Journal of Korean Society of Oral Health Science 2015, July. 3(1): 41~49 ISSN: 2288-6079 일부대학생들의구강보건지식과구강건강관리행태에대한조사 ( 보건계열학생과비보건계열로구분 ) 박참빛, 박선영, 정유은, 이정화, 김혜진, 이민경, 윤현서 동의대학교치위생학과 Investigation into the Oral Health Knowledge and Oral Health Behavior of College Students: the case of health-related majors and non-health related majors Cham-Bit Park, Seon-Young Park, You-Eun Jung, Jung-Hwa Lee, Hye-Jin Kim, Min-Kyung Lee, Hyun-Seo Yoon Dept. of Dental Hygiene, Doung-eui University Correspondence to: Yoon HS, Tel: +82-51-890-2688 Fax: +82-51-890-2623 E-mail: yoonhs@deu.ac.kr Received June 30, 2015 Revised July 2, 2015 Accepted July 8, 2015 ABSTRACT The purpose of this study was to examine the oral health knowledge and oral health behavior of college students in Busan and the region of Gyeongnam. Online and offline surveys were conducted during a two month period from October, 2014, and the answer sheets from 300 respondents were analyzed. The findings of the study were as follows: As for oral health education experience, the college students female, whose major was health-related and whose academic year was lower had more experience to receive oral health education. Concerning the impact of their major fields of study, the health- related majors Knowledge level toothbrushing, periodontal, dental caries and fluoride. The health-related majors scored higher in all the factors. When the colleges to which they belonged were taken into account, the medical and health college students scored highest in every factor. Regarding regular dental checkups, the students who got dental checkups on a regular basis got Knowledge level toothbrushing, periodontal, fluoride, dental caries. In relation to scaling experience, the students who had scaling experience scored higher in all the factors Knowledge level toothbrushing, periodontal, dental caries, fluoride. In relation to toothbrushing time, the students who took three minutes or more to brush their teeth toothbrushing knowledge, knowledge of fluoride. These students scored higher in these regards than the others. As to the use of oral hygiene supplies, the students who made use of oral hygiene supplies scored higher knowledge of fluoride, toothbrushing knowledge, and periodontal knowledge. The above-mentioned findings of the study illustrated that the students whose major was health-related had a better oral health knowledge than the others whose major was not health-related. As good oral health behavior had something to do with accessibility to oral health care, the development of oral health care programs is required to improve oral health behavior. Key words : Oral Health Behavior, Oral Health Knowledge, Regular checkup Copyright@ 2015 by the Korean Society of Oral Health Science (KOHS) 41
