치과위생사의 조직 내 갈등수준과 직무만족도간의 관련성

정선락 ( Sun Rak Jeong ),장지언 ( Ji Eon Jang ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.1

This research was attempted in order to investigate the correlation of the conflict level and job satisfaction of the dental hygienists in the dental clinic agency. The subjects were 249 dental hygienists working with more than five dental hygienists at dental clinics in Daegu, eight dental clinics were randomly chosen, the researcher visited them personally and the data was obtained by self-administrated questionnaires from March 2 to March 31, 2011. In conclusion, the higher ages, monthly income and total career were, the higher levels of conflict were, and job satisfaction was significantly high when monthly income and total career were higher. Correlation between level of conflict and job satisfaction showed as level of conflict are lower, job satisfaction was significantly high. Regression analysis of the factors affecting job satisfaction, it was significantly high as monthly income was higher, friction of view and ignorance was lower. Therefore, the conflict level is reduced, the job satisfaction degree of the dental hygienist is enhanced, the dental hygienist duty efficiency is enhanced and dental service of the good quality is provided.

흡연력이 치과외래이용횟수에 미치는 영향

정선락,두영택,이원기,Jeong, Sun-Rak,Doo, Young-Taek,Lee, Won Kee 한국데이터정보과학회 2016 한국데이터정보과학회지 Vol.27 No.2

본 연구는 한국의료패널 조사 자료 2008-2012년의 연간 통합자료를 활용하여 흡연력에 따른 구강질환과 관련하여 치과외래이용횟수에 미치는 영향을 알아보고자 하였다. 2010-2012년의 연간 통합자료 중 연령이 20세-60세이면서 3차례 모두 조사된 남성 3,866명을 최종 분석대상으로 하였다. 음이항회귀모형을 이용한 분석에서 연령, 혼인상태, 가구소득수준와 만성질환여부를 통제한 후 치과외래이용횟수에 미치는 영향은 유의하였으며 흡연력이 10갑년 증가할 때마다 치과외래이용횟수는 6%씩 증가할 것으로 예측되었다. 특히, 40~50대 남성의 치과외래이용횟수는 비흡연자에 비교하여 평균적으로 20~29.9갑년의 흡연자는 25%, 30갑년 이상 흡연자는 52% 더 많이 이용하는 것으로 나타났다. To examine whether the effect on utilization of ambulatory dental care are associated with oral disease according to pack-years of smoking in Korean population. Using data from Korea Health Panel between 2008 and 2012, we analyzed 3,866 participants who were male and more than 20 years. Pack-years of smoking were significantly associated with utilization in ambulatory dental care after adjustment for age, marital status, family income, and chronic disease. Ambulatory dental visitation frequency has been estimated to increase by 6% when 10.0 pack-years of smoking increased. Especially, the smokers who had 20.0~29.9 and 30.0 or more pack-years of smoking in forties and fifties males were 25% and 52% respectively more than non-smokers in utilization of ambulatory dental care.

흡연이 치과 외래 이용 및 치과 외래 의료비에 미치는 영향

정선락 ( Sun Rak Jeong ),김영희 ( Young Hee Kim ),장지언 ( Ji Eon Jang ),이원기 ( Won Kee Lee ) 대한예방치과·구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.4

Objectives: The objectives of this study were to evaluate the effect of smoking on utilization of and expenses in ambulatory dental care. Methods: The subjects of this study were 5,751 men aged over 20 years selected from the Korea Health Panel data collected during 2010-2012. Pack-years of smoking were calculated based on the survey data. Dental utilization was defined as dental outpatient clinic use least once in three years. The expenses in ambulatory dental care were summed to determine total dental health care spending for three years. To detect the effect of smoking, we used multiple logistic regression analysis for dental utilization and multiple linear regression for expenses in ambulatory dental care after changing log. Results: The pack-years had a significant effect on dental utilization and expenses in participants aged 40-59 years. After controlling for income level, bedtime brushing, and the presence of chronic disease, dental care utilization rates in the over 10 to less than 25 pack-year and the over 25 pack-year groups were about 1.4 (OR=1.37, (P =0.007)) and 1.6 times (OR=1.59, (P =0.001)) those in the 0 pack-year group. In comparison with the 0 pack-year group, the over 10 to less than 25 pack-year group spent 50,000 won more over dental expenses, while the corresponding number for the over 25 pack-year group was about 100,000 won. Thus, the ambulatory dental care expenses increased with the packyears of smoking. Conclusions: Smoking significantly influenced the utilization and expense in ambulatory dental care in men aged 40-59 years.

