Department of Preventive Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University1
Department of Dental Hygiene Daewon University College2
Department of Dental hygiene, ChoonHae College of Health Sciences3
Objectives: The purpose of this study was to investigate the relationship between stress and oral health symptoms in adolescents in multicultural families. Methods: The data from the 10th Korea Youth Risk Behavior Web-based Survey (KYRBWS) were analyzed using PASW Statistics 18.0 (SPSS Inc., Chicago, IL, USA). A total of 795 adolescents, whose mother or father's home country is not Korea, were selected as the final analysis subjects. Results: There was a correlation between the subject's stress level and oral health symptoms. Toothache was significantly increased 2.474 times (p<0.001) compared to lower stress levels. Gum pain and halitosis were significantly increased by 2.394 times and 1.820 times, respectively, compared with those who had low stress (0.001, 0.008). Conclusions: The results suggest that stress experienced by adolescents in multicultural families affects oral health symptoms. Therefore, it is necessary to identify the stress factors and levels in adolescents belonging to multicultural families whose physical and emotional changes are evident and develop a customized program considering their characteristics.
1. Rhee YH. History of South Korea 1945-1987. 1st ed. Seoul: Guiparang Book; 2013: 1-26.
2. Cho HN, Park EH. Analysis on social implication of mixed-blood based on the review of newspaper articles from 1950 to 2011. J Korean Soc Cont 2013;14:367-407.
3. Kim KJ. Thoughts on multicultural family issues in a new religion. J Korean Acad 2011;24(1):327-61. https://doi.org/10.22245/jkanr.2011.24.24.327
4. Kim KH, Hoe TY. The establishment of sustainable multi-cultural society on the basis of social capital in the rural area of Korea. J Korean Soc 2012;22:89-131.
5. Kim HR, Yuh JY, Jung JJ. Health status of marriage immigrant women and children from multicultural families and health policy recommendations. Seoul: Korea Institue for Health and Social Affairs; 2012: 29-32.
6. Ministry of the Interior and Safety. 2016 Foreign resident status [Internet]. Statistics of foreign residents of Korea; 2016.[cited 2019 Apr 15]. Available from: https://www.mois.go.kr/frt/bbs/type001/commonSelectBoardArticle.do?bbsId=BBSMSTR_000000000014&nttId=60528.
7. Kim KW. The study research on the actual and policy issues of multi-cultural families in Korea. J Korean Soc Wel 2012;9:31-60.
8. Kim SY, Shin YG. Priority of the education supports for the multi-cultural families in order to reduce multi-cultural students' educational disadvantage. J Korean Soc Reg Dev 2012;21:101-38.
9. Cheon HS, Park GS. A study on the school life of children of multicultural families. J Korean Soc Cont 2012;2(2):416-44.
10. Choi YM, Lim ST. The relationships between stress and school adjustment of adolescents with multicultural family background. J Evaluation on Counseling 2012;5: 15-26.
11. Freeman R. The psychology of dental patient care 5. The determinants of dental health attitudes and behaviours. Br Dent J 1999;187:8-15. https://doi.org/10.1038/sj.bdj.4800192
12. Ministry of Health and welfare. Guide book for using raw data of Korean youth risk behaviors web-based survey. Seoul: Korea centers for disease control and prevention; 2012: 1-348.
13. Park HJ, Kim HW, Ko SY, Lee JH. Moderating effects of oral health behaviors on the relation between daily stress and oral health status in Korean adolescents. J Korean Soc Pub 2015;41:81-93.
14. Deinzer R, Hilpert D, Bach K, Schawacht M, Herforth A. Effects of academic stress on oral hygiene- a potential link between stress and plaque-associated disease?. J Clin Periodontol 2001;28:5. https://doi.org/10.1034/j.1600-051x.2001.028005459
15. Yun K, Chesnokova A, Shults J. Use of preventive dental care among medicaid-enrolled, school-aged US children in immigrant and nonimmigrant families: trends in Pennsylvania From 2005 through 2010. Am J Public Health 2014;104:2400-8. https://doi.org/10.2105/ajph.2014.302157
16. Chi DL, Broder HL, Warren J. Existing paradigms and current challenges in adolescent oral health research: a call for health promotion research focusing on low-income adolescents. J Ped Dent 2015;37(7):496-8.