Journal of Korean Society of Oral Health Science Vol. 3 No. 1 July 2015 Ⅰ. 서론 최근생활수준의향상과의료기술의발달로인하여평균수명은연장되었으며, 더불어건강에대한관심이증가하고있다 [1]. 건강한상태를영위하기위해서는음식을섭취하고저작, 소화함으로써신체내충분한영양공급이이루어져야하며, 이과정에서구강건강은매우중요한비중을차지하고있다 [2]. 구강의주요기능은저작, 심미, 발음기능이다. 특히저작은소화효율을높이기위한근본적인작업이며, 저작의기능이떨어지게되면소화효율이떨어지게되고영양섭취가제대로이루어지지못하게되면인체내필요한에너지를공급하지못하게되어전신적인건강에도큰영향을미친다 [3]. 또한구강건강의불편으로인하여일상적인업무처리와생활을하는데악영향을주는경우도여러연구에서보고되고있다 [4][5]. 구강은질병이이환되게되면만성으로진행되는경우도많으며, 한번치료를했다고해서다시재발하지않거나자연적치유가되지않는질병이다. 구강병중에서도가장대표적인것이치아우식증과치주질환이며, 치아우식증의경우는아동기부터청소년기에많이발생하게되고, 치주질환의경우성인기에많이발생하게되어치아를상실하는주된원인이되기도한다 [6]. 따라서구강병은만성으로진행되기전치료를받아야하며, 무엇보다도적적한예방적관리가필요하다고하겠다. 양대구강병을예방하는방법으로대표적인방법이올바른칫솔질이라고하겠다. 청소년기를거치면서학교와가정에서그리고일반대중매체를통하여칫솔질방법과시기, 시간등에대하여많은교육을받고있으나여전히많은사람들은치아우식증과치주병으로치과에내원하고있다 [7]. 2010 년국민구강건강실태조사결과를살펴보면, 15세에서치주조직건건자율이 2006년 62.7% 보다 22% 가량줄어든 40.1% 로나타나치주병관리를위한구강보건교육사업이필요함을나타내고있다. 또는 2006년 35-44세치주조직건전자율이 28.2% 로청소년기이후부터지속적인관리가필요함을나타내고있다 [8]. 많은선행연구들에서구강보건지식과실천에관한연구들이이루어지고있으며, 그결과구강보건지식수준이높은사람들이실천율이높은것으로나타났다 [1][9]. 따라서구강질환을합리적으로관리하기위해서는치아우식증, 치주질환과관련된구강보건지식수준의향상뿐만아니라구강관리행태와신념등의변화가있어야하겠다 [10]. 현재구강보건교육의경우유아기, 아동기, 청소년기, 성인 기, 노인기로나눠져있으며 [6], 성인기의경우 20세 ~64세까지아주넓게편성이되어있다. 이제막청소년기를벗어난대학생들의경우통상적인성인기즉, 직장인을대상으로하는사업장근로자를대상으로하는구강보건교육영역에속하지못하기때문에대학생활을하는몇년간은구강보건교육의대상에서제외되어있다 [7]. 대학생들은입시스트레스에서벗어나규칙적인생활보다는자율적인생활을시작하게되고음주와흡연에노출되는경우도많아진다. 또한졸업을앞두게되는경우는취업에대한부담감을가지게되어건강이나구강건강에대한관심을가지기가어렵다 [11]. 그러나대학생들은머지않은미래에졸업을하고사회에진출하게되며, 사회와가정에서각자의역할을담당하게된다. 또한결혼을하게되면자신뿐만아니라자녀에게도많은영향을미칠수있기에대학생들의구강건강과관련된지식과관리행태등은중요하다고하겠다 [12]. 현재까지는대학생을대상으로하는정기적인구강건강관련교육프로그램이없이자율적인교육이라대중매체를통한교육만이루어지고있다. 이러한상황에서보건계열과비보건계열로나눠서구강보건관련지식수준과관리행태등을조사해보고자한다. 이를바탕으로대학생들의구강건강향상을위한교육프로그램개발에기초자료로삼고자한다. Ⅱ. 연구대상및방법 1. 연구대상및기간 본연구는 2014년 9월부터 10월말까지 2개월간부산, 경남지역에거주하는대학생을대상으로연구취지에동의하는학생들을대상으로직접설문조사를실시하거나원거리에있는학생들에게는인터넷을활용하여설문지를배부하고회수하였다. 총 320명을대상으로실시하였으며, 부적절한설문지 20 부를제외하고총 300부를최종분석하였다. 2 연구방법설문지의구성은신뢰도와타당도가검증된도 [13], 이 [14] 의설문을바탕으로연구취지에맞게수정하였다. 설문의내용은일반적특성 7문항, 구강보건지식을칫솔질관련 7문항, 42
