ABSTRACT
OBJECTIVES: This study aimed to assess the association between the stress or depression and oral health status of Korean adolescents. METHODS: The subjects were 1,180 participants of the Sixth Korea National Health and Nutrition Examination Survey (KNHANES), aged 12 to 18 years. All the collected data were analyzed by using the chi-square test, t test, analysis of variance, and multiple regression analysis with the SAS version 9.3 software. Multiple regression analysis was performed to analyze the relationship of stress or depression to oral health status, and 95% confidence intervals were computed. RESULTS: Cognitive stress and depression levels for >2 weeks correlated with permanent teeth caries index. In terms of cognitive status, oral health of "a little feeling" was poorer than that of "almost no feeling," with significant statistical difference (P<0.05). CONCLUSIONS: The present study provides further evidence to support the establishment of a school oral health clinic for adolescents and hopefully provide guidance in the planning for oral health education.
Subject(s)
Adolescent , Humans , Depression , Education , Korea , Nutrition Surveys , Oral Health , ToothABSTRACT
OBJECTIVES: Adolescence is a time during which health behaviors and attitudes that significantly affect the quality of life are formed. The aim of this study was to analyze data from a large national survey to determine the effect of health behaviors and the DMFT index as well as oral and general health behavior patterns on oral health in adolescents. METHODS: Data from the Fifth Korea National Health and Nutrition Examination Survey were used to analyze the association between health behaviors and the DMFT index in Korean adolescents. The data were analyzed using SAS version 19.3. Multiple regression analysis was used to assess the relationship between the variables, and 95% confidence intervals were computed. RESULTS: Sex, age, private medical insurance coverage, usage of oral-hygiene-assistance products, lack of dental treatment, and the status of self-recognition of oral health were the factors that had a significant influence on oral health among adolescents. CONCLUSIONS: The study findings provided further evidence supporting the promotion of school-based oral health programs and highlighting the need of oral health education for adolescents.
Subject(s)
Adolescent , Humans , Education , Health Behavior , Insurance Coverage , Korea , Nutrition Surveys , Oral Health , Quality of LifeABSTRACT
OBJECTIVES: Periodontal disease is an inflammatory disease fundamentally initiated by chronic bacterial infection. Just as the periodontal tissues mount an immune inflammatory response to bacteria and their products, systemic challenges owing to these inflammatory agents also induce a major vascular response. It is proposed that periodontitis also needs to be considered as a chronic disease that may decrease erythrocyte count and consequently lower hemoglobin concentration (Hb%). Therefore, the aim of this study was to elucidate the correlation between anemia and blood cell count according to periodontal state. METHODS: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHNES) were used to analyze the prevalence of anemia and blood cell counts according to the periodontal status. Complex logistic regression analysis was used to assess the relationship of anemia with periodontal status. The data were analyzed using t-test, ANOVA, and logistic regression using SPSS, and 95% confidence intervals were computed. RESULTS: A significant difference was observed for gingivitis (odds ratio [OR], 1.436 [95% confidence interval [CI], 1.072-1.924]) but not for periodontitis (OR, 1.353 (95% CI, 0.947-1.934). CONCLUSIONS: The present study provides further evidence that gingivitis has systemic effects and may cause anemia. However, periodontitis was not significantly associated with anemia. Further, there was no significant difference in periodontal status after adjustment for age, gender, and other factors.