중학생의 구강건강 상태와 학교구강보건서비스 요구도

국문 초록 (Abstract)

중학생의 구강건강 상태와 학교구강보건서비스에 대한 요구도를 파악하기 위하여 2013년 4월 18일부터 5월 10일까지 경상북도 경주시 소재 1개 남자중학교와 영천시 소재 1개 여자중학교 2학년 학생을 대상으로 자료를 수집하였으며, 최종 344명을 분석 대상으로 하였다.
초등학교 재학 중 구강보건교육은 남학생 80.7%, 여학생 75.2%가 경험하였고, 중학교 진학 후 구강보건교육은 남학생 11.8%, 여학생 8.3%가 경험하였다.
구강보건 태도 점수는 남학생 23.04±3.02, 여학생 22.24±3.05이었고(p<0.05), 구강보건 행태 점수는 남학생 33.98±4.62, 여학생 37.41±4.37이었다(p<0.01).
구강건강상태에서 우식경험영구치율은 남학생이 12.53±12.40으로 여학생 18.62±14.31보다 낮았지만(p<0.01), 우식영구치율은 남학생이 40.59±43.27로 여학생 19.45±31.78보다 높았다(p<0.01).
초등학교 재학 중 구강보건교육 경험이 있는 여학생의 구강보건 지식, 태도, 행태 점수는 경험이 없는 여학생의 구강보건 지식, 태도, 행태 점수보다 통계적으로 유의하게 높았다.
학교구강보건서비스 각 항목에 대하여 필요하다고 응답한 학생은 구강보건실 운영 69.5%, 양치시설 79.7%, 치아 홈메우기 70.1%, 불소도포 75.6%, 구강보건교육 65.1%이었다.
양치시설을 희망하는 남학생의 우식경험영구치율이 11.37±11.64로 희망하지 않는 남학생 15.69±13.94보다 낮았고(p<0.05), 구강보건교육을 희망하는 여학생의 우식영구치율이 23.42±33.62로 희망하지 않는 여학생의 12.08±26.81보다 높았다(p<0.05).
중학교 진학 후 구강보건교육 경험이 매우 낮았고, 학교구강보건서비스 각 항목에 대한 요구도가 높았으며, 앞으로 중학교 학교구강보건서비스 제공 체계의 개선을 통하여 중학생 구강건강 유지 및 관리 방안을 마련하는 것이 필요할 것이다.

다국어 초록 (Multilingual Abstract)

In order to identify the needs for oral health status of middle school students and the school oral health services, data were collected from subjects of 2nd graders in one male middle school located in Gyeongju and one female middle school in Yeongcheon, Gyeongsangbuk-do from April 18th to May 10th 2013. A total of 344 students were finally selected as subjects for this study.
80.7 % of male students and 75.2 % of female students experienced the oral health education while they were the elementary school students. 11.8 % of male students and 8.3 % of female students experienced the oral health education after they entered the middle school.
Male and female students had 23.04 ± 3.02 and 22.24 ± 3.05 in oral health attitude score (p < 0.05), respectively. Male and female students had 33.98 ± 4.62 and 37.41 ± 4.37 in oral health behavior score (p < 0.01), respectively.
In terms of oral health status, male students had 12.53 ± 12.40 in DMFT rate which was lower than 18.62 ± 14.31 of female students (p < 0.01). Male students had 40.59 ± 43.27 in DT rate which was higher than 19.45 ± 31.78 of female students (p < 0.01).
Oral health knowledge, attitude and behavior scores of female students who experienced the oral health education while they were the elementary school students were statistically significantly higher than those of female students who did not have experience.
For each item of school oral health service, 69.5 %, 79.7 %, 70.1 %, 75.6 % and 65.1 % of students answered that they needed the operation of oral health room, brushing facilities, tooth sealant, application of fluoride and oral health education, respectively.
DMFT rate of male students who wished brushing facilities was 11.37 ± 11.64, which was lower than 15.69 ± 13.94 of male students who did not wish (p <0.05). DT rate of female students who wished the oral health education was 23.42 ± 33.62, which was higher than 12.08 ± 26.81 of female student who did not wish (p < 0.05).After entering the middle school, experience of the oral health education was very low and the needs for each item of school oral health services was high. It will be necessary to prepare the plans to maintain and manage oral health of middle school students through improvement of system to provide middle school oral health service in the future.