Association of Oral Health Condition between Mothers and Their Preschool Children in Korea

어머니의 구강건강상태가 미취학 자녀의 구강건강상태에 미치는 영향

  • 천세희 (마산대학교 치위생과) ;
  • 정성화 (대구한의대학교 보건학부)
  • Received : 2013.10.01
  • Accepted : 2013.11.21
  • Published : 2013.12.31

Abstract

The objective of this study was to examine whether there is an association of oral health conditions between mothers and their preschool children in Korea. A sample of 823 preschool children and their mothers were selected for this study from the database of the fourth Korean National Health and Nutrition examination Survey. Preschool children were defined as children aged 4, 5, and 6 years old. The subjects were clinically examined for the presence of caries lesions (dft index) and their mother was checked for the presence of dental caries (DMFT index) and periodontal status (CPI). The socio-demographic characteristics and mother's oral health behaviours were considered covariates in this study. Univariate and multivariate analysis was adapted to assess the association of oral health condition between mothers and their preschool children. In univariate analysis, there were significant differences between preschool children's dft index and their mother's age (p=0.005), dental treatment demand for the past one year (p=0.034), and DMFT index (p=0.016). In multivariate analysis, only mother's DMFT index was significantly associated with their children's dft index after adjusting for covariates. In conclusion, the mother's oral health was partly associated with their preschool children's oral health in Korea.

본 연구는 국민건강영양조사 제4기 자료를 이용하여 미취학 아동의 치아우식상태와 어머니 구강건강상태와의 관련성을 파악하고자 하였다. 원시자료에서 가족 아이디 변수를 이용해 아동과 어머니를 짝짓기하여 최종 823명의 자료를 추출하였다. 통계분석은 복합표본설계를 반영하기 위하여 가중치를 고려한 분석을 실시하였으며, 어머니의 인구사회학적 특성과 구강건강행태 및 구강건강상태에 따른 자녀의 우식경험유치지수의 차이를 분석하고, 이들 간의 관련성을 알아보기 위해 다중회귀분석을 시행하였다. 분석결과, 미취학 아동의 우식경험유치지수는 어머니의 사회인구학적 특성 중 나이에 따른 차이가 통계적으로 유의하였으며 (p=0.005), 어머니의 구강건강행태 중 지난 1년 동안 치과검진 유무에 따른 차이가 통계적으로 유의하였다(p=0.034). 또한 어머니의 우식경험영구치지수에 따른 자녀의 우식경험유치지수의 차이도 통계적으로 유의하였다(p=0.016). 한편 어머니의 인구사회학적 특성과 구강건강행태를 보정한 후, 어머니와 자녀의 구강건강상태 관련성을 분석한 결과 어머니의 우식경험영구치지수는 자녀의 우식경험유치지수와 유의한 관련성이 있는 것으로 나타났다. 따라서 어머니의 구강건강상태가 양호할수록 자녀의 구강건강상태 또한 양호함을 알 수 있었다. 이러한 연구 결과는 어머니의 구강건강상태가 자녀들에게 영향을 미칠 수 있음을 보여주므로 어머니들의 구강건강상태를 향상시킬 수 있는 효과적인 구강보건교육 프로그램이 개발되어야 한다고 생각된다.

