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Effects of the Dental Preventive Health Services for Children on Oral Health-Related Quality of Life

서울시 학생치과주치의 사업이 구강 건강과 관련된 삶의 질에 미치는 영향

  • Song, Ji-Soo (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Chung, Ho-Chung (Data Science Team, Kai-i company) ;
  • Im, Dae-Keun (Data Science Team, Kai-i company) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University)
  • 송지수 (서울대학교 치의학대학원 소아치과학교실) ;
  • 정호정 (카이아이컴퍼니, 데이터분석팀) ;
  • 임대근 (카이아이컴퍼니, 데이터분석팀) ;
  • 김영재 (서울대학교 치의학대학원 소아치과학교실)
  • Received : 2020.07.06
  • Accepted : 2020.07.31
  • Published : 2020.11.30

Abstract

The purpose of this study was to investigate the effects of public preventive dental healthcare services named the "Dental Preventive Health Services for Children" (DPHSC) on oral health-related quality of life (OHRQoL) in Korean children. Of the total 20,802 beneficiaries in 2018, 110 10-year-old elementary school students were randomly selected and were requested to complete a survey using the Korean version of Child Oral Health Impact Profile (COHIP) questionnaire before and after participating in DPHSC. Overall, 107 participants completed the pre- and post-survey. COHIP scores and clinical results such as numbers of decayed and missing teeth, malocclusion, and oral hygiene status from dental examination were statistically analyzed and the reliability and the validity of the responses were verified. There was a significant clinical increase in mean overall COHIP scores following DPHSC (p < 0.001, effect size 1.05). Children with decayed and missing teeth demonstrated poor OHRQoL. In conclusion, DPHSC can improve the OHRQoL of 10-year-old children.

이 연구의 목적은 서울시 학생치과주치의 사업이 구강 건강과 관련된 삶의 질에 미치는 영향을 확인하는 것이다. 2018년 사업의 전체 대상자인 20,802명 중 무작위로 선정된 110명의 10세 초등학생들을 대상으로 하였으며, 사업 시행 전과 후에 Child Oral Health Impact Profile (COHIP) 설문 문항을 작성하도록 하였다. 사업 전후 설문을 모두 작성한 107명의 어린이들을 대상으로, COHIP 점수와 우식 치아의 수, 결손 치아의 수, 부정교합, 구강위생상태와 같은 임상검사 결과들이 분석되었으며, 응답의 신뢰도와 타당도가 확인되었다. COHIP 점수는 사업 시행 후 증가되었으며(p < 0.001, effect size 1.05), 우식 치아와 결손 치아가 있는 어린이들은 낮은 COHIP 점수를 보였다. 결론적으로, 서울시 학생치과주치의 사업은 10세 초등학생들의 구강 건강과 관련된 삶의 질에 긍정적으로 기여할 수 있다.

Keywords

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