한국 청소년의 건강위험행동 및 구강건강행동과 구강증상경험의 관련성 - 2018년도 제14차 청소년건강행태온라인조사를 중심으로

정선락 ( Sun Rak Jeong ),장지언 ( Ji Eon Jang ) 대한예방치과·구강보건학회 2019 大韓口腔保健學會誌 Vol.43 No.3

Objectives: This study investigates the relationship between risky health behaviors, occurrence of oral symptoms, and oral health-related behaviors. Methods: The subjects were 60,040 adolescents selected from the web-based survey from the 2018 Korean Youth Health Behavior of Korean Center for Disease Control. The data were analyzed using a combined sample analysis method. The software SPSS version 12.0 was used to conduct the analyses. Results: 1. Men were observed to partake in risky health behavior at significantly higher rates than were women in terms of smoking, drinking, drugs, and sexual intercourse. Our data showed the percentages of men taking part in these behaviors to be 21.1%, 46.4%, 1.3%, and 7.6%, respectively (P<0.01). 2. Of all subjects, 49.1% brushed their teeth more than three times a day, and 43.6% brushed more than twice a day. Further, a significantly higher number of men (46.0%) did not brush their teeth after lunch compared with women (29.1%) (P<0.01). 3. Of all subjects, 52.9% had developed oral symptoms in the previous year. The rate of women experiencing oral symptoms was significantly higher, at 58.1%, compared with men (48.1%, P<0.01). 4. Risky health behavior, such as smoking, drinking, drugs, and sexual intercourse, was significantly associated with occurrence of oral symptoms (P<0.01). Those that had not partaken in smoking, drinking, and sexual intercourse were significantly lower by 0.73, 0.87, and 0.89 times, respectively, compared with those that responded with “yes” (P<0.01). Conclusions: We have evaluated the rates of risky health and oral health-related behavior in Korean youth and identify their association with the oral symptoms. It is essential to understand the risks of oral diseases so that appropriate oral health education can be provided to adolescents for promoting behavioral changes.

중장년층의 구강보건행동과 구강건강상태에 따른 건강관련 삶의 질

문보애 ( Bo Ae Moon ),정선락 ( Sun Rak Jeong ),장정유 ( Jung Yoo Jang ),김건엽 ( Keon Yeop Kim ) 한국치위생학회(구 한국치위생교육학회) 2015 한국치위생학회지 Vol.15 No.2

Objectives: The purpose of this study was to investigate the relation between health-related quality of life and oral health behavior and oral health status, and to provide the basic data for national oral health policy. Methods: The primary data of the 5th National Health Examination and Nutritional Survey(NHANES) in 2012 were used in this study. The subjects were 2,243 middle-aged people(40-59 years old), 827 persons were excluded for missing value or having diseases affecting quality of life(depression, stroke, cardiac infarction, angina, liver cancer, stomach cancer, colon cancer, breast cancer, cervical cancer, lung cancer, thyroid cancer, other cancers, arthritis), and 1,416 data were finally analyzed. Results: In health-related quality of life by subjects`` characteristics, there was significant difference in gender, age, education, family income, and employment status(p<0.01) except for current smoking. Oral health behavior didn``t have significant relation to health-related quality of life, but better oral health status showed better health-related quality of life(p<0.01). Conclusions: In conclusion, this study suggested that there was close relationship between the oral health status and health-related quality of life in moddle aged people. Therefore, national oral health policy is needed for the oral health promotion with commitment of oral prophylaxis and care programs to the individual and community.

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.

