Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지

The Effects of Perceived Stress on Dietary Habits and Oral Health Behaviors in Korean Adolescents

우리나라 청소년의 스트레스 인지수준이 식습관 및 구강건강행태에 미치는 영향

  • Lee, Min-Young (Department of Preventive Medicine, Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine) ;
  • Choi, Eun-Mi (Department of Dental Hygiene, Kyungdong University) ;
  • Chung, Won-Gyun (Department of Dental Hygiene, Yonsei University Wonju College of Medicine) ;
  • Son, Jung-Hui (Department of Dental Hygiene, Daewon University College) ;
  • Chang, Sei-Jin (Department of Preventive Medicine, Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine)
  • 이민영 (연세대학교 원주의과대학 예방의학교실, 직업환경의학연구소) ;
  • 최은미 (경동대학교 치위생학과) ;
  • 정원균 (연세대학교 원주의과대학 치위생학과) ;
  • 손정희 (대원대학교 치위생과) ;
  • 장세진 (연세대학교 원주의과대학 예방의학교실, 직업환경의학연구소)
  • Received : 2013.11.05
  • Accepted : 2013.11.28
  • Published : 2013.12.31
⟨ Previous Next ⟩

Abstract

The purpose of this study was to analyze the effects of perceived stress on dietary habits and oral health behaviors in Korean adolescents. Data were from the Korea Youth Risk Behavior Web-based Survey (KYRBS) in 2011. A total of 74,186 adolescents were surveyed using the self-administered questionnaire. Logistic regression analyses were performed to elucidate the effects of perceived stress on dietary habits and oral health behaviors. Statistical analyses were conducted, and p<0.05 were considered significant. We found that adolescents with higher stress were more likely to increase the risk of adverse dietary habits (low consumption of fruits, vegetables and milk, high consumption of carbonated soft drinks, fast food and cookie) compared to those with lower stress. Regarding the relationship between perceived stress and oral health behaviors, adolescents with higher stress were less likely to practice oral health behaviors such as brushing teeth after snack consumption and brushing teeth before sleep compared to those with lower stress. This result indicates that adolescents' perceived stress might play a significant role in the negative dietary habits and oral health behavior.

전국 대표성 있는 표본조사인 청소년건강행태온라인조사를 활용하여 청소년의 스트레스와 구강건강관련 행태의 관련성을 살펴본 결과는 다음과 같다. 첫째, 스트레스를 '대단히 많이' 또는 '많이' 느끼는 학생은 전체의 41.9%이며, 80% 이상이 스트레스를 경험하였다. 둘째, 경제상태가 상위계층일수록 연간 구강진료 경험, 간식 후 칫솔질, 잠자기 전 칫솔질 실천 가능성이 유의하게 높았다. 또한 어머니의 교육수준, 가족풍요도 척도가 높을수록 과일, 채소반찬, 우유의 섭취빈도, 연간 구강진료 경험이 높았다. 셋째, 스트레스가 높은 청소년은 과일, 채소반찬, 우유섭취 실천 가능성이 유의하게 낮았고, 탄산음료, 패스트푸드, 과자섭취는 유의하게 증가하였다. 또한 간식 후 칫솔질, 잠자기 전 칫솔질 실천 가능성이 유의하게 낮았다. 청소년의 구강건강에 위험요인으로 작용하는 생활습관들을 개선하는 데 있어 스트레스와 같은 사회심리적인 부분도 고려되어야 할 것이다. 또한 과도한 스트레스는 청소년의 부정적인 식습관을 조장하게 되므로, 청소년들의 적절한 스트레스 관리를 도모하고 과일이나 야채 등 섬유소가 풍부한 식품, 치아의 경조직 석회화를 촉진시키는 우유 및 유제품을 권장하며, 점착도가 높은 우식성 식품섭취는 감소시키기 위한 노력이 필요하다. 더불어 간식섭취 후 칫솔질 실천율은 21%로 낮아 이에 대한 교육도 강화할 필요가 있다.