Investigation into the Oral Health Knowledge and Oral Health Behavior of College Students: the case of health-related majors and non-health related majors 치주질환관련 7문항, 충치관련 5문항, 불소관련 4문항으로총 23문항으로정답 1점, 오답은 0점처리하였다. 실천도칫솔질관련 7문항, 구강위생용품관련 5문항, 정기검진등 7문항으로총 19문항, 현재구강건강인식상태, 구강건강관심도 5 점척도로매우건강하다와매우중요하다를 5점으로점수가높을수록건강하다고인식하고관심이많은것으로하였다. 3. 분석방법수집된자료는 SPSS 프로그램 (ver. 21.0, Chicago, Illinois, USA) 을이용하였으며, 대상자의분포도를알아보기위하여빈도분석을실시하였으며, 일반적특성에따른구강보건교육유무, 스켈링경험유무를파악하기위하여교차분석을실시하였고, 일반적특성에따른구강보건지식수준과정기검진, 구강보건교육, 스켈링유무에따른구강보건지식을파악하기위하여 t-test 및 ANOVA (analysis of variance) 로분석을실시하였다. Ⅲ. 연구결과 1. 조사대상자의일반적특성 조사대상자의일반적특성에서성별은여자 171명 (57.0%) 남자 129명 (43.0%) 으로여자가더많았고, 계열은비보건계열 157명 (52.3) 보건계열 143명 (47.7%) 으로비보건계열이더많았다. 단과대학에서는의료보건대 143명 (47.7), 기타 53명 (17.7%), 상대및공대는각각 39명 (13.0%), 인문대 26명 (8.7%) 으로의료보건대가제일많았고, 학년에서는 2학년 112명 (37.3%), 1학년 95명 (31.7%), 3학년 69명 (23.0%), 4학년 24명 (8.0%) 으로 2학년이제일많았다. 용돈에서는 30~50에 193명 (64.3%), 20이하 65명 (21.7%), 50~70에 28명 (9.3), 70~90만원및 100만원이상은각각 7명 (2.3%) 으로 30~50만원이높게나타났고, 흡연을하는경우 42 명 (14.0%) 로나타났다. 주관적으로인식하는현재구강건강상태는보통 150명 (50.0), 나쁘다 69명 (23.0), 좋다 60명 (20.0) 의순으로나타났다 <Table 1>. <Table 1> General characteristics Characteristic Classification N % Gender Male 129 43.0 Female 171 57.0 Affiliation Public Health 143 47.7 No Public Health 157 52.3 Department of Science Health care 143 47.7 Humanities department 26 8.7 Business department 39 13.0 Engineering 39 13.0 Etc 53 17.7 Grade 1 95 31.7 2 112 37.3 3 69 23.0 4 24 8.0 One month allowance >20 65 21.7 30~50 193 64.3 50~70 28 9.3 70~90 7 2.3 100< 7 2.3 Smoking Smoking 42 14.0 Non-smoking 258 86.0 Oral health status Very good 7 2.3 Good 60 20.0 Normal 150 50.0 Bad 69 23.0 Very bad 14 4.7 2. 일반적특성에따른구강보건관리관심정도일반적특성에따른구강보건관심도는다음과같다. 성별에서는여자가 2.97점으로남자보다높았고 (p=0.05), 계열에서는보건계열이 3.02점으로높았다 (p=0.004). 단과대학별로는의료보건대학 3.02점, 상대 2.87점, 인문대 2.85점순서로나타났고 (p=0.034), 담배를피지않는경우 2.95 점으로높게나타났다 (p=0.012). 주관적구강건강인식에서는매우건강하다 3.57점, 건강하다 3.03점, 보통 2.93점으로건강하다고인식할수록관심도가높게나타났다 (p=0.003)<table 2>. 43
Journal of Korean Society of Oral Health Science Vol. 3 No. 1 July 2015 3. 일반적특성에따른구강보건교육경험과스케일링경험유무 <Table 2> The level of concern for oral health care by general characteristics 일반적특성에따른구강보건교육경험유무와스케일링경험유무에따른결과는다음과같다. 구강보건교육경험유무에서는성별에서는남자 64명 (36.8%), 여자 110명 (63.2%) 로여자가높았으며 (p=0.011), 계열에서는보건계열이 99명 (56.9%), 비보건계열이 75명 (43.2%) 로보건계열이높았다 (p=0.003). 단과대학에서는의료보건대 99명 (56.9%), 기타 23명 (13.2), 상대 20명 (11.5), 공대18명 (10.3) 순서로나타났으며 (p=0.004), 학년에서는학년이낮을수록구강보건교육을받은경험이많았다 (p=0.002). 스케일링경험유무에서는스켈링은받은경우보통 85명 (53.1%), 좋다 37명 (23.1%), 나쁘다 32명 (20.0%) 로나타나유의한차이를보였으며 (p=0.015), 여자, 보건계열, 2학년, 용돈이 30~50인경우높게나타났으나통계적으로는유의하지않았다 <Table 3>. 4. 