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Factors Affecting Periodontal Disease in Fertile Women

가임기 여성의 치주질환 유병에 영향을 미치는 요인

  • Hong, Min-Hee (Division of Health Science, Baekseok University)
  • Received : 2018.11.06
  • Accepted : 2019.02.01
  • Published : 2019.02.28
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Abstract

This study selected 2,134 fertile women aged 20 to 44 years as the final study subjects using the 6th source data of the National Health and Nutrition Survey. The purpose of this study was to investigate the relationship between female characteristics, chronic diseases and oral health behavior, and the effects of each factor on periodontal diseases. There were statistically significant differences in age(p<0.001), education level(p<0.001), income(p<0.05), marital status(p<0.001), smokes(p<0.05) and pregnancy(p<0.001). Chronic disease factors showed statistically significant differences in hypertension(p<0.001), obesity(p<0.001), diabetes(p<0.001), hypercholesterolemia(p<0.05), hypocholesterolemia(p<0.001) and hypertriglyceridemia(p<0.001). Oral health behaviors were statistically significant in terms of toothache(p<0.05), orthodontic treatment(p<0.05) and chew discomfort(p<0.05). As a result of examining the risk factors affecting periodontal disease, the risk of chronic disease was 1.576 times higher in the obese group, and 2.569 times higher in the diabetic group than in the normal group. The subjective oral health status was 1.372 times higher for normal women and 1.614 times higher for bad women than for good ones. As a result, diabetes has shown the greatest risk among chronic diseases in women, and diabetes and obesity are highly relevant and therefore are considered important variables for the risk factors of dementia. In this regard, it is necessary to examine the risks of chronic and periodical diseases, expand oral health education programs for women's dental disease, and prepare oral health policies.

본 연구는 국민건강영양조사 제6기 원시자료를 이용하여 만20~44세의 성인 여성 2,134명을 대상으로, 가임기 여성의 만성질환과 구강건강행태의 관련성을 살펴보고, 각 요인들이 치주질환에 미치는 영향에 대하여 살펴보고자 한다. 본 연구결과 다음과 같다. 연령대(p<0.001), 교육수준(p<0.001), 결혼상태(p<0.001), 소득수준(p<0.05), 흡연(p=0.05), 출산경험(p<0.001)은 통계적으로 유의한 차이를 나타냈다. 만성질환 요인은 고혈압(p<0.001), 비만(p<0.001), 당뇨(p<0.001), 고콜레스테롤혈증(p<0.05), 저콜레스테롤혈증(p<0.001), 고중성지방혈증(p<0.001)에서 통계적으로 유의한 차이를 나타냈다. 구강건강 행태요인은 치통(p=0.05), 교정치료(p<0.05), 저작불편(p<0.05) 에서 통계적으로 유의한 차이를 나타냈다. 치주질환에 영향을 미치는 위험요인을 살펴본 결과, 만성질환요인에서 정상군에 비해 비만군에서 1.576배, 당뇨군에서 2.569배 치주질환 위험도가 더 높은 것으로 나타났다. 구강건강행태요인은 구강위생용품미사용자가 1.372배 치주질환 위험도가 더 높은 것으로 나타났다. 주관적 구강건강상태는 좋은 여성에 비해 나쁜 여성이 1.614배 치주질환 위험도가 더 높은 것으로 나타났다. 이상의 결과로 볼 때 여성의 만성질환 중 당뇨병이 치주질환 가장 큰 위험도를 나타냈으며, 당뇨와 비만은 관련성이 크므로 치주질환 위험요인으로 중요한 변수라 사료된다. 이에 복합적인 만성질환과 치주질환의 위험성을 살펴볼 필요가 있으며, 향후 여성의 치주질환을 위한 구강보건교육프로그램 확대 및 구강보건정책 마련이 필요하다.

Keywords

Table 1. The relevance of periodontitis according to each factor

SHGSCZ_2019_v20n2_580_t0001.png 이미지

Table 2. Factors Affecting Periodontitis

SHGSCZ_2019_v20n2_580_t0002.png 이미지

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