한국 노인의 구강건강관련 삶의 질에 영향을 미치는 요인 : PRECEDE 모형을 중심으로 = Factors influencing the oral health related quality of life of Korean aged population : focused on the PRECEDE mode

다국어 초록 (Multilingual Abstract)

With the recent rapid increase of aged population, the issue of the happiness index and quality of life of aged population has been attracting interests. The factor that mostly affects the quality of life of the aged is health problem, and it is very important to prevent oral problems and to maintain and improve oral health for their health maintenance and quality of life improvement. Accordingly, in an effort to make a contribution to the research on oral health related quality of life and to the development of oral health promotion program for aged population, this research established a model based on the PRECEDE model - which is a heath promotion model that can analyze the demand and essence of local society in a stepwise manner for practical use - by extracting the factors affecting the oral health related quality of life of aged population, and then by analyzing and verifying the pathways relating between the factors. The data used for this research was the raw data of the 1st Korean National Health and Nutrition Examination Survey conducted in 2010, which secured nationwide representation and credibility. The research subjects were 758 aged people who responded to all the analytical items. The programs SPSS 19.0 version and AMOS 20.0 version were used for computational treatment.

The results of this research are as follows:

1. In order to find out the factors that affect the oral health related quality of life of aged population, 13 factors related to oral health problem were extracted to establish hypothetical model. 12 pathways out of a total of 26 pathways were statistically significant, and finally 9 hypotheses were adopted.

2. There were statistically significant differences between different genders, educational levels and income levels in the factors that affect oral health related quality of life of aged population(p<.05).

3. The risk behavior factors affecting the oral health related quality of life of aged population were poor oral hygiene management, drinking and smoking. Whereas the oral health factors were dental caries, periodontal disease and dental prosthesis. Each of these factors was found to exert an effect through statistically significant pathway on the following factors of oral health related quality of life: subjective oral health level, chewing, speaking, and symptoms of tooth pain(p<.05).

Based on the above results of this research, the author suggests the followings as the methods for the oral health promotion and oral health related quality of life improvement for aged population.

First, since the risk behavior factors affecting the oral health promotion and quality of life of old population was found to be poor oral hygiene management and smoking, oral health education programs for aged population must be accompanied by contents and programs about oral hygiene management and about abstinence from smoking.
Second, since the experience of tooth loss from dental caries or periodontal disease acts as a factor that deteriorates the quality of life of aged population, there must be the steady execution of professional oral hygiene management, fluoride application program, denture prosthodontic program for aged population, and continuous oral health management program.
Third, since there exists oral health inequality in the factors that affect the oral health related quality of life of aged population between different genders, educational levels and income levels, it is important to plan and execute oral health activities that affect the whole population, such as water fluoridation program, in order to improve oral health and resolve the oral health inequality for aged population.

목차 (Table of Contents)

• I. 서 론 1
• 1. 연구의 배경 및 필요성 1
• 2. 연구의 목적 4
• 3. 용어의 정의 5
• 3.1. 구강건강관련 삶의 질 5
• 3.2. 구강건강 7
• 3.3. 위험행동 9
• II. 이론적 배경 11
• 1. 노인의 구강건강관련 삶의 질 11
• 2. PRECEDE 모형 15
• III. 연구대상 및 방법 19
• 1. 연구자료 및 대상 19
• 2. 연구도구 20
• 2.1. 변수 선정과정 20
• 2.2. 변수 설정 21
• 3. 연구의 개념적 틀 23
• 4. 연구가설 24
• 5. 자료 분석 방법 26
• IⅤ. 연구결과 27
• 1. 연구 대상자의 일반적 특성 27
• 2. 구강건강관련 삶의 질 측정 변수 29
• 3. 노인의 구강건강관련 삶의 질 모형 32
• 3.1. 구강건강관련 삶의 질 가설적 모형의 적합도 32
• 3.2. 구강건강관련 삶의 질 수정모형 33
• 3.3. 구강건강관련 삶의 질 가설검정 39
• 4. 구강건강 불평등 지표에 따른 구강건강관련 삶의 질 42
• 4.1. 성별 구강건강관련 삶의 질에 영향을 미치는 요인 42
• 4.2. 교육수준별 구강건강관련 삶의 질에 영향을 미치는 요인 48
• 4.3. 소득수준별 구강건강관련 삶의 질에 영향을 미치는 요인 54
• 4.4. 구강건강관련 삶의 질 가설 검정 60
• V. 고 찰 61
• VI. 결 론 76
• 참고문헌 78
• 부 록 90
• ABSTRACT 104