Journal of Korean Academy of Oral Health 2017 June 41(2):90-95 https://doi.org/10.11149/jkaoh.2017.41.2.90 Original Article 일부근로자들의구강보건인식및구강보건교육필요도조사 배승주 1, 김예황 1, 정호진 1, 윤정원 1, 윤나나 1, 이민경 1,2, 김혜진 1,2, 이정화 1,2 1 동의대학교일반대학원보건의과학과, 2 동의대학교치위생학과 A study on oral health knowledge and the need for oral health education among industrial workers Seung Ju Bae 1, Ye Hwang Kim 1, Ho Jin Jung 1, Jung Won Yun 1, Na Na Yun 1, Min Kyung Lee 1,2, Hye Jin Kim 1,2, Jung Hwa Lee 1,2 1 Department of Biomedical Health Science, Graduate School, 2 Department of Dental Hygiene, College of Nursing and Healthcare Sciences, Dong-Eui University, Busan, Korea Received: February 19, 2017 Revised: April 27, 2017 Accepted: May 21, 2017 Corresponding Author: Jung Hwa Lee Department of Dental Hygiene, College of Nursing and Healthcare Sciences, Dong- Eui University, 176 Eomgwang-ro, Busan Jin-gu, Busan 47340, Korea Tel: +82-51-890-4239 Fax: +82-51-505-6878 E-mail: yamako93@deu.ac.kr Objectives: This study aimed to investigate the correlation between oral health behaviors of workers by examining the oral health awareness and the need for oral health education. Methods: After the institutional review board approval, we surveyed industrial workers in Seoul, Gwangju, Changwon, and Goksung, in Korea, from July 19 to August 29, 2016. The final questionnaires (287 in total) were assessed using the SPSS 24.0 software for Windows (SPSS Inc. Chicago, IL, USA). The data were analyzed using frequency analysis, average, standard deviation, t-test, and the Pearson s correlation coefficient. Results: Through the response of yes for the question, oral health education experience, we can see the respondents have high level of interest (P<0.001). And through the response of yes for the question, Periodic oral Examination and regular scaling and oral care product use we can see the respondents have high level of interest (P<0.001) and high importance (P<0.001), there was a statistically significant difference. On analyzing the correlations between workers, there was positive correlation oral health Interest and Importance (r=0.598, P<0.001). Of the 287 participants, 80.1% indicated that they did not receive any previous oral health education, while 85.4% indicated a willingness to attend oral health education programs in the future. Of the 80.1% of participants with no prior oral health education, 60.0% indicated lack of oral health education because of few opportunities to participate in such programs. They most prefer Oral Hygiene Management 64.8% for education contents and choose Direct-education by inviting