Earticle

목적: 칫솔질은 구강 및 전신 건강을 유지하기 위한 가장 기본적인 자기관리 행동이다. 그 러나 구강노쇠(oral frailty)를 가진 노인의 경우 기능 저하로 인해 일상적인 구강위생 관리에 어려움을 겪을 수 있으며, 칫솔질 행동에 영향을 미치는 요인이 성별에 따라 어떻게 다른지에 대한 연구는 제한적이다. 본 연구는 국민건강영양조사 자료를 활용하여 구강노쇠 노인의 칫솔 질 행동과 관련된 요인을 성별에 따라 분석하고자 하였다. 방법: 국민건강영양조사 제8기(2019-2021)와 제9기(2022-2023) 자료를 이용한 단면 연구로, 구강노쇠 기준을 충족한 65세 이상 노인 1,321명을 분석 대상으로 하였다. 복합표본 설계를 고 려하여 기술통계, 복합표본 카이제곱 검정, 성별 층화 복합표본 로지스틱 회귀분석을 실시하였 다. 또한 칫솔질 기준을 하루 3회 이상으로 설정한 추가 분석을 통해 결과의 변화를 확인하였다. 결과: 구강노쇠 노인 1,321명 중 남성의 80.5%, 여성의 92.1%가 하루 2회 이상 칫솔질을 수행하였다. 남성에서는 교육수준이 높을수록(aOR=1.79) 그리고 현재 흡연자에 비해 과거 흡연자(aOR=2.78)와 비흡연자(aOR=2.69)에서 하루 2회 이상 칫솔질을 수행할 가능성이 높았다. 여성에서는 65-74세 연령(aOR=2.36), 높은 교육수준(aOR=3.35), 도시 거주(aOR=2.08)가 유 의한 관련 요인으로 나타났다. 추가 분석에서는 여성에서 교육수준과 도시 거주가 지속적으로 유의하였으며 당뇨병 여부가 새로운 관련 요인으로 확인되었다. 결론: 구강노쇠 노인의 칫솔질 행동은 성별에 따라 차이를 보였으며 교육수준, 건강행태 및 생활환경 요인과 관련된 것으로 나타났다. 따라서 구강건강 문해력 향상과 행동 유지 지원, 지역 간 건강격차 완화를 고려한 성별 맞춤형 구강건강 증진 전략이 필요하다.

Objectives: Toothbrushing is a fundamental self-care behavior essential for maintaining oral and systemic health. However, among older adults with oral frailty (OF), functional decline may hinder daily oral hygiene practices. Evidence on how factors associated with toothbrushing behavior differ by sex in this population remains limited. This study aimed to identify factors associated with toothbrushing behavior among Korean older adults with OF using nationally representative data from the Korea National Health and Nutrition Examination Survey (KNHANES, 2019-2023), stratified by sex. Methods: We analyzed KNHANES data for adults aged ≥65 years who met the criteria for OF, defined using a three-item operationalization based on the D-E-N-T-A-L screening tool (tooth/mouth pain, chewing difficulty, and no dental examination in the past year; score ≥3). Toothbrushing frequency was categorized as ≥2 times/day versus <2 times/day. An additional analysis applied a ≥3 times/day threshold. Complex-sample logistic regression analyses were conducted separately for men and women, adjusting for ociodemographic and health-related variables. Results: Among 1,321 older adults with OF, 80.5% of men and 92.1% of women brushed their teeth ≥2 times per day. In men, higher education (aOR 1.79, 95% CI: 1.03-3.11) and non-smoking status (former: aOR 2.78; never: aOR 2.69) were associated with brushing ≥2/day. In women, younger age (65-74 years) (aOR 2.36), higher education (aOR 3.35), and urban residence (aOR 2.08) were significantly associated with brushing ≥2/day. In the additional analysis, no variables were significantly associated with high-frequency toothbrushing among men. Among women, higher education and urban residence remained significant, and diabetes mellitus was additionally associated with high-frequency toothbrushing. Conclusions: Toothbrushing behavior among older adults with OF differed by sex and was associated with educational level, health behaviors, and contextual factors. These findings highlight the need for sex-responsive oral health promotion strategies that strengthen oral health literacy, support behavior maintenance, and address structural disparities.