퇴원손상심층조사 자료를 이용한 영아 병태 및 손상 이환율과 치료 호전율

박혜린 ( Hye-rin Park ),정선락 ( Sun-rak Jeong ),신은경 ( Eun-kyoung Shin ),이원기 ( Won Kee Lee ) 한국보건정보통계학회 2022 보건정보통계학회지 Vol.47 No.2

Objectives: The purpose of this study was to investigate the morbidity and treatment recovery rates for the conditions and injuries of infants who were hospitalized and treated. Methods: The analysis was based on infants under the age of 1 from the 2nd-15th data (patients discharged from 2006 to 2018) of the Korea Centers for Disease Control and Prevention’s ‘In-Depth Discharge Injury Survey’. Results: As a result of the study, it was confirmed that most infants admitted to the hospital from 2006 to 2018 improved and were discharged with an overall improvement rate of 98.47%. In addition, the morbidity rate of infants admitted to hospitals with specific conditions originating before and after birth showed a steady decrease, but increased around 2018, and the morbidity rate of infants hospitalized due to injury showed a gradual decrease, and showed a sharp decline after 2015. It was found that the overall infant condition improvement rate increased and the injury morbidity rate was rapidly decreasing. Conclusions: If systems and policies are established to provide medical services to mothers and newborns who are in medically vulnerable groups, as well as to improve the high-risk maternal emergency system and high-risk neonatal intensive care unit, it is possible to reduce the risk of diseases and unintentional damage that can occur before and after childbirth. Therefore, it is suggested that the morbidity rate can be improved.

2005년부터 2016년까지의 퇴원손상심층조사에서 비사망을 포함한 고의적자해방법과 호전율의 변화추이

김아름 ( Ah-reum Kim ),정선락 ( Sun-rak Jeong ),김은석 ( Eun-seok Kim ),이원기 ( Won Kee Lee ) 한국보건정보통계학회(구 한국보건통계학회) 2021 한국보건정보통계학회지 Vol.46 No.2

Objectives: The purpose of this study is to estimate trend of intentional self-harm methods and recovery rate by using ICD (International Classification of Diseases)-10 codes (X60-X84). Methods: The analysis was based on data of intentional self-harm injury in 2005-2016 from hospital discharge registry investigation in Korea. Results: Through 2005-2016, intentional self-harm by drug was the most common. Self-harm caused by pesticides has decreased since 2012, but those caused by gas has increased rapidly since 2008. By ages, pesticide poisoning by intentional was the most common in 60s and 80s, except those ages, self-harm by drug was the most frequent. The number of intentional self-harm was 1.2 times higher for women than for men, and for women, the rate of self-harm caused by drug was more than half. In the case of men, self-harm caused by pesticides was the most common, and they did various self-harm methods compared to women. The recovery rate tends to increase compared to the past, but as the age increases, it tends to decrease. In particular, the recovery rate of ‘hanging’ was significantly lower at 48.1%. Conclusions: Therefore, in order to increase the rate of recovery of the self-harm injuries that have already occurred, it is necessary to establish a variety of systems such as rapid reporting system and transfer to medical center.

당뇨병 유무에 따른 치과외래이용률의 차이

김영희 ( Young Hee Kim ),김윤주 ( Youn Joo Kim ),정선락 ( Sun Rak Jeong ),이원기 ( Won Kee Lee ) 대한구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.2

Objectives: The objective of this study was to examine the difference in dental care utilization between diabetics (diabetes group) and nondiabetics (normal group). Methods: We examined the data of 5108 subjects enrolled in the Korea Health Panel Survey, every year for three years between 2010 and 2012. Of these, 458 subjects were included in the diabetes group and 458 in the normal group using the propensity score matching method to control confounding variables. To compare dental care utilization by the diabetes and normal groups, we examined the odds ratio (OR) and 95% confidence interval (CI) using a generalized estimating equation. Results: We found that the odds of dental care utilization by the diabetes group compared with the normal group was significantly high (OR=1.82, 95% CI: 1.60-2.09). The result was consistent according to sensitivity analysis (OR=1.96, 95% CI: 1.63-2.35). Conclusions: Dental care utilization by the diabetes group was 82% higher than that by the normal group. Therefore, patients with diabetes need to be more concerned about oral health care.

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.