Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Relationship between Oral Health Behavior and Happiness Index in Elderly People

노인의 구강보건행태와 행복지수와의 관련성

  • Lee, Hyun-Ok (Department of Dental Hygiene, Wonkwang Health Science University) ;
  • Park, Ji-Young (Department of Dental Hygiene, Wonkwang Health Science University)
  • 이현옥 (원광보건대학교 치위생과) ;
  • 박지영 (원광보건대학교 치위생과)
  • Received : 2016.09.12
  • Accepted : 2016.11.04
  • Published : 2016.12.31
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Abstract

This study examined the relationship between oral health behaviors and in senior citizens to determine how to improve their happiness index. The subjects in this study were 260 senior citizens aged 65 years or older, who resided in North Jeolla Province. A survey was conducted from June 17 to 30, 2016. The happiness index of elderly people who brushed their teeth more often and had dental checkups on a regular basis was significantly higher (p<0.05). Evaluation of subfactors associated with quality of life related to oral health showed significant differences in functional disturbances according to gender, age, the presence or absence of a spouse, and the use or nonuse of dentifrice (p<0.05). Physical pain significantly varied with the presence or absence of a spouse, educational level, monthly mean allowance, and regular dental checkups (p<0.05); significant differences were found in psychological discomfort according to gender, tooth brushing frequency, and regular dental checkups (p<0.05). There were significant differences in declining physical capacity according to gender, age, educational level, and monthly mean allowance (p<0.05); waning mental capacity significantly differed with age, living alone or with another person, the presence or absence of a spouse, and regular dental checkups (p<0.05). The factors that influenced the happiness index in senior citizens were age, living alone or with another person, educational level, monthly mean allowance and the Oral Health Impact Profile score (p<0.05). The study showed that measures are needed to improve the quality of life and happiness index in elderly people, including the development of oral health programs for this population.

본 연구는 65세 이상의 노인을 대상으로 구강보건행태와 주관적인 행복지수들(OHIP-14, 행복지수)의 관련성을 파악하여 주관적 행복지수를 향상시킬 수 있는 근거를 제시하고자 하였다. 2016년 6월 17일부터 6월 30일까지 전북지역에 거주하는 65세 이상 노인 260명을 대상으로 설문조사하였으며, 일반적 특성 따른 행복지수는 연령이 낮고, 배우자가 있는 경우와 교육수준이 높을수록 행복지수가 유의하게 높게 나타났다(p<0.05). 구강보건행태에 따른 행복지수는 칫솔질 횟수가 많고, 치과 정기검진을 하는 경우에서 행복지수가 유의하게 높게 나타났다(p<0.05). 연구대상자의 구강건강과 관련된 삶의 질의 하위개념 중 기능장애는 성별, 연령, 배우자 유무, 세치제사용 여부에 따라 유의한 차이가 있었고(p<0.05), 신체적 통증에서는 배우자 유무, 교육수준, 월 평균용돈, 정기검진에 따라 유의한 차이가 있었으며(p<0.05), 정신적 불편감은 성별, 칫솔질 횟수, 정기검진에 의해 유의한 차이를 보였다(p<0.05). 그리고 신체적 능력 저하는 성별, 연령, 교육수준, 월 평균용돈에 따라 유의한 차이가 있었으며(p<0.05), 정신적 능력 저하는 연령, 동거인 유무, 배우자 유무, 정기검진에 따라 유의한 차이를 나타났다(p<0.05). 또한 연구대상자의 행복지수에 영향을 미치는 요인은 연령, 동거인 유무, 교육수준, 월 평균용돈, OHIP-14로 나타났다(p<0.05). 이상의 결과로 보아 노인들의 구강보건행태는 구강건강관련 삶의 질과 관련이 있고, 구강관련 삶의 질은 행복지수에 영향을 미치는 것으로 파악된다. 이를 바탕으로 노인의 삶의 질 및 행복지수를 높이는 데 필요한 다양한 노인구강향상프로그램 개발 등의 여러 사회적 방안이 요구된다.

