Earticle

Purpose: The purpose of this study was to investigate the relationship between periodontal disease, diabetes and chewing problems in Korean adults over the age of 19 using the 6th National Health Nutrition Survey. Methods: Data from the 6th National Health and Nutrition Survey (Ministry of Health & Welfare, 2013; 2014; 2015) were used. In this study, 17,101 adults aged 19 and older were included in the study to determine the relationship between diabetes and chewing problems in Korean adults. Results: Diabetes and chewing problems have been associated with periodontal disease. Diabetes was 0.719 times lower(p<0.001) in periodontal disease than in the case of diabetes. Chewing problem was 1.360 times(p<0.001) periodontal disease prevalence compared to ‘not at all uncomfortable’. It was found that the prevalence of periodontal disease was 2.139 times(p<0.001) compared to ‘not at all uncomfortable’. It was found that the prevalence of periodontal disease was 2.296 times higher(p<0.001) compared to ‘not at all uncomfortable’. It was found that the prevalence of periodontal disease was 2.119 times higher(p<0.001) compared to ‘not at all uncomfortable’. Conclusion: Diabetes and chewing problems were found to be related to periodontal disease, and as reported in previous studies, diabetes and chewing problems related to oral disease need to be prevented and treated with regular checkups. In addition, based on the research results, it can be used as basic data for the health business plan that can maintain and manage health.

본 연구의 목적은 특정 시점 간의 분석을 통해 우울증이 씹기 문제에 미치는 영향과 구강 보조용품의 중요성을 확인하는 것이다. 자료는 국민건강영양조사 제4기(2008, 2차년도)및 제7기(2018, 3차년도)이다. 분석방법은 SPSS /WIN 24.0 프로그램을 사용하여, 빈도 분석과 회귀 분석을 하였다. 연구 결과 우울증은 씹기 문제에 영향을 주었다 (p <.001). 만성질환과 구강 보조용품 사용도 씹기 문제에 영향이 있었고, 우울증의 유병 상태나 치료 여부도 씹기 문제 에 영향이 있었다(p <.001). 또한, 2008년에 비해 2018년에 민간의료보험 가입은 증가하였다. 향후 다양한 대상과 만성 질환을 고려한 비교 연구와 구강 보조용품의 활용을 위한 교육방법에 대한 연구가 필요하다.

The purpose of this study is to identify the effect of depression on chewing problems and the importance of oral aids through a point-in-time analysis. The data are the 4th(2008, 2nd year) and the 7th(2018, 3rd year) of the National Health and Nutrition Survey. The analysis method was frequency analysis and regression analysis using the SPSS/WIN 24.0 program. Studies have shown that depression has affected chewing problems(p <.001). Chronic diseases and the use of oral aids affected the chewing problem. The prevalence and treatment of depression affected the chewing problems(p <.001). In addition, private health insurance coverage increased in 2018 compared to 2008. In the future, the comparative studies considering various subjects and chronic diseases, the educational methods for the use of oral aids are needed.

This study was conducted to investigate the association between oral health problems, such as speech and chewing difficulties, and the status of dental treatment in adults, with a focus on understanding the relationship. Utilizing data from the 7th Korea National Health and Nutrition Examination Survey, the study analyzed a weighted sample of 13,998 adults aged 19 and above, excluding missing values. Chi-square tests and logistic regression analyses were employed for the investigation. Regarding speech problems due to poor oral health, the group responding ‘not at all uncomfortable’ had a significantly lower rate of unmet dental care needs compared to the group responding ‘very uncomfortable’, with an Odds Ratio (OR) of 2.819 (P-value: <.0001). Similarly, for chewing problems, the group responding ‘not at all uncomfortable’ had a much lower rate of unmet dental care needs compared to the ‘very uncomfortable’ group, with an OR of 7.507 (P-value: <.0001). The results of this study indicate that as the severity of speech and chewing problems due to poor oral health increases, the rate of unmet dental care needs also increases. Particularly, a strong association was observed between dental treatment and the group responding ‘very uncomfortable’. Therefore, it is suggested that systematic and policy-oriented management measures are needed to improve dental care for groups experiencing high severity in speech and chewing problems. This study aims to provide foundational data for address ing and enhancing dental care for those experiencing serious speech and chewing difficulties.

Objectives: To examine the association between chewing problems and depression in a representative sample of Korean adults. Methods: This study included 4,887 participants aged 19 years or older. Chewing problems were self-reported. Depression was measured using the PHQ-9 scale, which scored the frequency of symptoms over the last two weeks. Logistic regression analysis was used to estimate the odds ratio (OR) and 95% confidence intervals (CI). Results: There was a significant positive correlation between chewing problems and depression. Compared to those without chewing problems, participants with chewing problems had a 1.62 times higher risk of mild depression (OR=1.62; 95% CI:1.29-2.05), a 2.27 times higher risk of moderate depression (OR=2.27; 95% CI:1.52-3.38), and a 6.15 times higher risk of severe depression (OR=6.15; 95% CI:2.31-16.37). Conclusions: Results of this study indicate a significant association between chewing problems and depression. In addition, chewing problems were found to have a stronger relationship with higher severity levels of depression.

본 연구는 지역사회 거주 재가노인들 중 씹기나 삼킴 문제를 유발할 수 있는 질환의 과거력이 없는 건강한 노인들을 대상으로 그들이 자가 보고하는 씹기 문제 그리고 삼킴 문제에 대한 영향요인을 파악하고자 하였다. 조사대상은 서울 및 경기지역의 노인복지관을 이용하는 만 65세 이상 노인 170명(남자 88명, 여자 82명)이며, 평균 연령은 75.40±6.18세이었다. 이들에게서 씹기 문제는 ‘결손치가 있어서 의치를 사용’하거나 혹은, ‘결손치가 있으나 의치를 사용하지 않는’ 경우가, ‘결손치가 없어서 의치를 사용하지 않는’ 경우보다 각각 9.872배(오즈비(odds ratio, OR)=9.872, 95% 신뢰 구간(confidential interval, CI)=1.917-50.833), 8.404배(OR=8.404, 95% CI= 3.058-23.093) 높았다. 삼킴 문제와 관련하여서는 구강 건조감이 ‘있는’ 경우가 ‘없는’ 경우에서보다 6.141배(OR=6.141, 95% CI=1.973-19.112) 높았다. 본 연구를 통해 건강한 노인들에서 관찰되는 씹기 문제와 삼킴 문제에 있어서 각각 의치와 구강 건조감이 주요한 요인으로 파악되었다. 이를 토대로 향후 지역사회 거주 재가노인들을 대상으로 한 씹기 및 삼킴 문제 예방 교육 프로그램과 중재 계획을 수립하는데 기초자료를 제시하고자 한다.

The purpose of this study was to investigate the factors affecting self-reported chewing and swallowing problems among healthy community-dwelling older adults who have no history of diseases that may cause these problems. The subjects were 170 elderly individuals (88 men, 82 women) above 65 years of age (mean age=75.40±6.18 years) who were recruited from the welfare centers in Seoul and Gyeonggi province. Multiple logistic regression analyses showed that ‘missing teeth with dentures’ (odds ratio (OR)=9.872, 95% confidential interval (CI)=1.917-50.833) and ‘missing teeth without dentures’ (OR=8.404, 95% CI=3.058-23.093) were statistically associated with subjective chewing problems. Subjective mouth dryness affected swallowing problems (OR=6.141, 95% CI=1.973-19.112). In this study, denture and oral dryness were found to be major factors in chewing and swallowing problems observed in healthy elderly people. The results of this study are expected to serve as a basis for prevention and education programs.