J Korean Acad Oral Health.  2022 Sep;46(3):115-120. 10.11149/jkaoh.2022.46.3.115.

The influence of North Korean defectors’ oral health service experience on oral health behavior

Affiliations
  • 1Asian Institute for Bioethics and Health Law, Yonsei University, Seoul, Korea
  • 2Department of Health and Medical Information, Myongji College, Seoul, Korea
  • 3Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul, Korea
  • 4Dentistry Planning in Center for Health and Unification of Korea, Yonsei University Health System, Seoul, Korea
  • 5Yonsei Masters Dental Clinic, Seoul, Korea
  • 6Yonsei University College of Medicine, Seoul, Korea
  • 7Graduate of Yonsei University College of Dentistry, Seoul, Korea
  • 8Department of Prosthodontics, Yonsei University College of Dentistry, Seoul, Korea

Abstract


Objectives
The study aims to investigate the influence of oral health service experience on oral health behavior of North Korean defectors and contribute to the development and implementation of oral health education among this population.
Methods
A self-reporting questionnaire survey was conducted with 161 North Korean defectors in Hanawon from April, 2015 to September, 2015. Of these participants, 50 were excluded owing to insufficient questionnaire data. The questionnaire was developed based on the WHO’s Oral Health Survey (OHS) and the Korean National Oral Health Survey (KNOHS). Three categories were included in the questionnaire: demographic characteristics, dental service experience in North Korea, and oral health behavior.
Results
Males had higher levels of perceived oral health compared to females, with differences according to the region they are from in North Korea. Those who received tooth brushing instruction in North Korea showed a greater tendency to practice tooth brushing after lunch, while those who received oral health examination showed a higher level of use of oral rinses. Further, the experience of dental scaling significantly influenced both practicing tooth brushing after lunch and use of oral rinses.
Conclusions
This study confirmed that the previous experience of oral health service in North Korea positively influenced current oral health behavior of North Korean defectors. Continued oral health education can enhance their oral health behavior, oral health, and quality of life. Thus, it is suggested that policies and oral health education should be developed according to their characteristics and oral health service experience in North Korea.

Keyword

North Korean defectors; Oral health behavior; Oral health service experience

Reference

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