한 광역시 성인의 구강건강상태 자가 인식 관련요인

Abstract

To find the factors associated with self-perception on oral health state of adults whose age were nineteen years or more in a metropolitan city, an analysis was performed utilizing 2008 community health survey data collected for two months from the September first 2008. Thirty trained interviewers collected data from 4,433 persons(2,023 male and 2,410 female) representing adults of the city at their residencies, and recorded the responses at the standardized questionnaire schedule. To represent true age and sex distribution of the whole resident population as of July 31st 2008, collected data were transformed by using weighted value. The results of stepwise multiple logistic regression from transformed data are as follows: 1. It was analysed that general characteristics as independent variables, age, educational level, kind of medical security and marital status were associated with self-perception on oral health state. The older the subjects(60 years old or more), the higher the odds ratio of bad self-perception for the oral health status. The beneficiaries of medical assistance from the government and persons living alone without spouse due to divorce, separation or death showed significantly higher odds ratio of bad self-perception on the oral health status than medical insurance beneficiary or single subjects. The subjects who were senior high school graduates or college graduates showed lower odds ratio compared to graduates from elementary school. 2. It was analysed that general characteristics and health behaviors as independent variables, sex, age, educational level, kind of medical security, marital status, smoking status, frequency taking fruits or vegetables, cognition of stress and performance of tooth brushing after lunch were associated with self-perception on oral health. Female, elderly persons whose age were 50 years old or more, persons who have spouse, past smoker and present smoker, cognizers of severe stress showed significantly higher odds ratio of bad self-perception on oral health status than males, young persons, singles in marital status, non-smokers, non-cognizers of stress. Senior high school graduates or college graduates, and subjects who ate fruits or fresh vegetables 1-2 times a day and brushed their teeth after lunch showed significantly lower odds ratio of bad self-perception for the oral health status. 3. It was analyzed that general characteristics, health behaviors and dental complaints as dependent variables, sex, age, educational level, smoking status, frequency taking fruits or vegetables, severe cognizer for stress, chewing difficulty, pronouncing difficulty, total dental loss and user of artificial denture were associated with self-perception on the oral health state.