Expert as the best education method 75.6%. Conclusions: It is necessary to develop oral health education programs suitable for the industrial field characteristics for people in workplace, and to enhance and expand oral health education services in the workplace in order to maintain interest in oral health. Key Words: Industrial worker, Oral health awareness, Oral health education 서론 직장이나일터에서생활의대부분을보내는근로자는우리나 라전체인구중 66.5% 를차지하는성인구강보건의주대상자들이며, 산업구강보건의핵심대상이라고할수있다 1). 또한, 근로자는경제발전의중요한원천으로, 근로자의건강은개인은물론기 Copyright 2017 by Journal of Korean Academy of Oral Health This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. JKAOH is available at http://www.jkaoh.org pissn 1225-388X / eissn 2093-7784
91 배승주외 일부근로자들의구강보건인식및구강보건교육필요도조사 업체의생산성에있어서매우중요한요소로근로자가근무중산업재해등으로인해발생되는치과응급상황과구강건강에대한인식부족으로초래된구강병으로인하여근로자가결근을하거나, 노동활동에장애를초래하게되면, 생산성향상에영향을미치게되므로, 개인은물론기업, 더나아가국가적손실까지이어지게된다 2,3). 구강보건사업인구강검진제도는근로자채용시와근무중매년정기적으로비사무직근로자연 1회, 사무직근로자 2년에 1회건강상태를파악하는법정구강상병검진제도와구강건강유해인자에노출되는산업장근로자의건강진단을실시하는직업병특수구강검진은유해성에따라 6개월, 1년또는 2년마다정기적으로실시하는법정직업성구강상병관리제도를시행하고있으나 4), 질병관리본부지역사회건강조사에따르면근로자를포함하는성인의구강검진수검률은 2012년 29.7%, 2013년 28.7%, 2014년 33.1% 로나타났고, 한국산업안전공단과산업안전보건연구원의조사결과에따른산취급근로자의법정직업성치아부식증유병률은 1993년 8.0%, 2003년 11.2% 로보고되었다 5,6). 의료선진국인미국은 1890년대초기에는근무자의작업과관련된손상이나재해위주에서 1890년중기에는근로자의구강병에집중하였고, 최근에이르러예방사업에집중하고있고, 영국은 1887년산업장에치과진료실을설치하여산업장구강보건사업을활발히시행하고, 1961년산업치과의사협회를설립하는등현재에도꾸준히활동하고있다. 또한일본은 1973년 50인이상의산업체에 산업치과의 를두도록규정하여근로자의구강건강증진을도모하고있다 4). 반면에우리나라는 1992년산업구강보건협회가발족하면서산업구강보건분야가발전하기시작하였고, 한국산업구강보건원을통해근로자의구강보건행태및구강건강상태에대한보고가이루어지고있으며, 근로자구강건강증진을위해 2020년까지치주건강증진사업수혜자율 60%, 구강보건교육수혜자율 90% 로증가시키기위한미래전략중장기목표를마련하였다 4,7). 현행의료법의료기관개설특례에근거해산업장내부속치과를설립하여근로자에게구강보건서비스를할수있다 8). Park 등 9) 의연구에서지역사회대부분의근로자는산업장에서시간을보내고있으므로산업장이야말로가장용이한근로자의구강보건교육장소가될수있다고하였으며, Yoon과 Kwon 10) 은근로자구강건강의효율적인관리를위해반드시구강보건교육이필요하며, 구강보건지식에대해올바르게인식하고있는근로자는구강질환에비교적적게노출되며구강건강에관심도가높다고하였다. 또한 Kim 등 11) 은근로자의구강보건인식과실천에산업장내부속치과가긍정적인효과가있는것으로보고되었으며, 이용시시간과치료비가절약될뿐만아니라근로자들에게접근도를높여부속치과이용근로자가이용하지않는근로자보다구강보건인식과실천에차이가있는것으로나타났다. 그러나최근건강보험심사평가원자료에따르면사업장내부속치과가있는곳은서울 7곳, 경기 2곳, 광주 1곳, 전남 1곳에불과하다 12). 근로자의구강보건교육에대한낮은인식도와실천도를높이기위해서산업장내에서전 문화된구강보건교육을할수있는장소와기회가먼저주어져야높은호응도를보일것이므로사업을효율적으로운영할수있는제도적기반의마련이시급하다 13). 근로자들에대한선행연구에서 Seo와 Park 14) 은대다수의근로자들이스스로의구강건강에대하여정확히알지못하고있는실정이어서검진을통한충분한상담과교육을통해근로자의의식을고취시켜야된다고하였으며, Jang 15) 은구강보건교육은구강건강을유지하고관리하고자하는동기가스스로유발될때효과를거둘수있고, 지시와명령으로얻어진결과보다는교육을통해스스로터득하여얻는결과에서지속성이있다고보고하였다. 본연구는근로자의구강건강에대한관심도와중요도를살펴보고앞으로산업장구강보건교육을실시할경우효과를높일수있도록근로자가선호하는교육에대해알아볼필요가있다고생각되었다. 이에구강보건인식을조사하여산업장구강보건교육사업에필요한기초자료를제공하고자한다. 연구대상및방법 1. 연구대상본연구는서울, 광주, 창원, 곡성지역의 300인이상근무하는건설및제조업산업장 8곳의생산직, 사무직, 기타근로자를대상으로하였다. 연구대상자의윤리적측면을고려하여설문조사시행전연구목적과절차등에대해설명한후연구참여에동의한 336명을대상으로설문조사를실시하였다. 