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Evaluation of oral hygiene status in children of North Korea refugees families

북한이탈가정 어린이의 구강위생상태 평가

  • So-Yeong Kim (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Seong-Woo Choi (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 김소영 (조선대학교 의과대학 예방의학교실) ;
  • 최성우 (조선대학교 의과대학 예방의학교실)
  • Received : 2023.02.06
  • Accepted : 2023.03.20
  • Published : 2023.04.30

Abstract

Objectives: This study was conducted to identify the oral hygiene status of children and adolescents from North Korean (NK) refugee families residing in South Korea (SK) and to find ways to improve it. Methods: This study examined 88 children in NK refugee families. Their oral hygiene ability were estimated using the Patient Hygiene Performance (PHP)-index for children. The Independent Samples t-test and one-way ANOVA were conducted on the oral hygiene status according to the characteristics of children of NK refugees, and covariance analysis was conducted by controlling for significant variables in the simple analysis. Statistical significance levels were set at than p<0.05. Results: The overall PHP-index of normal, poor, and severe poor were 14.8%, 5.7%, and 79.5%, respectively. Adjusted for sex, age, country of birth, duration of settlement, covariance analysis was performed to determine the PHP-index according to oral examination. PHP-index was 3.55±1.56 when the oral examination was conducted and 4.26±0.98 when the oral examination was not conducted; this difference was significantly (p=0.022). Conclusions: Children and from NK refugee families have severely poor oral hygiene. Therefore, education to improve the oral hygiene status is necessary.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2021R1I1A1A01054921).

