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Evaluation of an Oral Health Management Project in Connection to a Non-Communicable Disease Prevention and Management Project: A Case Study in South Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095209. [PMID: 35564607 PMCID: PMC9102545 DOI: 10.3390/ijerph19095209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 04/21/2022] [Accepted: 04/24/2022] [Indexed: 11/23/2022]
Abstract
This study aimed to develop, pilot, and evaluate a three-year integrated preventive management project focused on chronic diseases and oral health prevalence. A total of 1148 users of the health care office of the G Public Health Center with dental risk factors were selected for this study and connected to the dental counseling department. Respondents were classified into a group that would receive counseling-type self-education on oral care and a second group that needed dental care. To evaluate the dental care utilization and satisfaction, a telephone survey was conducted with the 263 people. Oral health behavioral changes were analyzed in 97 comparable subjects who responded to both the oral health basic survey and telephone survey. More than 90% of the subjects who visited the dental clinics were positively satisfied with the system for requesting care and with being referred to dental clinics at the public health center or community dental clinics. Measures of oral health perception and of behavior need showed positive changes. This study was effective in inducing positive changes in the oral health management behavior of chronically ill patients and in promoting the use of preventive management-centered dental care.
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Ra YJ, Tak YJ, Kim YJ, Lee SY, Lee JG, Yi YH, Cho YH, Hwang HR, Lee SH, Park EJ, Lee YI. Association of Work Patterns and Periodontitis Prevalence in Korean Adults Aged 50 Years or Older: A Nationwide Representative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:4006. [PMID: 32512934 PMCID: PMC7312641 DOI: 10.3390/ijerph17114006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 06/02/2020] [Accepted: 06/03/2020] [Indexed: 01/22/2023]
Abstract
This study analyzed the relationship between the work pattern and the prevalence of periodontitis. We analyzed the data of 3320 adults (1779 men, 1543 women) aged 51-80 years from the Korean National Health and Nutrition Examination Survey (2013-2015). The work pattern was divided into two groups (regular and irregular). The periodontal status was assessed using the community periodontal index. We observed a statistically significant difference in the association between work patterns and prevalence of periodontitis in Korean women aged over 50 years. For female workers with irregular work patterns, the prevalence of periodontitis was lower than that in workers with regular work patterns by 10.3% (40.3% vs. 30.0%, p = 0.011). The annual health examination rate was significantly higher in the irregular group than in the regular group (for men 77.9% vs. 73.5%; p < 0.001, for women 76.4% vs. 75.9%; p < 0.001). In female workers with irregular work patterns, the annual dental examination rate was significantly higher than that in workers with a regular work pattern by 7.7% (34.3% vs. 26.6%, p = 0.043). In conclusion we found a statistically significant difference between the work patterns and prevalence of periodontitis in Korean women aged over 50 years.
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Affiliation(s)
- Young Jin Ra
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
| | - Young Jin Tak
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
| | - Yun Jin Kim
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
| | - Sang Yeoup Lee
- Family Medicine Clinic, Obesity, Metabolism and Nutrition Center and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea; (S.Y.L.); (Y.H.C.); (E.J.P.); (Y.I.L.)
- Department of Medical Education, Pusan National University School of Medicine, Yangsan 50612, Korea
| | - Jeong Gyu Lee
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
- Busan Tobacco Control Center, Pusan National University Hospital, Busan 49241, Korea
| | - Yu Hyeon Yi
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
- Busan Tobacco Control Center, Pusan National University Hospital, Busan 49241, Korea
| | - Young Hye Cho
- Family Medicine Clinic, Obesity, Metabolism and Nutrition Center and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea; (S.Y.L.); (Y.H.C.); (E.J.P.); (Y.I.L.)
| | - Hye Rim Hwang
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
| | - Seung Hun Lee
- Department of Family Medicine, Pusan National University School of Medicine, Yangsan 50612, Korea; (Y.J.R.); (Y.J.K.); (J.G.L.); (Y.H.Y.); (H.R.H.); (S.H.L.)
- Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea
- Busan Tobacco Control Center, Pusan National University Hospital, Busan 49241, Korea
| | - Eun Ju Park
- Family Medicine Clinic, Obesity, Metabolism and Nutrition Center and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea; (S.Y.L.); (Y.H.C.); (E.J.P.); (Y.I.L.)
| | - Young In Lee
- Family Medicine Clinic, Obesity, Metabolism and Nutrition Center and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea; (S.Y.L.); (Y.H.C.); (E.J.P.); (Y.I.L.)
- Busan Tobacco Control Center, Pusan National University Hospital, Busan 49241, Korea
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Abstract
BACKGROUND Although the association between periodontitis and cardiovascular disease (CVD) has been reported, whether periodontitis and poor oral health behavior influence CVD risk remains unclear. OBJECTIVE The aim of this study was to examine whether periodontal disease and poor oral health behavior predict 10-year general CVD risk using the Framingham Risk Score. METHODS Patients older than 30 years with no CVD history (n = 8370) were selected using cross-sectional study data from the Korean National Health and Nutrition Examination Survey in 2013 and 2014. To reduce selection bias in this population-based study, propensity score matching analysis was used with SPSS and R programs to compare CVD risk. RESULTS Overall, 39.2% of the study population (n = 3277) had a global CVD risk of 10% or greater. In the low- and at-risk groups, 20.7% and 45.3% of patients, respectively, were diagnosed with periodontal disease by a dentist. Moreover, 43.2% and 62.8% of the low- and at-risk group patients, respectively, brushed teeth less than 3 times a day. After 1:1 propensity score matching of the low-risk (n = 1135) and at-risk (n = 1135) groups, bivariate analyses showed that a diagnosis of periodontal disease and less frequent toothbrushing were associated with a higher CVD risk (P < .001). Logistic regression analysis also showed that patients having periodontal disease and who brushed teeth less frequently were 1.38 and 1.33 times, respectively, more likely to be at risk of CVD (P < .001). CONCLUSION Education on periodontitis management and oral hygiene behavior should be included, when strategies for public risk reduction of CVD are developed.
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Jang AY, Lee JK, Shin JY, Lee HY. Association between Smoking and Periodontal Disease in Korean Adults: The Fifth Korea National Health and Nutrition Examination Survey (2010 and 2012). Korean J Fam Med 2016; 37:117-22. [PMID: 27073611 PMCID: PMC4826991 DOI: 10.4082/kjfm.2016.37.2.117] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Revised: 06/29/2015] [Accepted: 09/24/2015] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND This study aimed to evaluate an association between smoking, smoking cessation, and periodontal disease in Korean adults. METHODS The data were collected from 8,336 participants, aged between 20 and 64 years, who participated in the fifth Korea National Health and Nutrition Examination (2010 and 2012). Smoking status was assessed using self-administered questionnaires. Periodontal disease was defined as a community periodontal index ≥3 points. Logistic regression analysis was used to evaluate an association between smoking, smoking cessation, and periodontal disease after adjusting for age, sex, education, monthly income, diabetes, obesity, alcohol intake, and frequency of tooth brushing. RESULTS The risk of periodontal disease was higher among current smokers (odds ratio [OR], 1.49; 95% confidence interval [CI], 1.21-1.83) than never smokers. Among current smokers, the risk of periodontal disease was increased in smokers of ≥10 cigarettes/d, ≥20 years duration, and >10 pack-years compared with never smokers (P<0.05). Among former smokers, the risk of periodontal disease after 10 years since cessation declined to 0.56 (95% CI, 0.42-0.75) compared with current smokers and was indistinguishable statistically from never smokers. CONCLUSION Periodontal disease is significantly associated with smoking status in Korean adults.
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Affiliation(s)
- Ah-Young Jang
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Jung-Kwon Lee
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Jin-Young Shin
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Hae-Young Lee
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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