일반적특성에따른구강보건지식정도 Characteristic Gender Affiliation Department of Science Grade Classification Concern for oral health care Male 2.81±0.74 Female 2.97±0.68 Public Health 3.02±0.66 No Public Health 2.79±0.74 Health care Humanities department Business department Engineering Etc 3.02±0.66 b 2.85±0.68a b 2.87±0.80a b 2.64±0.67 a 2.81±0.79 ab 1 2.86±0.66 2 2.92±0.73 3 2.90±0.69 4 2.96±0.91 >20 2.92±0.71 t/f p 1.996 0.050 * 0.004 ** 2.647 0.034 * 0.166 0.919 일반적특성에따른구강보건지식정도는다음과같다. 계열에서보건계열이칫솔질지식에서 5.38점 (p=0.034) 치주지식 3.60점 (p=0.001), 충치지식 3.83점 (p=0.001), 불소지식 2.01점 (p=0.001) 으로모두높았으며, 단과대학에서의료보건대학에서치주지식 3.60점 (p=0.010), 충치지식 3.83점 (p=0.008), 불소지식 2.01점 (p=0.001), 칫솔질지식 5.38점으로가장높았다. 학년은 4학년에서전반적으로지식수준이높았으나충치지식수준은 1학년에서 3.84점 (p=0.043) 으로통계적으로유의하였으며, 용돈에서는충치지식은 100만원이상 (p=0.016), 불소지식은 50~70만원 (p=0.010) 에서높게나타났고유의한차이를보였다. 흡연유무에서는흡연을하지않는경우충치지식3.62점으로높게유의한차이를보였다 (p=0.012)<table 4>. 5. 구강건강관리행태에따른구강보건지식수준구강건강관리행태에따른구강보건지식수준은다음과같다. 정기검진을받는경우칫솔질지식 5.54점 (p=0.005), 치주지식 3.91점 (p<0.001), 불소지식 2.02점 (p=0.013), 충치지식 3.59 One month allowance Smoking Oral health status 30~50 2.89±0.70 50~70 2.89±0.83 70~90 2.57±0.54 100< 3.29±0.49 Smoking 2.62±0.76 Non-smoking 2.95±0.69 Very good Good Normal Bad Very bad 3.57±0.79 b 3.03±0.86 a 2.93±0.57 a 2.67±0.72 a 2.86±0.95 a 0.914 0.456-2.794 0.012 * 4.187 0.003** M±SD: mean standard deviation * p<.05, ** p<.01, statistically significant by t-test and one way ANOVA a.b. : different letters represent significant different by Duncan method comparison at 0.05 significance level 점으로나타났으며, 스케일링경험유무에서는스켈링을받은 경험이있는경우칫솔질지식 5.36 점 (p=0.041), 치주지식 3.61 점 (p<0.001), 충치지식 3.60 점, 불소지식 1.80 점으로높게나타 났다. 44
Investigation into the Oral Health Knowledge and Oral Health Behavior of College Students: the case of health-related majors and non-health related majors <Table 3> The scaling and Oral health education experience by general characteristics Characteristic Gender oral health education scaling Classification Yes No p Yes No p Male 64(36.8) 65(51.6) 72(45.0) 57(40.7) 0.011* 0.454 Female 110(63.2) 61(48.4) 88(55.0) 83(59.3) Affiliation Public Health 99(56.9) 44(34.9) 80(50.0) 63(45.0) 0.003** No Public Health 75(43.2) 82(65.1) 80(50.0) 77(55.0) 0.387 Health care 99(56.9) 44(34.9) 80(50.0) 63(45.0) Department of Science Humanities department 14(8.0) 12(9.5) 13(8.1) 13(9.3) Business department 20(11.5) 19(15.1) 0.004** 19(11.9) 20(14.3) Engineering 18(10.3) 21(16.7) 27(16.9) 12(8.6) Etc 23(13.2) 30(23.8) 21(13.1) 32(22.9) 0.066 1 65(37.4) 30(23.8) 