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Knowledge and Attitude of Parents of Preschool Children about Early Childhood Caries and Dental Caries Prevention

유아기 우식증과 치아 우식 예방에 대한 학령전 어린이 부모의 지식과 태도

  • Lee, Haney (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jaegon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Lee, Daewoo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Yang, Yeonmi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
  • 이한이 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소)
  • Received : 2018.04.18
  • Accepted : 2018.07.02
  • Published : 2018.11.30

Abstract

To investigate knowledge and attitude of parents about early childhood caries and dental caries prevention, a questionnaire survey was conducted on 247 parents of children who had oral screening experience among 3 to 5 years old children in 3 kindergartens in Jeonju city. A total of 220 completed questionnaires were selected for final analysis. The overall perception of the parents about oral health of the children was 82.3 points (10.7 / 13) in terms of 100 points. There were statistically significant correlations between maternal age (p = 0.027), maternal education level (p = 0.002), household monthly income (p = 0.000) and maternal oral health knowledge level. The main source of oral health information was 'dentist and dental hygienist'(83.6%) followed by 'Web search'(22.3%). Compared with the previous studies, the level of knowledge of parents about oral health of the children was improved. However, in order to raise awareness of the parents about the poorly assessed items in this study, it is necessary to increase the participation rate by advertising the national dental screening program for infants and children and make efforts to improve the quality of oral health education in screening.

유아기 우식증과 이의 예방에 대해 어린이의 부모가 가지는 구강건강 지식 및 태도와 이에 영향을 미치는 요소의 평가를 목적으로, 전주시 소재 유치원 3개소의 만 3 - 5세 어린이 중 최소 1회 이상의 영유아 구강검진 경험이 있는 어린이의 부모 247명을 대상으로 설문조사를 시행하였다. 220명의 보호자의 설문지가 최종 분석을 위해 채택되었다. 어린이 구강건강에 대한 어머니의 전반적 인식은 100점 만점으로 환산하였을 때 82.3점(10.7/13개)으로 비교적 양호하였고, 어머니의 구강건강 지식수준과 어머니의 연령(p = 0.027), 교육수준(p = 0.002), 가계 월수입(p = 0.000)은 통계적으로 유의미한 상관관계가 있었다. 구강건강에 관한 정보의 주된 습득경로는 치과 의료진(83.6%)이었고, 웹 검색(22.3%)이 뒤를 이었다. 결론적으로 과거의 연구에 비해 보호자의 구강건강 지식수준은 향상되었다. 그러나 이 연구에서 미흡하게 평가된 항목에 대한 보호자의 인지도를 개선하기 위해서는, 영유아 구강검진 사업에 대한 홍보를 강화하여 수검률을 높이고, 구강검진 시 행해지는 구강 보건교육의 질을 향상시키기 위한 노력이 필요하다고 판단된다.