편의표본추출방법으로표본을추출하였으며, 미회수된설문지 49부를제외한총 287 명의설문지를최종분석에사용하였다. 2. 연구방법 2.1. 연구설계본연구는대상자를윤리적으로보호하기위해동의대학교생명윤리위원회 (IRB 승인번호 : DIRB-201605-HR-E-017) 승인을받고연구를수행하였으며, 자료수집기간은 2016년 7월 19일부터 8월 29일까지였다. 연구자가전화로참여동의를한산업장에우편전달및직접방문하여담당자허락을받아설문지를배포하였고, 자기기입식방법으로조사하였으며, 첨부한설문내용중연구목적에적합한변수를선정하여분석하였다. 2.2. 연구도구연구도구는 Kang 16) 과 Kim 17) 의도구를본연구의목적에맞게수정 보완하여활용하였다. 설문문항은총 39문항으로일반적특성 6문항, 구강보건행태 25문항 ( 구강건강관심도, 구강건강중요도, 정기적구강검진, 정기적스켈링, 구강관리용품의인식및사용실태 ), 직장구강검진인식 3문항, 구강보건교육요구도 5문항으로구성되었다. 구강건강관심도는 5점 Likert 척도로측정하여, 매우그렇다 5점, 그렇다 4점, 보통 3점, 그렇지않다 2점, 전혀그렇지않다 1점, 구강건강중요도는 매우중요하다 5점,
92 J Korean Acad Oral Health 2017;41:90-95 중요하다 4점, 보통 3점, 중요하지않다 2점, 매우중요하지않다 1점으로점수가높을수록구강건강에대한관심도와중요도가높은것으로해석하였다. Cronbach s α값은관심도 0.80, 중요도 0.62로나타나특정항목들이내적일관성이있는것으로확인되었다. 자료분석은 SPSS 24.0 for windows, SPSS Inc. Chicago, IL. USA를이용하였으며, 분석에사용된통계방법은빈도분석, 독립표본 T검정, Pearson s 상관분석을실시하였다. 연구성적 1. 대상자의일반적특성대상자의일반적특성을분석한결과성별은 남자 87.5%, 여자 12.5% 로나타났고, 연령은 40대미만 49.8%, 40대이상 50.2% 로나타났다. 결혼상태는 미혼 24.4%, 기혼 75.6% 로나타났고, 최종학력은 고등학교졸업 32.8%, 대학, 대학교졸업 61.0%, 대학원이상 6.3% 로나타났다. 직종별은 생산직 41.5%, 사무직 46.7%, 기타 11.8% 로나타났고, 근무기간은 5년미만 28.2%, 5년-10년미만 23.7%, 11년-20년미만 21.6%, 21년이상 26.5% 로나타났다 (Table 1). 2. 구강보건행태에따른구강건강관심도와중요도구강보건행태에따른구강건강관심도와중요도를분석한결과구강보건교육경험이 있다 에서관심도와중요도가높게나타났고, 관심도에서통계적으로유의한차이가있었다 (P<0.001). 정기적구강검진, 정기적스켈링, 구강관리용품사용 한다 에서관심도 (P<0.001), 중요도 (P<0.001) 가높게나타났으며, 통계적으로유의한차이가있었다 (Table 2). Table 1. General characteristics of subject N=287 Division Characteristic N % Gender Male 251 87.5 Female 36 12.5 Age <40 143 49.8 40 144 50.2 Marital status Non-married 70 24.4 Married 217 75.6 Education level High school 94 32.8 College/University 175 61.0 Graduate school 18 6.3 Work type Production worker 119 41.5 Office work 134 46.7 Others 34 11.8 Working career (year) <5 81 28.2 5-10 68 23.7 11-20 62 21.6 >20 76 26.5 3. 구강건강에대한관심도와중요도의상관관계구강건강관심도와중요도의상관관계를분석한결과구강건강에대한관심도와중요도 (r=0.598, P<0.001) 간에는유의한양의상관관계가있는것으로나타났다. 즉구강건강관심도가높을수록구강건강중요도가높아지는연관성이있는것으로나타났다 (Table 3). 4. 직장구강검진수검유무및필요도와만족도직장구강검진수검유무및필요도와만족도를분석한결과직장구강검진수검유무는 있다 89.9%, 없다 10.1% 로나타났고, 직장인구강검진필요도는 필요 93.7%, 불필요 6.3% 로나타났으며, 직장구강검진수검경험이있다 고응답한 258명중구강검진 만족 54.4%, 불만족 35.5% 로나타났다 (Table 4). 5. 구강보건교육요구도 5.1. 구강보건교육경험유무및참여희망여부와구강보건교육을받지못한이유구강보건교육경험유무및참여희망여부를분석한결과구강보건교육경험 있다 19.9%, 없다 80.1% 로나타났고, 직장구강보건교육참여희망여부는 참석 85.4%, 불참석 14.6% 로나타났으며, 구강보건교육을받지않았다 고응답한 230명중구강보건교육을받지못한이유로 기회가없어서 60.6%, 관심이없어 Table 2. Interest and importance of the oral health behavior Characteristics Interest Importance Experience of oral health education Yes 3.76±0.53 3.65±0.59 No 3.49±0.51 3.55±0.48 P P<0.001*** 0.178 Periodic oral examination