47(29.4) 48(34.3) Grade 2 56(32.2) 56(44.4) 55(34.4) 57(40.7) 0.002** 3 45(25.9) 24(19.0) 41(25.6) 28(20.0) 4 8(4.6) 16(12.7) 17(10.6) 7(5.0) 0.148 >20 41(23.6) 24(19.0) 32(20.0) 33(23.6) One month allowance Smoking 30~50 108(62.1) 85(67.5) 106(66.3) 87(62.1) 50~70 16(9.2) 12(9.5) 0.818 17(10.6) 11(7.9) 70~90 5(2.9) 2(1.6) 2(1.3) 5(3.6) 100< 4(2.3) 3(2.4) 3(1.9) 4(2.9) Smoking 21(12.1) 21(16.7) 26(16.3) 16(38.1) 0.312 Non-smoking 153(87.9) 105(83.3) 134(83.8) 124(48.1) 0.512 0.247 Very good 4(2.3) 3(2.4) 4(2.5) 3(2.1) Oral health status *p<.05, **p<.01 Good 33(19.0) 27(21.4) 37(23.1) 23(16.4) Normal 90(51.7) 60(47.6) 0.970 85(53.1) 65(46.4) Bad 39(22.4) 30(23.8) 32(20.0) 37(26.4) Very bad 8(4.6) 6(4.8) 2(1.3) 12(8.6) 0.015* 구강보건교육경험유무에서는칫솔질지식 5.38점 (p=0.008), 충치지식 3.77점 (p<0.001), 불소지식 1.90점 (p=0.007), 치주지식 3.43점으로높게나타났으며, 칫솔질횟수는 3회이상에서칫솔질지식 5.29점, 치주지식 3.50점 (p=0.004), 충치지식 3.54점, 불소지식 1.81점으로모두높게나타났다. 칫솔질시간에서는 3분이상칫솔질지식 5.35점 (p=0.037), 불소지식 1.80점으로높게나타났으며, 구강위생용품사용유 무에서는칫솔질지식 5.34 점, 치주지식 3.39 점, 불소지식 2.99 점 (p=0.021) 로높게나타났다 <Table 5>. 45
Journal of Korean Society of Oral Health Science Vol. 3 No. 1 July 2015 <Table 4> The level of oral health knowledge by general characteristics Characteristic Classification A(7) B(7) C(5) D(4) Male 5.13±1.19 3.15±1.67 3.42±1.48 1.78±1.24 Gender Female 5.30±1.17 3.36±1.71 3.63±1.25 1.70±1.25 p 0.226 0.276 0.191 0.549 Public Health 5.38±1.09 3.60±1.75 3.83±1.22 2.01±1.18 Affiliation No Public Health 5.09±1.24 2.97±1.58 3.27±1.42 1.48±1.25 p 0.034 * 0.001 ** p<0.001 *** p<0.001 *** Health care 5.38±1.87 3.60±1.75 b 3.83±1.22 b 2.01±1.18 c Humanities department 5.12±1.24 2.77±1.34 a 3.12±1.32 a 1.15±1.32 a Department of Science Business department 4.92±1.18 3.08±1.40 ab 3.49±1.14a b 1.64±1.18 abc Engineering 4.87±1.24 3.28±1.67 ab 3.26±1.52 ab 1.77±1.27 bc Etc 5.36±1.27 2.75±1.74 a 3.19±1.59 a 1.32±1.22 ab p 0.051 0.010* 0.008 * 0.001 ** 1 5.23±1.16 3.36±1.60 3.84±1.18 1.79±1.22 2 5.19±1.23 3.04±1.67 3.31±1.50 1.63±1.25 Grade 3 5.19±1.19 3.43±1.84 3.46±1.18 1.71±1.21 4 5.50±0.93 3.54±1.72 3.58±1.61 2.08±1.38 p 0.686 0.300 0.043 * 0.398 >20 5.12±0.99 3.06±1.86 3.29±1.43 ab 1.40±1.31 30~50 5.24±1.23 3.31±1.67 3.65±1.32 bc 1.73±1.22 One month allowance 50~70 5.21±1.40 3.39±1.42 3.29±1.24 ab 2.36±1.13 70~90 5.43±0.79 4.29±1.90 2.57±1.72 a 1.86±1.22 100< 5.23±0.76 3.27±1.38 4.57±0.79 c 2.29±0.95 p 0.751 0.293 0.016 * 0.010 * Smoking 5.02±1.33 2.90±1.70 3.05±1.45 1.64±1.43 Smoking