DOI QR코드

DOI QR Code

Oral health literacy among foreign residents in South Korea

국내 거주 외국인의 한국형 구강건강정보 이해능력

  • Kim, Hyun-Kyung (Department of Dental Hygiene, Graduate School, Yonsei University) ;
  • Jeong, Ju-Hui (Department of Dental Hygiene, Graduate School, Yonsei University) ;
  • Noh, Hie-Jin (Department of Dental Hygiene, Graduate School, Yonsei University)
  • 김현경 (연세대학교 일반대학원 치위생학과) ;
  • 정주희 (연세대학교 일반대학원 치위생학과) ;
  • 노희진 (연세대학교 일반대학원 치위생학과)
  • Received : 2016.11.07
  • Accepted : 2016.12.01
  • Published : 2016.12.30

Abstract

Objectives: This study was conducted to evaluate the oral health literacy of foreign students in Korea regarding their utilization of dental clinic services and oral care products. Methods: This study measured the oral health literacy through a self-administered questionnaire that were distributed among 145 foreign students in Seoul and 153 Korean students in Wonju, Gangwon province. The questionnaire is used to assess the oral health literacy with a total of 92 questions including 30 questions on linguistic oral health literacy, and 40 questions on functional oral health literacy (sentence translation ability 27 questions, document decoding ability 13 questions), and 22 questions on the general characteristics. The collected data were analyzed by frequency test, ${\chi}^2$, independent t-test, and ANOVA with p-value of <0.05 was considered statistically significant. Results: The linguistic oral health literacy awareness score was doubly lower in foreign students $20.5{\pm}22.4%$ than Korean students $53.9{\pm}18.4%$ (p<0.05), three words were not statistically significant with less than 10% of all the foreign and Korean students. Correct answer rate of sentence translation ability was statistically significant in all questions by foreign students $26.7{\pm}27.1%$ and Korean students $99.0{\pm}2.3%$ (p<0.05). Correct answer rate of document decoding ability showed a relatively small difference between foreign students and Korean students with $54.7{\pm}33.1%$ and $87.3{\pm}8.7%$, respectively, but it was statistically significant in all questions (p<0.05). Oral health literacy according to residence period and Korean language class level of foreign students were the most correlated among the other variables (p<0.05). Conclusions: Dental terminology was difficult for ordinary people to understand regardless of the Korean language proficiency levels, so it is recommended and needed to express dental clinical terms in simple layman's term or to use illustrations to dental patients. In case of foreign residents in Korea, interpretation services are needed. Additionally, labels and instructions of oral hygiene products retailed in Korea with the consideration for foreigners are required.