본 연구는 치경부 마모 환자의 칫솔질 방법 교육에 따른 효과 및 행동 변화를 분석하고자 시행하였다. 연 구방법은 준실험 연구이며, 연구 대상은 경남 소재 치과의료기관에 내원한 자 중 치경부 마모증이 있는 대상자 21 명이며, 설문조사 후 12주 동안의 칫솔질 방법 교육을 시행하였으며, 칫솔질 교육 후 설문지를 통하여 칫솔질 방 법의 행동 변화를 관찰하고자 하였다. 자료분석은 SPSS를 이용하여 실시하였으며 분석 결과 칫솔질 방법 교육 전과 후의 구강건강행동지수가 증가하였다. 특히 칫솔질 시기 및 횟수, 강도, 방향, 구강위생보조용품의 사용률이 증가하였다. 치과의료기관 내원 대상자들의 구강 건강관리에 대한 행동 의지는 전문가에 의한 동기 유발 및 행동 변화가 중요하다고 판단되며, 치과위생사가 구강관리교육에 대한 중요성을 이해하고, 대상자의 행동 변화를 유도 할 수 있는 의지가 필요하다. 치경부 마모 환자를 대상으로 반복적인 칫솔질 방법을 통해 행동 변화를 유도함으로 써 자가 구강 건강관리가 될 수 있을 것으로 생각된다.

This study was conducted to analyze the effects and behavioral changes of teeth brushing method education in patients with cervical abrasion. The study participants consisted of 21 individuals with cervical abrasion who visited dental clinics located in Gyeongnam. After conducting a survey, a 12-week toothbrushing method education program was implemented. Data analysis was performed using SPSS, and the results indicated an increase in the OHB index before and after the toothbrushing method education. Specifically, there was an increase in the timing and frequency of toothbrushing, as well as the intensity, direction, and usage rate of oral hygiene adjuncts. Based on a comprehensive analysis of the study results, it is believed that the willingness of patients visiting dental healthcare institutions to practice oral health is influenced by motivation and behavior changes induced by professionals. Therefore, it is important to raise awareness of oral care education among dental hygienists and to foster the willingness of patients to change their behaviors.

본 연구는 대학생(국내 및 국외)의 칫솔질 행태와 구강건강상태의 관련성을 SPSS WIN 12.0 분석한 결과 유의성이 있는 결과를 얻었다. 연령은 20-23세에서 성별은 여성이 올바른 칫솔질 형태가 높게 나타났다. 대학생(국내 및 국외)은 국내 대학생이 3번 이상 칫솔질, 점심 후 칫솔질, (치아, 잇몸, 혀) 닦는 경우, 3개월 안에 칫솔교체, 칫솔갯수 3개 이상, 칫솔질 교육을 받은 경우 높았다. Decayed Teeth index는 외국인 유학생, 점심 후 칫솔질과 칫솔질 교육이 ‘무’, 치약 선택 시 고려가 높았고 Filled Teeth index는 20-23세, 여학생, 국내 대학생, 3번 이상 칫솔질, 점심 후 칫솔질과 칫솔질 교육이 ‘무’가 높았다. Missing Teeth index는 20-23세, 3개월 안에 칫솔교체가 낮았다. 다중회귀분석 결과 Y(DT index)=4.541-1.074(여성)+2.359(외국인 유학생)로 분석되었다. 따라서 대학생의 구강건강 증진을 위해 올바른 칫솔질행태에 대한 체계적인 교육이 이루어져야 할 것이다.

