부산지역 65세 이상 노인의 구강건강과 자가건강평가수준(SRH) (Oral Health and Self-Rated Health among the Elderly in Busan)

서지정보

· 발행기관 : 한국치위생과학회
· 수록지 정보 : 치위생과학회지 / 12권 / 3호 / 197 ~ 207페이지
· 저자명 : 윤현서, 전진호, 이정화

초록

본 연구는 노인들의 구강건강상태와 관리실태가 자가건강평가수준(SRH)에 얼마나 영향을 미치는 지를 파악하기위하여 부산광역시에 거주하는 65세노인 479명을 대상으로 구강검진과 1:1면접을 통한 설문조사를 실시하였다.
분석결과는 다음과 같다.
1. 성별에서는 남자가 일반적 건강상태(p=0.033), 1년전과 비교한 건강상태(p=0.029), 연령에서는 일반적 건강상태(p=0.004), 1년 전과 비교한 건강상태(p=0.011), 자가주택을 소유하고 있는 경우 일반적 건강상태(p<0.001),1년 전과 비교한 건강상태(p<0.001), 신체적 건강상태(p<0.001), 정신적 건강상태(p<0.001)가 높았다.
2. 구강건강과 관련해서는 상실치아의 개수가 많을수록일반적 건강상태(p=0.015), 치주염을 가지고 있는 경우일반적 건강상태(p=0.020), 정신적 건강상태(p=0.032), 틀니가 상하모두 필요한 경우 일반적 건강상태(p=0.040)가자가건강평가수준이 낮았다.
3. 건전치율이 65% 이상인 경우 일반적 건강상태(p=0.003), 1년 전과 비교한 건강상태(p=0.013), 신체적 건강상태(p=0.013), 기능치율이 89%이상인 경우 일반적 건강상태(p=0.012), 신체적 건강상태(p=0.004), 정신적 건강상태(p=0.017)에서 자가건강평가 수준이 높았다.
4. 전신질환의 수가 많을수록 자가건강평가수준이 낮았고, 구강증후증상의 수가 많을수록, 기능치율이 낮을수록 자가건강수준이 낮았다. 결과적으로, 전신질환의 수와구강증후증상의 수는 부(-)의 영향, 기능치율은 정(+)의영향을 미치는 것을 알 수 있다.
결론적으로 노인들에게 있어 자가건강평가수준을 향상하기 위해서는 노인들의 건전치율과 기능치율을 높이기위한 다양한 구강보건사업들이 체계적으로 이루어져야하리라 사료된다.

영어초록

The purpose of this study was to examine the impact of the oral health status and health care of elderly people on their self-rated health(SRH). The subjects on this study were 479 senior citizens who were at the age of 65 and up and resided in the city of Busan. They got a dental checkup, and a survey was conducted by having an one-on-one interview. After the collected data were analyzed, the following findings were given: The senior citizens were diagnosed with a mean of 1.43 systemic diseases, and hypertension(51.8%) was the most prevalent disease among them, followed by diabetes(25.1%), arthritis(41.8%), oral diseases(75.6%), stroke(9.0%) and heart diseases(15.9%). Their self-rated health was better when they were male, when they were aged between 65 and 69, when there was someone with whom they lived, when they were better educated and when they owned their own houses. But their self-rated health was poorer when they felt more oral symptoms, when they had more missing teeth and when they needed both of maxillary and mandibular dentures. Their self-rated health was more positively affected when they were better educated(β=0.894), when they owned their own houses(β=4.220), when they got a dental checkup on a regular basis(β=2.997) and when the rate of their functional tooth was larger(β=0.081). And that was more negatively influenced when they had a denture(β=-1.110),when they had more oral symptoms(β=-1.590) and when they had more systemic diseases(β=3.363). There is a close relationship between the oral health and self-rated health of elderly people. Therefore how to promote their oral health should carefully be considered.

참고자료

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