Yes 3.70±0.48 3.69±0.49 No 3.32±0.50 3.39±0.48 P P<0.001*** P<0.001*** Regular scaling Yes 3.69±0.46 3.68±0.49 No 3.34±0.53 3.42±0.48 P P<0.001*** P<0.001*** Usage oral care products Yes 3.70±0.50 3.71±0.50 No 3.43±0.51 3.47±0.48 P P<0.001*** P<0.001*** ***P<0.001, P-value by t-test. Table 3. Oral health interest and importance, there was positive correlation Oral health interest Oral health importance Oral health interest 1.000 Oral health importance 0.598*** 1.000 ***P<0.001, by correlation coefficient.
93 배승주외 일부근로자들의구강보건인식및구강보건교육필요도조사 Table 4. Experience of dental examination in the workplace and necessity of dental examination in the workplace and satisfaction of dental examination N=287 Division Characteristic N (%) Experience of dental examination in the workplace Yes 258 (89.9) No 29 (10.1) Necessity of dental examination in the workplace. Need 269 (93.7) Unnecessary 18 (6.3) Satisfaction of dental examination (N=258) Satisfaction 156 (54.4) Dissatisfaction 102 (35.5) Table 5. Appearance of oral health education and willingness for participation in dental health education program and reasons why workers don t experience in receiving oral health education N=287 Division Characteristic N (%) Appearance of oral health education Yes 57 (19.9) No 230 (80.1) Willingness for participation in dental health education program I will attend it. 245 (85.4) I will not attend it. 42 (14.6) Reasons why workers don t experience in receiving oral health education (N=230) There was no opportunity 174 (60.6) I am not interested in it. 40 (13.9) I have no time for it. 16 (5.6) Table 6. Preference of oral health education content Grade Production worker Office work Others Education content N (%)* Education content N (%)* Education content N (%)* 1 Oral Hygiene Management 84 (29.3) Cavity 84 (29.3) Oral Hygiene Management 24 (8.4) 2 Cavity 80 (27.9) Oral Hygiene Management 78 (27.2) Cavity 21 (7.3) 3 Dental common sense 66 (23.0) Periodontal disease 64 (22.3) Periodontal disease 21 (7.3) 4 Periodontal disease 64 (22.3) Dental common sense 63 (22.0) Dental common sense 20 (7.0) 5 Halitosis 60 (20.9) Oral Care Products 45 (15.7) Halitosis 19 (6.6) 6 Oral Care Products 52 (18.1) Halitosis 40 (13.9) Oral Care Products 15 (5.2) 7 Esthetics orthodontic treatment (TMJ) 38 (13.2) Esthetics orthodontic treatment (TMJ) 22 (7.7) Esthetics orthodontic treatment (TMJ) 12 (4.2) 8 No smoking related oral education *Multiple response analysis. 