우리나라 노인의 만성질환경험과 구강건강상태 및 행태와의 관련성

• Published in: Han'guk Ch'iwisaeng Hakhoe chi Vol. 18; no. 1; pp. 65 - 75
• Main Authors: 한여정, Yeo-jung Han, 홍선화, Sun-hwa Hong, 유미선, Mi-sun Yu
• Format: Journal Article
• Language: Korean
• Published: 한국치위생학회 28.02.2018
• Subjects: Chronic disease; Elderly; Oral health; Related factors; 관련 요인; 구강건강; 노인; 만성질환; 치의학
• ISSN: 2287-1705; 2288-2294
• DOI: 10.13065/jksdh.2018.18.01.65

Objectives: This study aims to contribute to the prevention of dental diseases and health care in the elderly by investigating the relationship among the experiences of chronic diseases, dental health status, and the behaviors in the Korean elderly people. Methods: A total of 2,856 elderly people aged 65 or older were selected as the final analysis subjects using data from the 6th National Health and Nutrition Examination Survey (2013-2014). Chronic diseases were defined as ‘cardiocerebrovascular diseases’, ‘diabetes’, ‘chronic respiratory diseases’, and ‘cancer’ diagnosed by the doctors. For the statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to investigate the relationship among the experiences of chronic diseases, general characteristics, dental health status, and the behaviors in the Korean elderly. Finally, logistic regression analysis was performed to investigate the relationship among the experiences of chronic diseases, dental health status, and the behaviors. Results: The prevalence of Cardiocerebrovascular diseases was significantly higher in the 3-4 group of community periodontal index with the score of 1.36 (95% CI 1.03-1.00) than in the 0-2 group. The prevalence of Cardiocerebrovascular diseases was significantly higher in the group without dental examination during the past one year with the score of 1.29 (95% CI 1.00-1.66). The prevalence of diabetes was significantly higher in the uncomfortable speaking state group with the score 1.46 (95% CI 1.12-1.91). The prevalence of cancer was significantly higher in the partial denture needs group with the score 1.67 (95% CI 0.98-2.83). Conclusions: Regular dental examinations and dental health care for the elderly with chronic diseases showed that periodontal health and residual teeth could be maintained and managed. Therefore, continuous customized dental health services should be implemented for the elderly with chronic diseases.