17. Peruzzo DC, Benatti BB, Ambrosano GM. A systematic review of stress and psychological factors as possible risk factors for periodontal disease. J Perio 2007;78(8):1491-504. https://doi.org/10.1902/jop.2007.060371
18. Khter R, Hannan MA, Okhubo R, Morita M. Relationship between stress factor and periodontal disease in a rural area population in Japan. J Eur Med 2005;10(8):352-7.
19. Park JH. Subjective oral symptoms between multicultural and ordinary Korean families: adolescents. Korea Cont Soc 2015;15:374-83. https://doi.org/10.5392/jkca.2015.15.09.374
20. Bae JS. Comparison study on the oral health behaviors of multicultural family adolescents and native family adolescents in Korea. J Korean Health Edu 2014;31(5):71-9. https://doi.org/10.14367/kjhep.2014.31.5.71
21. Kim SR, Han SJ. The relationship between perceived oral health status and entrance exam stress levels in high school students. J Dent Hyg Sci 2015;15(4):509-17. https://doi.org/10.17135/jdhs.2015.15.4.509
22. Lee JH, Choi MS, Jang YH. Factors influencing oral health status of immigrant women in multi-cultural families. J Korean Soc Dent Hyg 2017;17(1):145-53. https://doi.org/10.13065/jksdh.2017.17.01.145
23. Yun HK, Choi MS, Choi GY. Influence on oral health condition by visits to dental clinics and dental education experience of east asian immigrant women in Korea. J Korean Soc Dent Hyg 2012;12(2):409-17.
24. Kim SG. The psycho-social adaptation among children of multi-cultural families. J Korean Jou Stu 2011;18(3):247-72.
25. Satheesh M, Vijay KC. The effect of stress on periodontitis: A clinicobiochemical study. J Indian Soc Perio 2012;16(3):365-9. https://doi.org/10.4103/0972-124x.100912
26. Park HS, Han JY, Lee NY. The association of helath behaviors with stress perception among high school students in Korea: based on 2015 Korean youth risk behavior survey. J Korean Acad Community Health Nurs 2018;29:87-96.
27. Kang JS, Hwang E. Self-esteem and school adjustment according to distinction of sex for early adolescents. J Korean Str Res 2012;20(3):149-57.
28. Lee SM, Lim JH. Effect of temperament and stress coping strategies on psychological well-being of adolescents. J Korean Soc Edu 2015;27(2):121-35.
29. Kim HS, Kim DS. Adolescents of multi-cultural families and differntial risks of suicidal behaviors. J Korean Soc 2014;48:35-66. https://doi.org/10.21562/kjs.2014.04.48.2.35
30. Jeon JH, Kim SH. Depression, stress and how they are related with health behaviors and metabolic syndrome among women over 40 years. J Korean Soc Matern Child Health 2012;16(2):263-73. https://doi.org/10.21896/jksmch.2012.16.2.263
32. Lee MY, Choi EM, Chung WG, Son JH, Chang SJ. The effects of perceived stress on dietary habit and oral health bebaviors in Korean adolescents. J Dent Hyg Sci 2013;13(4):440-8.
33. Kim SR. The associated factors of perceived oral health status and entrance exam stress levels in high students[Master's thesis]. Incheon: Univ. of Gachon, 2015.
34. Jun MJ, Kim JS. The convergence Impact of oral health behaviors, health behaviors to stress in Korean adolescents. J Korean Con Sci 2017;8(4):139-48. https://doi.org/10.15207/jkcs.2017.8.4.139
35. Kim HJ, Han MA, Park J, Ryu SY, Choi SW. Heatlh behavior of North Korean, multicultural and Korean family adolescents in Korea: the Korea Youth Risk Behavior web-based survey 2011-2013. J Korean Soc Health Pol 2015;25(1):22-30. https://doi.org/10.4332/kjhpa.2015.25.1.22
36. Bae JS. Comparison study on the oral health behaviors of multicultural family adolescents and native family adolescents in Korea. Korean J Health Promt 2014;31(5): 71-9. https://doi.org/10.14367/kjhep.2014.31.5.71
37. Do KY. Impact of health risk factors on the oral health of Korean adolescents: Korea youth risk behavior web-based survey, 2013. J Dent Hyg Sci 2016;16(3):193-9. https://doi.org/10.17135/jdhs.2016.16.3.193