Department of Dental Hygiene, Kwangju Women’s University1
Objectives: The purpose of this study is to analyze the factors affecting the self-perceived halitosis of adults and to utilize them as basic data for the development of prevention and management program to reduce of self-perceived halitosis. Methods: A questionnaire survey of 301 adults in their 20s and 50s living in Gwangju and Jeonnam selected by convenience sampling from July 1, 2017 to August 31, 2017 was conducted to investigate oral health status and behavior, fatigue and perceived stress. Statistical analysis was performed using frequency analysis, independent t-test, one way ANOVA, Pearson’s correlation analysis, and multiple regression analysis. Results: The degree of self-perceived halitosis was higher in married (2.51) and unemployed (2.71), with tongue brushing (2.68), intention to participate in halitosis education (2.57), taking medication (2.73), coated tongue (2.82) and there was both otolaryngology and gastrointestinal disease (2.72) and periodontal disease (2.89) (p<0.05). Fatigue (=0.237), periodontal disease (=0.196), and coated tongue (=0.237) affect the self-perceived halitosis (p<0.001). Conclusions: The self-perceived halitosis in adults was correlated with fatigue and perceived stress. Also fatigue, periodontal disease, coated tongue factors were analyzed as factors influencing self-perceived halitosis. Additional studies such as prevention and management of periodontal disease and coated tongue, which is a factor of self-perceived halitosis in adults, and development of programs to reduce self-perceived halitosis for fatigue management, which is an external factor, are necessary.
1. Cortelli JR, Barbosa MD, Westphal MA. Halitosis: a review of associated factors and therapeutic approach. Braz Oral Res 2008;22(1):44-54. https://doi.org/10.1590/S1806-83242008000500007
2. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. 11th ed. Ku Y, Kim BO, Park JB, Lee JM, Chang BS, Chung HJ, et al. Seoul: J.S publisher; 2012: 331-8.
3. Eldarrat A, Alkhabuli J, Malik A. The prevalence of self-reported halitosis and oral hygiene practices among Libyan students and office workers. Libyan J Med 2008;3(4):170-6. https:// doi.org/10.4176/080527
4. Kim SA, Kim S, Yoon MS, Hwang SJ, Kim KS, Kim DY, et al. Contemporary preventive dentistry. 1st ed. Seoul: DaehanNarae Publishing; 2013: 276-85.
5. Armstrong BL, Sensat ML, Stoltenberg JL. Halitosis: A review of current literature. J Dent Hyg 2010;84(2):65-74.
6. Korean academy of orofacial pain and oral medicine. info_health. Halitosis [Internet]. [cited 2015 June 24]. Available from: http://www.kaom.org/board_info_health_data01/view.php?tn =board_info_health_data01&list_count_s=15&G_state=Y&pm=5.1&part_part_s=&subject_s=&content_s=&name_s=&writedate_s=&search_word_s=%EA%B5%AC%EC%B7%A8&sid=4&gid=4&cpage=4&spage=1
7. Akos N, Zsolt B, Péter N, Gábor N. Clinical importance and diagnosis of halitosis. Fogorv Sz 2012;105(3):105-11.
8. Tonzetich J. Oral malodour: an indicator of health status and oral cleanliness. Int Dent J 1978;28:309-19.
9. Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodont Res 1992;27:233-8. https://doi.org/10.1111/ j.1600-0765.1992.tb01673.x
10. 0]Han JS, Hong JH, Choi JS. Factors associated with self-assessment of halitosis in adult. KCA 2011;11(12):347-56. https://doi.org/10.5392/JKCA.2011.11.12.347
11. Lee YO, Hong JP, Lee TY. Halitosis and related factors among rural residents. J Oral Med Pain 2007;32:157-75.
12. McKeown L. Social relations and breath odour. Int J Dent Hyg 2003;1(4):213-7. https://doi. org/10.1034/j.1601-5037.2003.00056.x
13. Zurcher A, Filippi A. Finding, diagnoses and results of a halitosis clinic over a seven year period. Swiss Dental J 2012;122(3):205-10.