31 (10.8) No smoking related oral education 16 (5.6) No smoking related oral education 7 (2.4) Table 7. Preference of oral health education method Grade Production worker Office work Others Education method N (%)* Education method N (%)* Education method N (%)* 1 Direct-education by 99 (34.5) Direct-education by 91 (31.7) Direct-education by 27 (9.4) inviting Expert inviting Expert inviting Expert 2 Toothbrushing Education 66 (23.0) Toothbrushing Education 48 (16.7) Toothbrushing Education 16 (5.6) 3 Video and images 45 (15.7) Internet (periodic transfer) 33 (11.5) Video and images 13 (4.5) 4 Internet (periodic transfer) 19 (6.6) Video and images 28 (9.8) Pamphlets and booklet 9 (3.1) 5 Pamphlets and booklet 16 (5.6) Pamphlets and booklet 18 (6.3) Internet (periodic transfer) 6 (2.1) 6 Poster and message boards 17 (5.9) Poster and message boards 14 (4.9) Poster and message boards 3 (1.0) *Multiple response analysis. 서 13.9%, 시간이없어서 5.6% 순으로나타났다 (Table 5). 5.2. 직종별선호하는구강보건교육내용및교육방법직종별선호하는구강보건교육내용을분석한결과 생산직 29.3%, 기타 8.4% 로 구강위생관리 가높게나타났고, 사무직
94 J Korean Acad Oral Health 2017;41:90-95 29.3% 로 충치관련 이높게나타났으며, (Table 6), 직종별선호하는구강보건교육방법을분석한결과모든직종에서 전문가직접교육강연 이가장높게나타났다 (Table 7). 고안 현재우리나라의산업구강보건사업으로는산을취급하는근로자의직업성치아부식증을검진하는직업구강상병검진제도와양대구강병인치아우식증과, 치주질환을검진하는일반구강상병검진제도가법정제도로수행되고있다 18). 일반건강검진은결과를추후에통보받는것에비해구강검진의경우즉석에서확인할수있으며, 치과의사가그자리에서수검자의구강상태에대해교육과상담을진행할수있어구강상병의조기발견과구강병관리를위한동기유발측면에서매우효과적이다. 이에본연구는산업장근로자의구강보건인식및구강보건교육의요구도를파악하여산업장구강보건교육프로그램개발과근로자구강건강증진사업에필요한기초자료를제공하고자한다. 본연구에서구강보건행태에따른구강건강관심도와중요도를분석한결과구강보건교육경험이 있다 에서관심도와중요도가높게나타났고, 관심도에서통계적으로유의한차이가있었다 (P<0.001). 정기적구강검진, 정기적스켈링, 구강관리용품사용 한다 에서관심도 (P<0.001), 중요도 (P<0.001) 가높게나타났으며, 통계적으로유의한차이가있었다. 이는 Bae 19) 의연구결과와유사하였으며, 근로자가구강건강에대한관심과중요성에대한인식이효과적인구강건강행위실천으로옮겨지기위해일상이나인터넷에서접하게되는잘못된구강건강에대한상식이나정보를정확하게인식할수있도록근로자들의구강건강인지수준을향상시켜줄수있는산업장내에서의다양한구강보건교육기회가제공되어져야할필요가있을것으로여겨진다. 구강건강관심도와중요도의상관관계를분석한결과구강건강에대한관심도와중요도간에는유의한양의상관관계가있는것으로나타나, 구강건강관심도가높을수록구강건강중요도가높아지는연관성이있는것으로나타났다. 이는근로자가관심도및중요성에대해서인식을하는것으로나타났으며, 근로자의구강건강에대한관심이장기적으로이어질수있도록교육요구도에따른구강교육내용과방법을사전에파악하여구강보건교육프로그램을제공하고, 지속적으로참여할수있는방안마련을통한인식의전환이필요할것으로여겨진다. 직장구강검진수검유무및필요도를분석한결과직장구강검진수검유무에서 유 가높게나타났고, 필요도에서 필요 가높게나타나 Choi 20) 의연구와유사하였으며, Heo 21) 의연구와는상이하였다. 만족도를분석한결과, 만족 이높게나타나직장인구강검진제도를통하여근로자들의구강건강에대한인식을높일수있는계기는되었지만구강검진제도에대한만족도를높혀줄수있는방안마련이필요할것이다. 또한성인구강검진의낮은검진율을감안해볼때구강검진제도에대한긍정적인인식으로연결될 수있도록검진에만그치지않고충분한상담과교육을통해근로자의구강건강에대한인식변화와적절한예방으로근로자의구강건강유지및증진을위한방향으로개선되어야할것으로생각된다. 구강보건교육경험유무및참여희망여부를분석한결과, 구강보건교육경험 없다 가높게나타났고, 참여희망여부에서 참석 이높게나타나 Choi 20) 와 Heo 21) 의연구결과와유사하였다. 구강보건교육을받지못한이유에서는 기회가없어서 가가장높게나타났고, Choi 20) 와 Yoo 22) 의연구결과와유사하게나타나이는대다수의산업장에근무하는근로자가구강보건교육을받을기회가적음을나타내는결과로산업장근로자들을대상으로한구강보건교육프로그램개발과제도적인장치가마련되어져야할것으로사료된다. 직종별선호하는구강보건교육내용을분석한결과 사무직 에서는치아우식병관련내용을선호하였고, 생산직 과 기타 에서는 구강위생관리 가가장선호하는것으로나타나직종별차이를보였다. 