This study, As a result of the SPSS WIN 12.0 analysis, significant results were obtained the relationship between tooth brushing behaviors and oral health status of college students (domestic and overseas). If age was 20-23 years old and women were high the correct toothbrushing behaviors. If domestic students was higher in more than 3times toothbrushing, toothbrushing after lunch, toothbrushing, toothbrush replacement within 3months, toothbrush more than 3, received toothbrushing education. Decayed Teeth index is higher if foreign student, toothbrushing after lunch and receive toothbrushing education is ‘no', consider selecting toothpaste. Filled Teeth index is higher if the 20-23 years old, female, domestic students, more than 3times toothbrushing, toothbrushing after lunch and receive toothbrushing education is 'no'. Missing Teeth index is the lowest if 20-23 years, toothbrush replacement within 3months. Results were analyzed by multiple regression Y(Decayed Teeth index)=4.541-1.074((Female)+2.359(foreign students). Therefore, this should be made systematic training on proper toothbrushing behavior to improve the oral health of university students.

The purpose of this study was to examine the relationship of the drinking of college students to their dietary habits and toothbrushing behavior in some areas. It’s specifically meant to investigate the dietary habits, snack intake, toothbrushing method and toothbrushing frequency of college students and their length of toothbrush use in a bid to suggest some of the right directions for dietary habits and dietary control and facilitate research efforts about the right toothbrushing and oral care. The subjects in this study were 246 students in some regions, on whom a survey was conducted. The collected data were analyzed with a SPSS 10.0 program. 58.5 percent of the students investigated had meals irregularly (p<.01), and 50 percent occasionally ate between meals. As for a favorite type of snack, 39 percent had a liking for crackers or biscuits. Regarding toothbrushing method, the largest group that accounted for 28 percent used a rolling method or rub method. As to the average length of toothbrushing, 51.2 percent spent less than three minutes (p<.05).

Objectives : The purpose of this study was to examine the toothbrushing practice behavior of preschool children by observing children's actual toothbrushing behavior and further to offer basic data available for being reflected in direction and goal establishment of the systematic and organized oral health education in consideration of individual characteristic. Methods : It targeted 225 preschool children from May 6, 2010 to June 8, and analyzed by having the survey results of totally 208 people, except 17 who are noncooperative with the observation survey. As for the collected materials, it carried out frequency analysis and $x^2$-test in order to grasp subjects' general characteristics and toothbrushing practice behaviors and to examine correlation, by using SPSS 12.0 for window. Results : 1. A grasp of toothbrush was indicated 47.1% for "proper" and 52.9% for "improper." The position of holding a toothbrush was indicated to be the highest with 59.6% for "the center in grip." 2. Toothpaste amount was indicated to be 49.0% for" tip in toothbrush, "followed by 38.9% for "half in toothbrush" and 12% for "every side of toothbrush" in order. Significant difference was shown according to age($x^2$=19.125. p<.05). 3. Average toothbrushing time per once was surveyed to be $106{\pm}56$ seconds. 4. As for a toothbrushing method by region, the labial and the baccal surface were indicated to be horizontal scrub with 63% and fones method 11.5%. Significant difference was shown according to gender($x^2$=10.275. p<.05). The anterior lingual surface wasn't washed with 72.6%. Significant difference was shown according to appearance of education($x^2$=6.056. p<.05). 5. A case of requiring exchange because of being widened toothbrush was indicated to be 59.2%. The toothbrush replacement in the highest ratio was needed in kindergarten teachers. Conclusions : The actual toothbrushing practice attitude of preschool children was surveyed to be not right as a whole such as toothbrushing time, toothbrushing method, toothpaste amount, and replacement of toothbrush. Accordingly, the oral health education will need to be performed in order for a change into positive attitude and for improvement in practice level. In addition, it is considered to be likely necessary for development in substantial oral health educational program available for enhancing knowledge level of oral health care in mothers and kindergarten teachers.