrected visual acuity compared with the presenting visual acuity in the right eye. Proportion of undercorrected refractive error by occupation was presented, and associated sociodemographic factors were evaluated by multivariable logistic regression. Results: The prevalence of undercorrected refractive error among all participants and among adults was 8.5% (n/N, 6,954/36,162) and 18.8% (n/N, 3,980/19,884), respectively. The proportion of undercorrected refractive error was higher among those with did not wear spectacles or contact lenses (23.1%) than among spectacle or contact lens wearers (8.1%). The proportion of participants who gained more than four or more lines of best corrected visual acuity was 7.2% (n = 2,606) for the all age group. In terms of occupation, farming, fishing, and forestry occupations (22.8%, 570/2,499) and laborer (20.2%, 497/2,457) were more likely to have undercorrected refractive error. Age groups of 10s, 70s, or 80s (30s as a reference group), female sex, lower income, lower education level, and living without a spouse were associated with undercorrected refractive error. Conclusions: People of older age, female sex, and lower socioeconomic status were more likely to have undercorrected refractive error. This suggests that a public-health approach is needed for preventing visual impairment via proper vision correction.