Keywords

References

  1. United Nations Population Division: World population prospects: the 2002 revision. United Nations, New York, 2003.
  2. Lee MS, Kim SH, Yang JS, Oh JS, Kim DK: Validity and reliability of the oral health impact profile in elderly Korean 65+. J Korean Acad Oral Health 29: 210-221, 2005.
  3. Statistics Korea. 2010 the aged statistics. Statistics Korea, Seoul, pp.1-36, 2010.
  4. Choi SL, Jeong SH, Bae HS, Ryu YA, Choi YH, Song KB: A survey of denture satisfaction and oral health related quality of life among recipients of the senile prosthetic restoration program for national basic livelihood security. J Korean Acad Oral Health 29: 474-483, 2005.
  5. Kim JB, Choi YJ, Moon HS, et al.: Public oral health. 4th ed. Komoonsa, Seoul, pp.266-276, 2009.
  6. Lomax JD: Geriatric ambulatory and institutional care. Medico Dental Media, St. Louis, pp.175-189, 1987.
  7. Ryan RM, Deci EL: On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Ann Rev Psychol 52: 141-166, 2004.
  8. Slade GD, Spencer AJ: Development and evaluation of the Oral Health Impact Profile. Community Dent Health 11: 3-11, 1994.
  9. John Mt, Patrick DL, Slade GD: The German version of the Oral Health Impact Profile-tanslation and psychometric properties. Eur J Pral Sci 110: 425-433, 2002. https://doi.org/10.1034/j.1600-0722.2002.21363.x
  10. Att W, Stappert C: Implant therapy to improve quality of life. Quintessence Int 34: 573-581, 2003.
  11. Szentpetery A, Szabo G, Marada G, Szanto I, John MT: The Hungarian version of the Oral Health Impact Profile. Eur J Oral Sci 114: 197-203, 2006. https://doi.org/10.1111/j.1600-0722.2006.00349.x
  12. Slade GD: Derivation and validation of short-form Oral Health Impact Profile. Community Dent Oral Epidemiol 25: 284-290, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  13. Allen PF, Locker D: Do you item weights matter? An assessment using the Oral Health Impact Profile. Community Dent Health 14: 133-138, 1997.
  14. Kim JS, Lee BH: Assessment of Oral Health Impact Profile 14 for the ADL inpatients in geriatrics hospital. J Dent Hyg Sci 9: 303-310, 2009.
  15. Jang SH, Choi MH: Original: evaluation of the quality of life related to oral health among elderly people in some elderly care facilities by OHIP-14. J Korean Acad Dent Educ 11: 475-487, 2011.
  16. Kim MH, Kim KW, Lee KS: Association between oral health and oral health-related quality of life among the elderly. J Dent Hyg Sci 14: 488-494, 2014. https://doi.org/10.17135/jdhs.2014.14.4.488
  17. Slade G, Spencer A: Development and evaluation of the oral health impact profile. Community Dent Health 11: 3-11, 1994.
  18. Locker D: Measuring oral health: a conceptual framework. Community Dent Health 5: 3-18, 1988.
  19. Slade GD: Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25: 284-290, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  20. Bae GH: Oral health related quality of life and development of oral health programs in Korean elders. Unpublished doctoral dissertation, Seoul National University, Seoul, 2005.
  21. Yoon HS: Relationship of oral health behavior to happiness indexes among industrial workers. J Korea Cont Assoc 13: 313-321, 2013.
  22. Campbell A: Subjective measures of wellbeing. Am Psychol 31: 117-124, 1976. https://doi.org/10.1037/0003-066X.31.2.117
  23. Alexandrova A: Subjective well-being and Kahneman's objective happiness. J Happiness Stud 6: 301-324, 2005. https://doi.org/10.1007/s10902-005-7694-x
  24. Choi YH, Seo I, Son HK, et al.: Associations of dental disease with madical status. J Prev Med Public Health 53: 42-43, 2001.
  25. Jung JA: Korean Oral Health Impact Profile-14 and related factors in elderly people. Unpublished doctoral dissertation, Chosun University, Gwangju, 2006.
  26. Cho KA: Oral health status of aged people who are subject of home visiting health care in rural community. Unpublished master's thesis, Kyungpook University, Daegu, 2007.
  27. Woo SR: The impact of oral health status of the elderly in the community on their satisfaction with life. Unpublished master's thesis, Daegu Haany University, Daegu, 2010.
  28. Seo SM: A comparative study on the oral health status of senior citizens with and without daily activity problems. Unpublished master's thesis, Chungang University, Seoul, 2010.
  29. Kim AY: Level and associating factors of self assessed satisfaction of life among elderly in a community. Unpublished master's thesis, Inje University, Gimhae, 2009
  30. Kwon JD, Cho JY: A study of factors influencing the life satisfaction of the aged. J Korea Gero Soc 20: 61-76, 2000.
  31. Gwon MY, Young JY: A study on the relationships between the oral health activities and oral health conditions of the elderly. J Dent Hyg Sci 6: 271-276, 2006.
  32. Kim Sh, Lim SA, Park SJ, Kim DK: Assessment oral Health-related quality of life using the Oral Health Impact Profile (OHIP). J Korean Acad Oral Health 28: 559-569, 2004.
  33. Kim HY, Lee AH, Lee SJ, Choi SH: Fourfold hardships of Korea elders, causes countermeasures. Gyeonggi Res Inst Issue Anal 120: 1-20, 2013.

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