Keywords

References

  1. Kim JB, Paik DI, Moon HS, Ma DS : A study on the percentage of extraction required by causes in Korea. J Korean Acad Oral Health, 19:17-28, 1995.
  2. Ahn JG, Chung J, Jeong TS, Kim S : A study on the infection level of S. Mutans and Lactobacillus and its relativity with caries risk factors in 18 month-old infants. J Korean Acad Pediatr Dent, 33:388-400, 2006.
  3. Bader JD, Rozier RG, Lohr KN, Frame PS : Physicians' roles in preventing dental caries in preschool children: a summary of the evidence for the U.S. Preventive Services Task Force. Am J Prev Med, 26:315-325, 2004. https://doi.org/10.1016/j.amepre.2003.12.001
  4. Colak H, Dulgergil CT, Dalli M, Hamidi MM : Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med, 4:29-38, 2013. https://doi.org/10.4103/0976-9668.107257
  5. Ministry of health and welfare : 2015 Korean children's oral health survey. Available from URL: http://www.mohw.go.kr/react/gm/sgm0601vw.jsp?PAR_MENU_ID=13&MENU_ID=1304020501&page=1&CONT_SEQ=293273 (Accessed on June 1, 2018).
  6. Kim MJ, Shun YK, Shim YS : A study of parental knowledge and attitude about infant oral health care. J Korean Acad Pediatr Dent, 27:292-299, 2000.
  7. Petersen PE : Oral health behavior of 6-year-old Danish children. Acta Odontol Scand, 50:57-64, 1992. https://doi.org/10.3109/00016359209012747
  8. Okada M, Kawamura M, Miura K, et al. : Influence of parents' oral health behavior on oral health status of their school children: an exploratory study employing a causal modeling technique. Int J of Pediatr Dent, 12:101-108, 2002. https://doi.org/10.1046/j.1365-263X.2002.00338.x
  9. Poutanen R, Lahti S, Tolvanen M, Hausen H : Parental influence on children's oral health-related behavior. Acta Odontol Scand, 64:286-292, 2006. https://doi.org/10.1080/00016350600714498
  10. Kim SN, Lee HS, Park DH, et al. : Factors affecting children's dental utilization: an application of the Anderson model. J Korean Acad Pediatr Dent, 25:162-170, 1998.
  11. Lee JY, Lee KH, Kim DE, Jo JH : Knowledge and attitude of mothers who have infants about baby bottle tooth decay and dental caries prevention. J Korean Acad Pediatr Dent, 24:220-234, 1997.
  12. Sanger RG : Preventive dental health for the infant. Dent Hyg, 51:408-412, 1977.
  13. Tsamtsouris A, White GE : Nursing caries. J Pedod, 1:198-207, 1977.
  14. Lee HL, Lee KH, Kim YH, et al. : Oral health behaviors of mothers and dental caries in children from multicultural families. J Korean Acad Pediatr Dent, 39:111-119, 2012.
  15. Ripa LW : Nursing caries: a comprehensive review. Pediatr Dent, 10:268-282, 1988.
  16. Bae SM : Oral health promotion evaluation toolkit for preschool children in Korea. Department of Dental Graduate School of Gangneung-Wonju National University, 2009.
  17. Korean statistical information service : 2016 Household income by income decile group. Available from URL: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1L9H008&vw_cd=&list_id=G_A_4_1_1&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE# (Accessed on July 2, 2018).
  18. Loesche WJ : Nutrition and dental decay in infants. Am J Clin Nutr, 41:423-435, 1985. https://doi.org/10.1093/ajcn/41.2.423
  19. Tsubouchi J, Tsubouchi M, Weinstein P, et al. : A study of dental caries and risk factors among Native Americal infants. ASDC J Dent Child, 62:283-287, 1995.
  20. 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
  21. 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.
  22. Lee CH, Lee JM, Kim S, Jeong TS : A study on the etiologic factors of early childhood caries in 18-month old infants. J Korean Acad Pediatr Dent, 32:174-184, 2005.
  23. Nunn ME, Dietrich T, Kressin NR, et al. : Prevalence of early childhood caries among very young urban Boston children compared with US children. J Public Health Dent, 69:156-162, 2009. https://doi.org/10.1111/j.1752-7325.2008.00116.x
  24. Call RL : Effects of poverty on children's dental health. Pediatrician, 16:200-206, 1989.
  25. Jo SA, Lee KH, Kim DE, Jeong YS : Relation between caries activity and oral hygiene habits in preschool children. J Korean Acad Pediatr Dent, 24:247-264, 1997.
  26. Korea National Institute of Health : Manual of health screenings for infants. 130-139, 2015. Available from URL: http://www.nih.go.kr/NIH_NEW/not/NihKrListLink.jsp?menuIds=HOME005-MNU0848-MNU0873-MNU1000&fid=10713&q_type=&q_value=&cid=138224&pageNum=1 (Accessed on May 27, 2018).
  27. Lee AJ : A survey of dental knowledge, attitudes and behavior of expectant parents. J Can Dent Assoc, 50:145-146, 1984.
  28. Nowak AJ, Casamassimo PS : Using anticipatory guidance to provide early dental intervention. J Am Dent Assoc, 126:1156-1163, 1995. https://doi.org/10.14219/jada.archive.1995.0337
  29. Nowak AJ : Oral health policies, and clinical guidelines. Pediatr Dent, 29:138-139, 2007.
  30. American Academy of Pediatric Dentistry : Infant oral health care. Pediatr Dent, 28:73-76, 2007.
  31. Brickhouse TH, Unkel JH, Davis RD, et al. : Infant oral health care: a survey of general dentists, pediatric dentists, and pediatricians in Virginia. Pediatr Dent, 30:147-153, 2008.
  32. Kamp AA : Well-baby dental examinations: a survey of preschool children's oral health. Pediatr Dent, 13:86-90, 1991.
  33. Ministry of health and welfare : Introduction of the policy of oral screening for infants, 2007. Available from URL: http://www.gjda.or.kr/mod/board/boardDownload.php?fileIdx=26&boardNo=sub0301(Accessed on May 27, 2018).
  34. National Health Insurance Service : 2012 National Health Screening Statistical Yearbook, National Health Insurance Service, 2013. Available from URL: http://www.nhis.or.kr/bbs7/boards/B0159/6359?boardKey=35&sort=sequence&order=desc&rows=10&messageCategoryKey=&pageNumber=2&viewType=generic&targetType=12&targetKey=35&status=&period=&startdt=&enddt=&queryField=&query= (Accessed on May 27, 2018).
  35. National health insurance service : 2013 National health screening statistical yearbook, National Health Insurance Service, 2014. Available from URL: http://www.nhis.or.kr/bbs7/boards/B0159/13092?boardKey=35&sort=sequence&order=desc&rows=10&messageCategoryKey=&pageNumber=1&viewType=generic&targetType=12&targetKey=35&status=&period=&startdt=&enddt=&queryField=&query= (Accessed on May 27, 2018).
  36. National health insurance service : 2014 National health screening statistical yearbook, National Health Insurance Service, 2015. Available from URL: http://www.nhis.or.kr/bbs7/boards/B0159/16094?boardKey=35&sort=sequence&order=desc&rows=10&messageCategoryKey=&pageNumber=1&viewType=generic&targetType=12&targetKey=35&status=&period=&startdt=&enddt=&queryField=&query= (Accessed on May 27, 2018).
  37. National health insurance service : 2015 National health screening statistical yearbook, National Health Insurance Service, 2016. Available from URL: http://www.nhis.or.kr/bbs7/boards/B0159/22186?boardKey=35&sort=sequence&order=desc&rows=10&messageCategoryKey=&pageNumber=1&viewType=generic&targetType=12&targetKey=35&status=&period=&startdt=&enddt=&queryField=&query= (Accessed on May 27, 2018).
  38. National health insurance service : 2016 National health screening statistical yearbook, National Health Insurance Service, 2017. Available from URL: http://www.nhis.or.kr/bbs7/boards/B0159/24874?boardKey=35&sort=sequence&order=desc&rows=10&messageCategoryKey=&pageNumber=1&viewType=generic&targetType=12&targetKey=35&status=&period=&startdt=&enddt=&queryField=&query= (Accessed on May 27, 2018).
  39. Kim SO, Kim YJ, Kim JB, et al. : A story of the healthy tooth for children and adolescents, 1st ed. Korean Academy of Pediatric Dentistry, 4-101, 2015.