Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Relationship of Depression, Stress, and Self-Esteem with Oral Health-Related Quality of Life of Middle-Aged Women

중년 여성의 우울, 스트레스, 자아존중감과 구강건강관련 삶의 질 간의 관계

  • Received : 2015.11.20
  • Accepted : 2015.11.30
  • Published : 2015.12.31
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Abstract

The purpose of this study was to examine the relationships between depression, stress, self-esteem, oral health-related quality of life (OHIP-14) in middle-aged women. Data were as collected by self-reported questionnaires from 205 middle-age women. The instruments were the Center for Epidemiologic Studies Depression scale (CES-D), Brief Encounter Psychosocial Instrument (BEPSI), Self-Esteem Scale (SES). The data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients and multiple regression with IBM SPSS Statistics ver. 21.0. Pearson correlation coefficient analysis found that oral health impact profile (OHIP) was significantly associated with depression (r=-0.560, p<0.001), stress (r=-0.595, p<0.001), self-esteem (r=0.522, p<0.001). The OHIP was explained 39.4% by stress (${\beta}$=-0.362, p<0.001), self-esteem (${\beta}$=0.203, p=0.009) using multiple regression analysis. These results indicate that the intervention program of oral health promotion for community-middle- aged women is needed from now on.

이번 연구는 서울 경기 지역과 경북지역에 거주하는 만 40세 이상 65세 이하 중년 여성을 연구 대상으로 우울과 스트레스, 그리고 자아존중감이 구강건강 영향지수에 미치는 영향을 파악하고자 하였다. 설문대상자를 편의표본추출법으로 선정한 후 연구의 취지와 목적을 설명하고 최종 205부를 최종 분석에 이용하였다. 대상자의 일반적 특성에 따른 구강건강 영향지수는 배우자가 있는 경우(p=0.005), 전신질환이 없는 경우(p=0.005), 구강상태가 건강하다고 인식할수록(p=0.025), 하루 칫솔질을 3회 이상 하는 여성일수록(p<0.05) 높게 나타났다. 일반적 특성에 따라 우울, 스트레스, 자아존중감의 차이에 대해 우울은 배우자가 없고(p=0.005), 전신질환이 있고(p=0.016), 지각된 구강상태가 건강하지 않고(p<0.001), 하루 칫솔질을 3회 이상 하는 중년 여성(p=0.005)에서 높았다. 스트레스는 중졸 이하인 경우(p<0.05), 배우자가 없는 경우(p=0.002), 구강상태가 건강하지 않은 중년 여성(p<0.001)이 높았다. 자아존중감은 연령이 낮을수록, 지각한 구강상태가 건강할수록, 하루 칫솔질을 3회 이상 하는 중년 여성에서 높았다. 우울, 스트레스, 자아존중감과 구강건강 영향지수 간의 관계는 우울(p<0.001)과 스트레스가 낮을수록(p<0.001), 그리고 자아존중감이 높을수록(p<0.001) 구강건강 영향지수가 높게 나타났다. 우울, 스트레스, 그리고 자아존중감이 구강건강 영향지수에 미치는 영향을 알아본 결과, 스트레스(p<0.001)는 유의한 부(-)의 영향을 미쳤으며, 자아존중감(p=0.009)은 유의한 정(+)의 영향을 미쳤다.

Keywords

References

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