14. Park MS. Investigation on self-awareness of halitosis of general adults. J Dent Hyg Sci 2003;3(1):15-21.
15. Kim SS, Lee ES, So MH, Woo HS, Jun SG. Research study on the grade of subjective symptom and recognition of oral malodor of women’s college students or co-eds. J Korean Soc Dent Hyg 2008;8(1):1-12.
16. Jeong MK, Jang GW, Kang YJ. Perceived oral malodor and need for dental care among visitors receiving dental prophylaxis. J Korean Soc Dent Hyg 2011;11(6):843-52.
17. Kim KW. Factors that affect oral malodor in adults of 20s. KADH 2014;16(3):139-47.
18. Yoon MS, Yoon HJ. A study on subjective symptoms of a oral malodor in Korean adults. J Dent Hyg Sci 2008;8(3):123-9.
19. Kim YH, Yun JW, Lee JH. Relation of self-perception of halitosis according to some dental hygiene students’s oral care habits and dietary habits. KSCHS 2015;3(1):268-75. https://doi. org/10.15205/kschs.2015.3.1.268
20. 0]Han GS. Self-perceived oral malodor symptoms and associated factors among adults in metro-politan area. J Korean Soc Dent Hyg 2013;13(3):475-80. https://doi.org/10.13065/jksdh.2013. 13.3.475
21. Chun SY. Physical and mental factors of subjective symptom[Master’s thesis]. Seoul: Univ. of Seoul National, 2012.
22. Jung EJ, Park IS. Correlation between oral malodor and related factors in visitors to preventive dentistry practice lab. J Korean Soc Dent Hyg 2016;16(3):383-90. https://doi.org/10.13065/ jksdh.2016.16.03.383
23. Kim SR. The associated factors of perceived oral health status and entrance exam stress levels in high school students[Master’s thesis]. Incheon: Univ. of Gachon, 2015.
24. Iwu CO, Akpata O. Delusional halitosis. Review of the literature and analysis 32 cases. Br Dent J 1990;168(7):294-6. https://doi.org/10.1038/sj.bdj.4807169
25. Tack BB. Self-reported fatigue in rheumatoid arthritis. A pilot study. Arthritis Care Res 1990;3(3):154-7.
26. Lee KS, Lee EO. Validity and reliability of translated multidimensional assessment of fatigue scale for the patients with rheumatoid arthritis. J Muscle and Jt Health 1998;5(2):206-21.
27. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior 1983;24(4):385-96. https://doi.org/10.2307/2136404
28. Ryff CD, Keyes CL. The structure of psychological well-being revisited. J Pers Soc Psychol 1995;69(4):719-27.
29. Kim MS, Kim HW, Cha KH. Analyses on the construct of psychological well - being (PWB) of korean male and female adults. Korea J Psychol 2001;15(2):19-39.
30. 0]Cho YS, Choi HN, Bae HS. Health status and health behavior according to perception oral malodor. J Dent Hyg Sci 2012;12(4):443-50.
31. Ji MG. The research on halitosis self-perception and components among adults. JKEIA 2014;8(4):213-21. https://doi.org/10.21184/jkeia.2014.12.8.4.213
32. Miyazaki H, Sakao S, Katoh Y, Takehara T. Correlation between volatile sulphur compounds and certain oral health measurements in the general population. J Periodontol 1995;66(8): 679-84. https://doi.org/10.1902/jop.19184.108.40.2069
33. Jo ED, Han GS. Influencing factors in the halitosis. J Korean Acad Oral Health 2012;36(4): 272-81. https://doi.org/10.11149/jkaoh.2012.36.4.272
34. Jung YS, Lee MR. Self-perception of halitosis and the halitosis-related factors for high school students. JKEIA 2015;9(2):227-35. https://doi.org/10.21184/jkeia.2015.06.9.2.227
35. Kim YY, Hyun HS, Yoo JH. A study on the relationship between fatigue level, job stress and quality of life for workers. Korean J Occup Health Nurs 2015;24(4):372-80. https://doi.org/ 10.5807/kjohn.2015.24.4.372
36. Park HJ, Kim YY, Park KH, Lee SW, Yoo JH. Correlation between fatigue and quality of life caused by stress of researchers’ work. Korean J Occup Health Nurs 2014;23(3):171-9. https:// doi.org/10.5807/kjohn.2014.23.3.171