Non-smoking 5.26±1.15 3.33±1.69 3.62±1.33 1.75±1.21 p 0.229 0.132 0.012 0.612 Very good 5.43±0.79 3.71±2.36 3.71±1.11 2.29±0.76 Good 5.35±1.07 3.35±1.83 3.53±1.32 1.82±1.28 Oral health status Normal 5.13±1.28 3.15±1.68 3.65±1.34 1.73±1.28 Bad 5.22±1.01 3.25±1.53 3.26±1.38 1.52±1.21 Very bad 5.71±1.00 4.07±1.64 3.64±1.69 2.14±0.86 p 0.362 0.346 0.402 0.272 M±SD: mean standard deviation * p<.05, ** p<.01, *** p<.001, statistically significant by t-test and one way ANOVA a.-c. :different letters represent significant different by Duncan method comparison at 0.05 significance level A : Toothbrushing knowledge(7score) B : Periodontal knowledge(7score) C : Dental caries knowledge(5score) D : Fluoride knowledge(4score) 46
Investigation into the Oral Health Knowledge and Oral Health Behavior of College Students: the case of health-related majors and non-health related majors <Table 5> The level of oral health knowledge by oral health behavior Characteristic Regular checkup scaling experience Oral health education Toothbrushing number Toothbrushing time Oral hygiene products Classification M±SD: mean standard deviation * p<.05, ** p<.01, *** p<.001, statistically significant by t-test A : Toothbrushing knowledge(7score) B : Periodontal knowledge(7score) C : Dental caries knowledge(5score) D : Fluoride knowledge(4score) A(7) B(7) C(5) D(4) Yes 5.54±1.03 3.91±1.66 3.59±1.41 2.02±1.31 No 5.11±1.21 3.03±1.65 3.52±1.34 1.62±1.20 p 0.005 ** p<0.001 *** 0.704 0.013 * Yes 5.36±1.08 3.61±1.64 3.60±1.31 1.80±1.26 No 5.08±1.27 2.88±1.67 3.46±1.40 1.66±1.23 p 0.041 * p<0.001 *** 0.388 0.322 Yes 5.38±1.10 3.43±1.65 3.77±1.27 1.90±1.20 No 5.02±1.25 3.05±1.74 3.21±1.42 1.51±1.28 p 0.008 * 0.053 p<0.001 *** 0.007 * 1-2 5.13±1.15 2.92±1.67 3.53±1.31 1.62±1.21 3< 5.29±1.19 3.50±1.68 3.54±1.39 1.81±1.27 p 0.231 0.004 ** 0.940 0.209 1-2minute 5.06±1.18 3.30±1.57 3.69±1.22 1.65±1.19 3< 5.35±1.17 3.24±1.79 3.42±1.44 1.80±1.29 p 0.037 * 0.760 0.089 0.309 Yes 5.34±1.21 3.39±1.66 3.38±1.53 1.99±1.27 No 5.18±1.17 3.22±1.71 3.60±1.27 1.63±1.22 p 0.292 0.414 0.200 0.021 * Ⅳ. 고찰 대학생들은생애주기에서성인기의처음시작으로인생의가치관확립과더불어미래를위한다양한지식을습득하며, 사회생활을준비하는아주중요한시기이며, 구강건강관련정보를습득하고관리하기에도중요한시기이다 [15]. 그러나윤등 [16] 은대학생들이현재자신의구강건강상태에대하여정확하게파악하지못하고있으며, 정확한구강보건지식과관리방법에대해서도정확하게알지못하기때문에정기적구강검진과더불어서개인의구강상태에맞는적절한구강보건교육의필요성을강조하였다. 따라서대학생들에게적절한구강보건교육을통해구강건강관리에대한관심을유발시키고, 정확 한지식의함양을통한올바른행동변화를통하여, 구강건강향상을유도하는것이필요하겠다 [6]. 치위생학과를제외한대부분의대학생들은자신의구강건강상태에대하여정확하게인지하고있지못하는실정이며, 구강보건관련지식과인식도등은구강건강관리에영향을미치는것으로나타났다 [17]. 일반적인특성에따른구강보건교육경험유무에서는보건계열이 99명 (56.9%), 비보건계열이 75명 (43.2%) 로보건계열이높았고, 단과대학에서는의료보건대 99명 (56.9%) 가장높게나타났으나송 [18] 의논문에서는구강보건교육을받은경험에서성별, 전공별차이가없는것으로나타나본연구와차이를보였다. 지식정도에서비교해보았을때계열에서보건계열이칫솔질지식, 치주지식, 충치지식, 불소지식으로비보건계열보다 47