이는 Choi 20) 와 Song 등 23) 의연구결과와유사하였으며, 구강보건교육시근로자의구강건강증진을위해서는가장선호도가높은내용을토대로구강보건교육내용을구성하여야할필요가있으며, 치아우식병예방을위한치면세균막관리를주기적으로제공하고, 구강질환을예방하는데가장기본적인올바른칫솔질방법과구강관리용품사용방법을숙지시켜야할것으로사료된다. 직종별선호하는구강보건교육방법을분석한결과전체적으로 전문가직접교육강연 이가장높게나타나, 이는 Choi 20) 와 Song 등 23) 과 Yoon과 Kwon 24) 의연구와유사하였다. 이는올바른구강건강관리에대한정보를얻기위해전문가의도움을필요로하는결과라여겨지며, 근로자가선호하는구강보건교육내용및방법을적용하여근로자의구강보건교육에대한관심을높일수있을것이라생각된다. 이상의연구결과를바탕으로근로자의구강건강인식과, 실천행위의향상을기대하기위해서는근로자가선호하는구강보건교육내용및방법을포함하는구강보건교육을실시하여근로자의구강보건행태개선에긍정적인변화를가져올수있도록다양하고체계적인구강보건교육프로그램을개발하여야할것으로사료된다. 본연구의제한점은연구대상자를편의표본추출하여우리나라일부근로자를대상으로조사하였으므로일반화하여확대해석하기어려운점이있으며, 근로자의특성중의료사각지대에있는근로자에대해파악하지못한부분도아쉬운부분이다. 후속연구에서는근로자의구강검사를통해객관적인자료와설문내용을보완하여구체적인구강보건행태를조사할필요성이있으며, 산업장근로자의구강특성에맞는구강보건교육을통하여구강건강에대한인식을고취시킴과동시에, 산업장내구강보건전문가를두어구강보건교육의기회가지속적으로이루어질수있는방안이모색되어져야할것으로사료된다.
95 배승주외 일부근로자들의구강보건인식및구강보건교육필요도조사 결론 본연구는서울, 광주, 창원, 곡성지역의산업장근로자를대 상으로구강보건인식에대한서술적상관관계를분석하고자구강보건인식및구강보건교육필요도를조사하여다음과같은결론을얻었다. 1. 구강보건교육경험이 있다 에서관심도 (P<0.001) 와정기적구강검진, 정기적스켈링, 구강관리용품사용 한다 에서관심도 (P<0.001), 중요도 (P<0.001) 가높게나타났으며, 통계적으로유의한차이가있었다. 2. 구강건강에대한관심도와중요도 (r=0.598, P<0.001) 간에는유의한양의상관관계가있는것으로나타났다. 3. 근로자의구강보건교육경험은 없다 80.1% 가높게나타났고, 참여희망여부는 참석 85.4% 이높게나타났으며, 구강보건교육을받지못한응답자의이유로 기회가없어서 60.6% 가높게나타났다. 4. 선호하는구강보건교육내용은생산직및기타에서 구강위생관리 와사무직에서 충치관련 이높게나타났으며, 교육방법은모든직종에서 전문가직접교육강연 이가장높게나타났다. 이상과같은결과를기초로근로자들의구강건강증진및구강보건인식변화를위해서는산업장특성에맞는구강보건교육프로그램개발과정기적인구강보건교육기회를제공하여산업장구강보건사업이활발히이루어져야할것으로사료된다. References 1. Kim JB, Choe YJ. Public oral health. 4th ed. Seoul:Komoonsa;2004: 259-261. 2. Ru DY, Song GS, Bae SM. A study on awareness and practice about the oral health of workers. J Korean Soc Dent Hyg 2010;10:1073-1081. 3. Kang DS, Lee HS. Work loss caused by oral diseases in korean workers. J Korean Acad Oral Health 2003;27:305-317. 4. Public orla health textbook development committee. Public oral health. 4th ed. Seoul:Komoonsa;2016:116-118. 5. Korea Centers for Disease Control and Prevention. Community health survey [Internet]. [cited 2016 Aug 8]. Available from: https:// chs.cdc.go.kr/chs/index.do. 6. Kim JB, Paik DI, Kim HD. Distribution and management of occupational dental erosion. Seoul:Korea Occupational Safety & Health Agency;2004:81. 7. Kim HD. Future Strategies for Enhancing Worker s Oral Health [Internet]. [cited 2016 Aug 8]. Available from: http://www.industdental.or.kr/bbsind/zboard.php?id=other_reference_libra ry&page=1&sn1=&divpage=1&sn=off&ss=on&sc=on&select_ arrange=headnum&desc=asc&no=28 8. Korea ministry of Goverment Legislation. Legislation serch [Internet]. Medical treatment law [cited 2016 Sep 9]. Available from: http:// www.law.go.kr/lssc.do?menuid=0&p1=&submenu=1&nwyn=1&se ction=&query=%ea%b5%ac%ea%b0%95%eb%b3%b4%ea%b1%b4% EB%B2%95&x=0&y=0#undefined. 