경남 지역 다문화가정 이주여성의 구강건강 관련 특성 = Oral healthcare related characteristics of international marriage migrant women in Gyungsangnam-Do경남 지역 다문화가정 이주여성의 구강건강 관련 특성

다국어 초록 (Multilingual Abstract)

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.