Journal of Korean Society of Oral Health Science Vol. 3 No. 1 July 2015 모두높았다. 이는이등 [19] 의논문에서보건계열학생들이칫솔질과불소, 구강질환의유전등과같은구강보건지식이보건계열이높게나타난것과일치했으며, 윤등 [16] 의논문에서구강보건지식은계열에서보건계열이가장높게나타난것과동일한결과이다. 또한임과정 [7] 의연구에서는치아우식증과치주질환에서보건계열학생들의지식수준이높게나타나본연구에서보건계열학생들이충치지식과치주지식이높게나타난것도동일한결과를보였다. 이는전반적으로보건계열학생들의경우공중보건학과같은교양과전공과목등에서언급되는경우가많으며, 대부분이한건물에있는대학들이많은것을감안할때노출의빈도때문이라사료된다. 구강위생용품사용의중요성인식에대한문항에서는유의한차이가없었으며구강보건교육의유무에따른지식정도는구강보건교육을받은경우칫솔질지식, 충치지식, 불소지식에서유의하게높게나타났다. 이는한 [2] 의연구에서구강건강지식과구강건강행위는유의한양의상관관계가있다는것과유사한결과이다. 일반적인특성에따른흡연유무에서는보건계열이 14명 (9.8%) 비보건계열이 28명 (17.8%) 으로비보건계열이높았고, 이는이등 [3] 의연구에서도비보건계열의흡연율이높게나타나동일한결과를보였다. 현재구강건강에흡연의유해성이입증되었으며, 이를바탕으로구강보건교육에도금연과관련된내용들을넣어교육이이루어지고있다 [20]. 일반적인특성에따른칫솔질횟수는비보건계열에서 2 회 라고답한대상자가 68명 (43.3%) 로가장높게나타났고, 보건계열에서 3회 라고답한대상자가 73명 (51.0%) 로가장많았으며, 이는송 [18] 의연구에서칫솔질횟수가 3~4회라고응답한경우가일반계열에서 40.4%, 보건계열에서 33.0% 로일반계열학생들이더높아본연구와는차이를보였다. 또한본연구에서는칫솔질횟수가 3회이상인경우, 구강보건교육을경험한경우에전반적인구강보건지식수준이높을것을감안할때구강보건지식수준과실천은상관성이있는것으로보여지며, 구강보건교육으로스스로구강건강을관리할수있는계기를마련할수있으리라사료된다. 본연구는대학생들을보건계열과비보건계열로나눠서구강보건지식수준을측정하고, 구강건강관리행태를분석함으로써대학생들에게맞는구강보건교육자료를만들고자하였다. 그러나부산, 경남지역에만국한되고표본의크기가크지못한점으로본연구결과가전체대학생을대표하기는어 려우나이를바탕으로추후에도구강보건지식수준을측정하고관리행태를보다다양하게분류하여조사할수있는계기를마련하였다고사료된다. Ⅴ. 결론 본연구는부산과경남지역대학생을대상으로구강보건지식수준과구강보건관리행태를비교해보고자 2014년 10월부터 2달간직접설문조사와인터넷조사를실시하여최종 300 부를분석하여다음과같은결론을얻었다. 1. 구강보건교육경험에서는여성과보건계열, 학년이낮을수록경험을많이한것으로나타났다. 2. 계열에서보건계열이칫솔질지식에서 5.38점 (p=0.034) 치주지식 3.60점 (p=0.001), 충치지식 3.83점 (p=0.001), 불소지식 2.01점 (p=0.001) 으로모두높았으며, 단과대학에서의료보건대학에서치주지식 3.60점 (p=0.010), 충치지식 3.83점 (p=0.008), 불소지식 2.01점 (p=0.001), 칫솔질지식 5.38점으로가장높았다. 3. 정기검진을받는경우칫솔질지식 5.54점 (p=0.005), 치주지식 3.91점 (p<0.001), 불소지식 2.02점 (p=0.013), 충치지식 3.59 점으로나타났고, 스케일링경험유무에서는경험이있는경우칫솔질지식 5.36점 (p=0.041), 치주지식 3.61점 (p<0.001), 충치지식 3.60점, 불소지식 1.80점으로높게나타났다. 4. 구강보건교육경험유무에서는칫솔질지식 5.38점 (p= 0.008), 충치지식 3.77점 (p<0.001), 불소지식 1.90점 (p=0.007), 치주지식 3.43점으로높게나타났으며, 칫솔질횟수는 3회이상에서칫솔질지식 5.29점, 치주지식 3.50점 (p=0.004), 충치지식 3.54점, 불소지식 1.81점으로모두높게나타났다. 5. 칫솔질시간에서는 3분이상칫솔질지식 5.35점 (p= 0.037), 불소지식 1.80점으로높게나타났으며, 구강위생용품사용유무에서는불소지식 2.99점 (p=0.021), 칫솔질지식 5.34 점, 치주지식 3.39점으로높게나타났다. 이상의결과로대학생들중보건계열의학생들이비보건계열학생들에비하여구강보건지식수준이높고관리행태가좋은것은접근성과관련성이있으므로이를개선하기위한구강건강관리프로그램의개발이필요한것으로사료된다. 48
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