References

  1. Kim SY, Park SY, Choi SW. Comparison of malnutrition status in preschool children between North Korean refugee families and South Korean families. J Health Info Stat 2020;45(3):255-60. https://doi.org/10.21032/jhis.2020.45.3.255
  2. Ministry of Unification. Current status of North Korean refugee entry [Internet]. Ministry of Unification; 2022[cited 2022 Jun 22]. Available from: https://www.unikorea.go.kr/unikorea/business/statistics/.
  3. Choi SW. Growth and nutritional status of children in North Korean refugee families. J Korean Soc Matern Child Health 2020;24(2):96-101. https://doi.org/10.21896/jksmch.2020.24.2.96
  4. Lee SL. Convergence factors of influencing subjective happiness of oral health characteristics in adolescents: the 16th (2020) Korea Youth Risk Behavior Survey. J Korea Convergence Soc 2021;12(11):127-34.https://doi.org/10.15207/JKCS.2021.12.11.127
  5. Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick B, Ezeh AC, et al. Adolescence: a foundation for future health. The Lancet 2012;379(9826):1630-40. https://doi.org/10.1016/S0140-6736(12)60072-5
  6. Jeong HJ, Kim YH, Yun JW, Oh SH, Yoon HS, Lee MK, et al. The effect of general health status, oral health behavior and status on quality of life In Korea adults. J Korean Acad Oral Health 2020;44(3):158-65. https://doi.org/10.11149/jkaoh.2020.44.3.158
  7. Han SJ, Hwang YS, Yoo JS, Kim YS. A study on oral health awareness, oral health behavior and dental caries among low socio-economic status children: the cases of local children's center in Incheon. J Dent Hyg Sci 2008;8(3):147-53.
  8. Lee HN, Kim JH. The effect interdental brush education on the dental plaque index and the degree of halitosis for elementary school students. J Korean Bio lNurs Sci 2014;16(1):8-16. https://doi.org/10.7586/jkbns.2014.16.1.8
  9. Sim YS, Kim HW, Kim EH, An SY. The effect of oral health education on PHP Index. J Korean Soc Sch Health 2014;27(1):1-6. https://doi.org/10.15434/kssh.2014.27.1.001
  10. Kim YS. The influence of community oral hygiene promotion program on oral hygiene practice behavior in children. J Korean Soc Dent Hyg 2015;15(6):1083-90. https://doi.org/10.13065/jksdh.2015.15.06.1083
  11. Riggs E, Gibbs L, Kilpatric N, Gussy M, Gemert CV, Ali S, et al. Breaking down the barriers: a qualitative study to understand child oral health in Refugee and migrant communities in Australia. Ethn & health 2015;20(3):241-57. https://doi.org/10.1080/13557858.2014.907391
  12. Riggs E, Yelland J, Duell-piening P, Brown SJ. Improving health literacy in refugee populations. Med J Aust 2016;204(1):9-10. https://doi.org/10.5694/mja15.01112
  13. Lee MJ, Kim HN, Cho DB, Kim SY. Overview of healthcare system in North Korea. J Korean Med Assoc 2013;56(5):358-67. https://doi.org/10.5124/jkma.2013.56.5.358
  14. Jeon KH, Lee SY. Evaluation of customized oral health promotion program for North Korean defector. J Korean Acad Oral Health 2018;42(4):109-17. https://doi.org/10.11149/jkaoh.2018.42.4.109
  15. Kim HM, Jeong MA. Scoping review on the oral health education studies for North Korean defectors in South Korea. Jour. of Ko Con. a 2021;21(5):367-75. https://doi.org/10.5392/JKCA.2021.21.05.367
  16. Cote S, Geltman P, Nunn M, Lituri K, Henshaw M, Garcia RI. Dental caries of refugee children compared with US children. Pediatrics 2004;114(6):733-40. https://doi.org/10.1542/peds.2004-0496
  17. Lee JM, Hwang SY. Identifying factors affecting the adaptation of North Korean refugees in South Korea. Soc Welf Policy 2008;1(33):61-84. https://doi.org/10.15855/swp.2008.33.61
  18. Beak HJ, Khil EB. The acculturtaion of the youths refugees from North Korea in South Korea: focused on the influential factors of the adaption. J Future Orient YouthSoc2008;5(4):221-40.
  19. Tonetti MS, Bottenberg P, Conrads G, Elckholz P, Heasman P, Huysmans MC, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing -consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol 2017;44(18):135-44. https://doi.org/10.1111/jcpe.12681
  20. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res 2015;94(5):650-8. https://doi.org/10.1177/0022034515573272
  21. Palenstein Helderman WH, Amerongen JP, Bittermann D, Strijp AJ, Amerongen WE. Caries: diagnostics, monitoring and guidance in good oral health behaviour. A reorientation. Ned Tijdschr Tandheelkund 2021;118(7-8):360-7.
  22. Riatto SG, Montero J, Perez DR, Castano-Seiquer A, Dib A. Oral health status of Syrian children in the refugee center of melilla, spain. Int J Dent 2018;2018:1-7. https://doi.org/10.1155/2018/2637508
  23. Solyman M, Schmidt-Westhausen AM. Oral health status among newly arrived refugees in Germany: a cross-sectional study. BMC Oral Health 2018;18(1):132. https://doi.org/10.1186/s12903-018-0600-9
  24. Ministry of Unification. Policy on North Korean Defectors [Internet]. Ministry of Unificaition; 2022[cited 2022 Dec 16]. Available from: https://www.unikorea.go.kr/eng_unikorea/relations/statistics/defectors/.
  25. Geltman PL, Adams JH, Cochran J, Doros G, Rybin D, Henshaw M, et al. The impact of functional health literacy and acculturation on the oral Health status of Somali refugees living in Massachusetts. Am J Public Health 2013;103(8):1516-23. https://doi.org/10.2105/AJPH.2012.300885
  26. Jeong MA. Development of the oral health education program for North Korea defectors in South Korea. Jour. of KoCon.a 2021;21(6):791-803.https://doi.org/10.5392/JKCA.2021.21.06.791
  27. Ministry of Unification. Hanawon 20th anniversary medical seminar: the 7th hanaclinic seminar. Ministry of Unification and Hanawon; 2019[cited2022Dec17]. Available from: https://unibook.unikorea.go.kr/libeka/elec/20190800000000097.pdf.
  28. Jeong YH, Park JH, Cho MS, Ha JE, Kim MJ. Improvements in the performance of oral hygiene according to the contents of oral health Education for preschool children. JKoreanOralHealthSci2017;5(2):22-7.
  29. Song KH, Kim HJ. A study on the effect of oral health education by PHP on elementary school students. J Korean Acad Dent Hyg 2021;13(1):37-46.
  30. Heilmann A, Tsakos G, Watt RG. Oral Health Over the Life Course. In: a life course perspective on health trajectories and transitions. Edited by Burton-Jeangros C, Cullati S, Sacker A, Blance D: Springer. 2015:39-59.
  31. Colack H, Dulgergil CT, Dalli M, Hamidi MM. Early childhood caries update: a review of causes, diagnoses, and treatments. J Nat Sci Biol Med 2013;4(1):29-38. https://doi.org/10.4103/0976-9668.107257
  32. Tinanoff N, O'sullivan DM. Early childhood caries; overview and recent findings. Pediatric Dent 1997;19(1):12-6.
  33. Tonmukayakul U, Sia KL, Gold L, Hegde S, De Silva AM, Moodie M. Economic models of preventive dentistry for Australian children and Adolescents: a systematic review. Oral Health Prev Dent 2015;13(6):481-95. https://doi.org/10.3290/j.ohpd.a35005
  34. Willis MS, Bothum RM. Oral hygiene knowledge and practice among Dinka and Nuer from Sudan to the U.S. J Dent Hyg 2011;85(4):306-15.