Keywords

References

  1. Korean Statistical Information Service. A survey on resident foreigners in Korea[internet]. [cited 2016 Jul 26]. Available from: http://www.index.go.kr/potal/enaraIdx/idxField/userPageCh.do?idx_cd=2756
  2. Korea Health Industry Development Institute (KHIDI). Statistics on foreign patients in 2016 [internet]. [cited 2016 Jul 26]. Available from: https://www.khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid=B301&cat_bbsid=&bbs_seq=442&jkey=&jword=&pg=1&htxt_code= null&wj_vcs=&reverseNum=0&forwardNum=0
  3. Kim HR, Yeo JY, Jeong JJ, Baek SH. Health status of marriage immigrant women and children from multicultural families and health policy recommendations (2012-10). Seoul: Korea Institute of Health and Social Affairs.
  4. Li CY, Lee OC, Shin GS, Li XW. Health literacy and health status of Korean-Chinese elderly people living in yanbian, China. J Korean Acad Nurs 2009;39(3):386-92. https://doi.org/10.4040/jkan.2009.39.3.386
  5. Mabachi NM, Cifuentes M, Barnard J, Brega AG, Albright K, Weiss BD, et al. Demonstration of the health literacy universal precautions toolkit: lessons for quality improvement. J Ambul Care Manage 2016;39(3):199-208. https://doi.org/10.1097/JAC.0000000000000102
  6. Heinrich C. Health literacy: the sixth vital sign. J Am Acad Nurse Pract 2012;24(4):218-23. https://doi.org/10.1111/j.1745-7599.2012.00698.x
  7. Shin SH. The oral health behaviors and knowledges of some foreign workers. J Korean Acad Oral Health 2011;35(4):474-85.
  8. Horowitz AM, Kleinman DV. Oral health literacy: the new imperative to better oral health. Dent Clin North Am 2008;52(2):333-44. https://doi.org/10.1016/j.cden.2007.12.001
  9. Lee JY, Rozier RG, Lee SY, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD-30-a brief communication. J Public Health Dent 2007;67(2):94-8. https://doi.org/10.1111/j.0022-4006.2007.00021.x
  10. Richman JA, Lee JY, Rozier RG, Gong DA, Pahel BT, Vann WF Jr. Evaluation of a word recognition instrument to test health literacy in dentistry: the REALD-99. J Public Health Dent 2007;67(2):99-104. https://doi.org/10.1111/j.0022-4006.2007.00022.x
  11. Gong DA, Lee JY, Rozier RG, Pahel BT, Richman JA, Vann WF, Jr. Development and testing of the Test of Functional Health Literacy in Dentistry (TOFHLiD). J Public Health Dent 2007;67(2):105-12. https://doi.org/10.1111/j.0022-4006.2007.00023.x
  12. Ju HJ, Oh HW, Lee HS. A cross-sectional study on oral health literacy and its influencing factors among adults: II. Functional oral health literacy. J Korean Acad Oral Health 2013;37(2):81-8. https://doi.org/10.11149/jkaoh.2013.37.2.81
  13. Lee BY, Kim YH. Association between oral health literacy and oral health behaviors of adults in Korea. Health and Social Science 2014;37:87-102.
  14. Kim HK, Noh HJ, Jung IH, Chung WG, Lee Y, Mun SJ, et al. Development of test for Korean functional health literacy in dentistry. J Korean Soc Dent Hyg 2016;16(3):355-62. https://doi.org/10.13065/jksdh.2016.16.03.355
  15. Kim HK. Development of oral health literacy instrument for foreigners in Korea[Masters thesis]. Wonju: Univ. of Yonsei, 2014.
  16. Khan K, Puby B, Goldblatt RS, Schensul JJ, Reisine S. A pilot study to assess oral health literacy by comparing a word recognition and comprehension tool. BMC Oral Health 2014;14:135-45. https://doi.org/10.1186/1472-6831-14-135
  17. Helitzer D, Hollis C, Sanders M, Roybal S. Addressing the "other" health literacy competencies-knowledge, dispositions, and oral/aural communication: development of TALKDOC, an intervention assessment tool. J Health Commun 2012;17(3):160-75. https://doi.org/10.1080/10810730.2012.712613
  18. Lee TW, Kang SJ. Health literacy in Korean elderly and influencing factors. Journal of the Korean Gerontological Soc 2008;28(4):847-63.
  19. Addy M. Oral hygiene products: potential for harm to oral and systemic health? Periodontol 2000 2008;48:54-65. https://doi.org/10.1111/j.1600-0757.2008.00253.x
  20. Lee SH, Chang, KH, Han HS, Park BK, Kim SS. The relationship of health literacy of female married migrants in Busan with their attitudes toward health. J Women's Stud 2012;22(1):165-200.
  21. Yang SJ. Health status, health care utilization and related factors among Asian immigrant women in Korea. J Korean Public Health Nurs 2010;24(2):323-35.

Cited by

  1. 일부 외국인 여성의 구강보건지식, 구강보건행태, 구강건강문해력의 융합적 관계 vol.10, pp.4, 2019, https://doi.org/10.15207/jkcs.2019.10.4.057