Purpose The purpose of this study was to investigate the effects of oral health education on oral health knowledge, oral health behavior, and oral hygiene status of children from North Korea.
Methods Participants were 32 North Korean children defectors (15 in the education group, 17 in the control group). The oral health education program, including theoretical training and toothbrush training, was done once a week for 4 weeks. Effects of the education program were assessed for oral health knowledge, oral health behavior, and oral hygiene status at pretest, 0, and 4 weeks after the intervention. Data were analyzed using repeated measures ANCOVA with the SAS program.
Results Children in the education group showed increased oral health knowledge and behavior over time compared to the control group and an improvement in oral hygiene status including significantly decreased S-PHP and Snyder test for oral micro-organism.
Conclusion Results indicate that oral health education is effective in improving oral health knowledge, oral health behavior and oral hygiene status. These improvements could lead to a better quality of life for North Korean children defectors.
Citations
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A Qualitative Study of Preschool Children’s Perspectives on an Oral Health Promotion Program in New South Wales, Australia Jinal Shashin Parmar, Prathyusha Sanagavarapu, Sowbhagya Micheal, Navira Chandio, Susan Cartwright, Amit Arora Children.2024; 11(4): 415. CrossRef
The influence of North Korean defectors’ oral health service experience on oral health behavior Siwoo Kim, Yuri Lee, Jae-Sung Kwon, Saran Kim, Jungtae Kim, Steacey Kim, Jae Hoon Lee Journal of Korean Academy of Oral Health.2022; 46(3): 115. CrossRef
Changes in the oral health and tooth brushing habits of upper grade primary school children according to the composition of the tooth brushing environment of the school Su-Kyung Jwa Journal of Korean Academy of Oral Health.2021; 45(4): 210. CrossRef
An exploratory study on development policy and the status of oral health care in the North Korea during the Kim Jong-Un era Sae-Rom Lee, Se-Hwan Jung Journal of Korean Academy of Oral Health.2020; 44(1): 26. CrossRef
Purpose Oral glucose and pH are known as critical indicators for the growth of microorganism inside the oral cavity. This study was performed to identify oral glucose and pH variances in the early postnatal days of newborns.
Methods An explorative study which included 67 newborns was conducted to measure the oral glucose and pH during the first three days of life. Oral secretions were collected every 8 hours for three days or 6 to 9 times immediately after birth up to discharge. Oral glucose and pH variances during the three days were analyzed using the SPSS 22.0.
Results Oral glucose was 30.66±22.01mg/dl at birth then increased to 54.77±27.96mg/dl at the third day of life (F=8.04, p<.001) while oral pH decreased from 7.35±0.36 to 5.53±0.39 during the three days (F=113.35, p<.001). Oral glucose and pH were related to gestational age, regurgitation, and maternal diabetic mellitus. A negative correlation was found between oral glucose and pH (r=-.34, p<.001).
Conclusion Oral glucose and pH can be utilized for oral health assessment in newborns. Further study is needed to explore the factors which influence oral glucose and pH in high-risk newborns.
Purpose A longitudinal study was conducted to explore flora colonization and oral glucose high-risk newborns during the first 7 days after birth.
Methods Oral secretions of hospitalized newborns were obtained for microbial cultures and glucose test at days 1-7 after birth.
Results Among the total 112 newborns, 40% were girls and 73% were premature. Mean gestational age was 34.4±3.2 weeks and weight was 2,266±697.5 grams. The most common flora included Streptococcus (28.2%), Methicillin-resistant Staphylococcus aureus (MRSA, 10.9%), Staphylococcus (6.0%), and Coagulase- Negative Staphylococcus (CNS, 4.0%). The average oral glucose level was 29.2±23.0 mg/dL~58.2±39.5 mg/dL. Newborns with higher oral glucose than serum (crude odds ratio [ORc] =1.75; 95% confidence interval [CI] =1.03-2.97), phototherapy (ORc=3.30; 95% CI=2.29-4.76) and prone position (ORc= 2.04; 95% CI=1.13-3.69) were more likely to be colonized. Having oral tubes (ORc=0.42; 95% CI=0.29-0.59), parental nutrition (ORc=0.21; 95% CI=0.13-0.32) and antibiotics (ORc=0.51; 95% CI=0.36-0.73) had protective effects. For oral glucose statistical significances existed on time effect among newborns with Streptococcus (F=9.78, p=.024), MRSA (F=7.60, p=.037) or CNS (F=11.15, p=.019) and interaction between time and colonization among newborns with all of four flora (F=2.73, p=.029) or colonization with only Staphylococcus (F=2.91, p=.034).
Conclusion High-risk newborns develop flora colonization at an early period of life. Their clinical features were associated with types and time of oral flora colonization. They need close monitoring and multifaceted intervention to improve oral environment and infection control.
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Glucose and pH of Oral Secretions in Newborns Namhee Kim, Youngmee Ahn Child Health Nursing Research.2017; 23(3): 353. CrossRef
PURPOSE The purpose of this study was to examine levels of knowledge, attitude towards infant oral health, and related health behavior of parents. METHODS The sample consisted of 380 parents who were providing care for a child ranging in age from 11 to 16 months. RESULTS Participants obtained information on infant oral health via the internet, infant care books, and friends.
While showing the correct attitude towards infant oral health, the parents were ill-informed regarding infant oral health and engaged in low levels of appropriate health behavior. There were statistically significant differences in infant oral health knowledge according to parents age, education, income, and age of infant. Attitude towards infant oral health was significantly different according to parents education and income. Also, there were significant differences in health behavior practice for infant oral health according to parents age, income, caregiver, and infant age. A significant positive relationship was found between knowledge and attitude to infant oral health. CONCLUSION The results of this study indicate that for maintenance and improvement of infant oral health, the parents and caregivers of infants should be provided with information and specific methods for infant oral health care.
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