9. Park SS, Jang GW, Lee YA. A study on the relationship of oral health education experience to oral health awareness among workrs. J Korean Soc Dent Hyg 2012;12:1250-1259. 10. Yoon MS, Kwon HJ. A study on oral health behavior of the industial workers. Journal of the KAIS 2013;14:2802-2811. 11. Kim EK, Hong SJ, Chung EK, Park YN, Jung EJ, Choi CH. Cognition and action on oral health of workers using the dental clinic in factory. J Korean Acad Oral Health 2010;34:206-213. 12. Dental clinic in factory [Internet]. [cited 2016 Sep 9]. Available from: http://www.hira.or.kr/co/search.do?collection=hospital&category= &startcount=0&realquery=%eb%b6%80%ec%86%8d%ec%b9%98% EA%B3%BC%EC%9D%98%EC%9B%90&categoryFlag=n&categoryVa lue=&categoryname=&query=%eb%b6%80%ec%86%8d%ec%b9%9 8%EA%B3%BC%EC%9D%98%EC%9B%90&checkSearchFields=ALL& period=a&startdate=&enddate=&sort=desc&cookieonoff=on. 13. Cho SS, Choi MH. Recognition on oral health and its care by workers in enterprising place. Chung-Ang Journal of Nursing 2001;5:25-33. 14. Seo HS, Park KS. The study on the oral health statud and behavior of industrial workers at Choong-Nam province, South Korea. J Korean Acad Oral Health 2003;27:641-653 15. Jang JY. Oral health education program on mother s oral health perception and the effects of the behaior. Journal of the Korean Academy of Dental Hygiene 2012;14:117-132 16. Kang MJ. Relationship between the perceived oral health concerns and the oral health behaviors among some high school students. Seoul:Ewha Womans University;2013.[Korean]. 17. Kim EJ. A study on the belief and the behavior in dental health. Yongin:Dankook University;2001.[Korean]. 18. Park CY. State and future of industrial dental health in korea. Gwangju:Chonnam National University;2012.[Korean] 19. Bae JY. A study on the factors effecting the oral health concern and oral health care Gyeongbuk:Yeungnam University;2002.[Korean]. 20. Choi MH. A survey research on industrial workers oral examination status and oral health educational request level. J Korea Acad Dent Hyg Educ 2010;10:185-195. 21. Heo JS. Oral health behavior of steel industry workers according to work type. Iksan:Wonkwang University;2011.[Korean]. 22. Yoo YJ. A study of oral health behavior of urban laborer in metropolitan area. J Korean Soc Dent Hyg 2010;10:861-876. 23. Song JR, Oh HW, Lee HS. Workers oral health behaviors and need for education in iksan city. J Korean Acad Oral Health 2007;31:91-102. 24. Yoon MS, Kwon HJ. A study on oral health behavior of the industial workers. Journal of the KAIS 2013;14:2802-2811.