Keywords

References

  1. Alavaikko S, Jaakkola MS, Tjaderhane L, Jaakkola JJ: Epidemiology of dental caries: when structure and context matter. Braz Oral Res 26: 108-114, 2012. https://doi.org/10.1590/S1806-83242012000700016
  2. Han SJ, Hwang YS, Yoo JS, Kim YS: A study on oral health awareness, oral health behaviour and dental caries among low socio-economic status children: the cases of local children's center in Incheon. J Dent Hyg Sci 8: 147-153, 2008.
  3. Korean Ministry of Health and Welfare: The Korean National Health Nutrition Examination Survey 2007-2009. Ministry of Health and Welfare, Seoul, 2010.
  4. Jang KA, Seong MK: Subjective oral health behaviors and recognitions of children teacher with and without oral health education. J Dent Hyg Sci 9: 319-326, 2009.
  5. Lee SN, Kim ES: Comparison between early childhood teachers and mothers in perception of oral health behavior and education for children. J Dent Hyg Sci 13: 125-134, 2013.
  6. Carter N, Hill S: Dental health. Perspect Public Health 130: 252, 2010. https://doi.org/10.1177/17579139101300060303
  7. Okada M, Kawamura M, Kaihara Y, et al.: Influence of parents' oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int J Paediatr Dent 12: 101-108, 2002. https://doi.org/10.1046/j.1365-263X.2002.00338.x
  8. Nelson S, Lee W, Albert JM, Singer LT: Early maternal psychosocial factors are predictors for adolescent caries. J Dent Res 91: 859-864, 2012. https://doi.org/10.1177/0022034512454434
  9. Borges HC, Garbín CA, Saliba O, Saliba NA, Moimaz SA: Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition. Braz Oral Res 26: 564-570, 2012. https://doi.org/10.1590/S1806-83242012000600013
  10. Saied-Moallemi Z, Virtanen JI, Ghofranipour F, Murtomaa H: Influence of mothers' oral health knowledge and attitudes on their children's dental health. Eur Arch Paediatr Dent 9: 79-83, 2008. https://doi.org/10.1007/BF03262614
  11. Goettems ML, Ardenghi TM, Demarco FF, Romano AR, Torriani DD: Children's use of dental services: influence of maternal dental anxiety, attendance pattern, and perception of children's quality of life. Community Dent Oral Epidemiol 40: 451-458, 2012. https://doi.org/10.1111/j.1600-0528.2012.00694.x
  12. Dye BA, Vargas CM, Lee JJ, Magder L, Tinanoff N: Assessing the relationship between children's oral health status and that of their mothers. J Am Dent Assoc 142: 173-183, 2011. https://doi.org/10.14219/jada.archive.2011.0061
  13. Jeong Y, Kim SJ, Kim KN, Kang SJ, Do SJ: Effect of mother's education level on prevalence of dental caries among preschool children: analysis of Korea national oral health survey Korean. J Health Educ Promot 26: 117-128, 2006.
  14. World Health Organization. Oral Health surveys: basic methods. 4th ed. WHO, Geneva, pp.16-52, 1997.
  15. Han DH, Lim SY, Sun BC, et al.: The association of metabolic syndrome with periodontal disease is confounded by age and smoking in a Korean population. J Clin Periodontol 37: 609-616, 2010. https://doi.org/10.1111/j.1600-051X.2010.01580.x
  16. Watt RG, Harnett R, Daly B, et al.: Evaluating oral health promotion: need for quality outcome measures. Community Dent Oral Epidemiol 34: 11-17, 2006. https://doi.org/10.1111/j.1600-0528.2006.00257.x
  17. Chrysanthakopoulos NA, Chrysanthakopoulos PA: Association of periodontal disease with self-reported systemic disorders in Greece. Oral Health Prev Dent 11: 251-260, 2013.
  18. Genco RJ: Current view of risk factors for periodontal diseases. J Periodontol 67: 1041-1049, 1996. https://doi.org/10.1902/jop.1996.67.10s.1041
  19. Williams NJ, Whittle JG, Gatrell AC: The relationship between socio-demographic characteristics and dental health knowledge and attitudes of parents with young children. Br Dent J 193: 651-654, 2002. https://doi.org/10.1038/sj.bdj.4801652
  20. Chen MS: Children's preventive dental behavior in relation to their mothers' socioeconomic status, health beliefs and dental behaviors. ASDC J Dent Child 53: 105-109, 1986.
  21. Mattila ML, Rautava P, Sillanpaa M, Paunio P: Caries in five-year-old children and associations with family-related factors. J Dent Res 79: 875-881, 2000. https://doi.org/10.1177/00220345000790031501
  22. Sankeshwari RM, Ankola AV: Association of socio-economic status and dietary habits with early childhood caries among 3- to 5-year-old children of Belgaum city. Eur Arch Paediatr Dent 14: 147-153, 2013. https://doi.org/10.1007/s40368-013-0035-6
  23. Wierzbicka M, Petersen PE, Szatko F, Dybizbanska E, Kalo I: Changing oral health status and oral health behavior of schoolchildren in Poland. Community Dent Health 19: 243-250, 2002.
  24. Sayegh A, Dini EL, Holt RD, Bedi R: Caries in preschool children in Amman, Jordan and the relationship to sociodemographic factors. Int Dent J 52: 87-93, 2002. https://doi.org/10.1111/j.1875-595X.2002.tb00606.x