Keywords

References

  1. Noh HJ, Choi CH, Sohn WS: The relationship between oral health behavior and frequency of oral health education in adolescent. J Korean Acad Dent Health 32: 203-213, 2008.
  2. Lee SH, Ju HJ, Park SY, Oh HW, Lee HS: Dental health capacity of the first permanent molars among children and adolescents in Korea for the year 2010. J Korean Acad Dent Health 37: 103-109, 2013. https://doi.org/10.11149/jkaoh.2013.37.2.103
  3. Baek HJ, Na CH, Jeong SH, Ahn SH, Choi YH, Song KB: Analysis of newly formed dental caries and food intake pattern among adolescence over three years. J Korean Acad Dent Health 35: 317-325, 2011.
  4. Loe H: Oral hygiene in the prevention of caries and periodontal disease. Int Dent J 50: 129-139, 2000. https://doi.org/10.1111/j.1875-595X.2000.tb00553.x
  5. Paik DI, Kim HD, Jin BH, et al.: Clinical preventive dentistry. 5th ed. KMS, Seoul, pp.333-339, 2011.
  6. Ministry of Health and Welfare: Advanced analysis of Korean national oral health survey 2010. Ministry of Health and Welfare, Seoul, 2010.
  7. Hwang JM, Seong JM, Kim JH, Yoo SM, Park YD: The relationship between oral health behaviors and sociodemographic characteristics in Korean adolescents. J Korean Acad Dent Health 33: 367-376, 2009.
  8. Newton JT, Bower EJ: The social determinants of oral health: new approaches to conceptualizing and researching complex causal networks. Community Dent Oral Epidemiol 33: 25-34, 2005. https://doi.org/10.1111/j.1600-0528.2004.00190.x
  9. Hanson MD, Chen E: Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med 30: 263-285, 2007. https://doi.org/10.1007/s10865-007-9098-3
  10. Jung SH, Tsakos G, Sheiham A, Ryu JI, Watt RG: Socio-economic status and oral health-related behaviours in Korean adolescents. Soc Sci Med 70: 1780-1788, 2010. https://doi.org/10.1016/j.socscimed.2010.02.022
  11. Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M: Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med 66: 1429-1436, 2008. https://doi.org/10.1016/j.socscimed.2007.11.024
  12. Michels N, Sioen I, Braet C, et al.: Stress, emotional eating behaviour and dietary patterns in children. Appetite 59: 762-769, 2012. https://doi.org/10.1016/j.appet.2012.08.010
  13. Lopez R, Ramirez V, Marro P, Baelum V: Psychosocial distress and periodontitis in adolescents. Oral Health Prev Dent 10: 211-218, 2012.
  14. Seyle H: Stress without distress. New American Library, New York, p.14, 1974.
  15. Yoon SH, Bae JY, Lee SW, An KE, Kim SE: The effects of job stress on depression, drinking and smoking among Korean men. Health Soc Sci 19: 31-50, 2006.
  16. Ministry of Health and Welfare: Guide book for using raw data of Korean youth risk behavior web-based survey. Korea Centers for Disease Control and Prevention, Seoul, 2012.
  17. Zellner DA, Loaiza S, Gonzalez Z, et al.: Food selection changes under stress. Physiol Behav 87: 789-793, 2006. https://doi.org/10.1016/j.physbeh.2006.01.014
  18. Torres SJ, Nowson CA: Relationship between stress, eating behavior, and obesity. Nutrition 23: 887-894, 2007. https://doi.org/10.1016/j.nut.2007.08.008
  19. Lovallo WR: Do low levels of stress reactivity signal poor states of health? Biol Psychol 86: 121-128, 2011. https://doi.org/10.1016/j.biopsycho.2010.01.006
  20. Sheiham A, Watt RG: The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol 28: 399-406, 2000. https://doi.org/10.1034/j.1600-0528.2000.028006399.x
  21. Marmot MG, Kogevinas M, Elston MA: Social/economic status and disease. Annu Rev Public Health 8: 111-135, 1987. https://doi.org/10.1146/annurev.pu.08.050187.000551
  22. Kamphuis CB, van Lenthe FJ, Giskes K, Brug J, Mackenbach JP: Perceived environmental determinants of physical activity and fruit and vegetable consumption among high and low socioeconomic groups in the Netherlands. Health Place 13: 493-503, 2007. https://doi.org/10.1016/j.healthplace.2006.05.008
  23. Shin SJ, Ahn YS, Jung SH: The relation between dental health behaviors and socioeconomic status among Korean adolescents. J Korean Acad Dent Health 32: 223-230, 2008.
  24. Jung YH, Byon LN, Ko SJ: Lifetime distribution of medical cost in Korea. Health Soc Welf Rev 31: 194-216, 2011.
  25. Park DH, Jang SN: Influence of parental socioeconomic status on stress, depression and suicidal ideation among korean adolescents. J Korea Acad-Indust Coop Soc 14: 2667-2676, 2013.
  26. Shin BM: Association between stress, oral health behavior and oral health status among 6th grade primary school students in Gangneung city. J Korean Acad Oral Health 34: 403-410, 2010.
  27. Armfield JM, Mejia GC, Jamieson LM: Socioeconomic and psychosocial correlates of oral health. Int Dent J 63: 202-209, 2013. https://doi.org/10.1111/idj.12032
  28. Mejia-Rubalcava C, Alanis-Tavira J, Argueta-Figueroa L, Legorreta-Reyna A: Academic stress as a risk factor for dental caries. Int Dent J 62: 127-131, 2012. https://doi.org/10.1111/j.1875-595X.2011.00103.x
  29. Castro GD, Oppermann RV, Haas AN, Winter R, Alchieri JC: Association between psychosocial factors and periodontitis: a case-control study. J Clin Periodontol 33: 109-114, 2006. https://doi.org/10.1111/j.1600-051X.2005.00878.x
  30. Park EY, Park HC, Park KS, Sohn SJ: Relationship between stress and health behaviors preactice. J Korean Acad Fam Med 21: 1436-1450, 2000.