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Impact of Oral Health on Depression: Use of the 8th National Health and Nutrition Survey
Biomed Sci Letters 2023;29:274-279
Published online December 31, 2023;  https://doi.org/10.15616/BSL.2023.29.4.274
© 2023 The Korean Society For Biomedical Laboratory Sciences.

Ho-Jin Jeong* and Jung-Hwa Lee†,*

Department of Dental Hygiene, Dong-eui University, Busan-si 47340, Korea
Correspondence to: Jung-Hwa Lee. Department of Dental Hygiene, Dong-eui University, 176 Eomgwang-ro, Busanjin-gu, Busan-si 47340, Korea.
Tel: +82-51-890-4239, Fax: +82-0505-182-6878, e-mail: yamako93@deu.ac.kr
*Professor.
Received December 7, 2023; Revised December 11, 2023; Accepted December 12, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
In this study, we use data from the 2021 National Health and Nutrition Examination Survey to determine the relationship between oral health and depression in Korean adults and provide basic data to prevent oral diseases that affect depression. The final subjects of the study were 5,952 adults aged 19 or older among the 7,090 subjects who responded to the survey in the 3rd year of the 8th period (2021), and the total frequency discrepancy in the research results was omitted due to missing values. Complex sample logistic regression analysis was performed to confirm the relationship between oral health and depression. Depression according to general characteristics depends on gender (P < 0.001), number of household members (P = 0.047), and subjective health level (P < 0.001). Depression according to oral characteristics was statistically significant for complaints of chewing discomfort (P = 0.006) and toothache within the past year (P = 0.023). As a result of analyzing factors affecting depression, in terms of gender, men are 0.43 times more likely than women (95% CI: 0.28~0.65), and in terms of subjective health level, good compared to bad is 0.46 times more likely (95% CI: 0.28~0.75), the average was 0.59 times (95% CI: 0.40~0.87) higher, which was statistically significant. Therefore it seems necessary to improve mental health such as depression in order to relieve oral discomfort and to motive people to take responsibility for won health through oral health education programs related to oral health to oral health related to oral health and mental health.
Keywords : Oral health, Depression, National nutritional examination survey, Adult
꽌 濡

2022뀈 蹂닿굔蹂듭遺뿉꽌 떎떆븳 肄붾줈굹19 援誘쇱젙떊嫄닿컯떎깭議곗궗뿉꽌뒗 2019뀈 肄붾줈굹19 씠쟾뿉 鍮꾪빐 슦슱쐞뿕援곗씠 5諛 利앷븳 寃껋쑝濡 蹂닿퀬븯怨(Ministry of Health and welfare, 2023), 肄붾줈굹19濡 씤븯뿬 쟾 꽭怨꾩쟻쑝濡 슦슱利앹쓣 寃쏀뿕븯寃 릺뒗 씤援ъ닔媛 利앷븿뿉 뵲씪 젙떊嫄닿컯뿉 븳 愿떖씠 넂븘吏怨 엳떎.

슦슱媛먯뿉 쁺뼢쓣 二쇰뒗 슂씤쑝濡 쟾떊슂씤怨 援ш컯슂씤쑝濡 援щ텇븷 닔 엳뒗뜲 슦슱媛먯뿉 쁺뼢쓣 二쇰뒗 몴쟻씤 쟾떊슂씤쑝濡쒕뒗 怨좏삁븬, 떦눊, 떖삁愿怨 吏덊솚 벑씠 엳怨(Cullinan et al., 2009; Chapple, 2009), 援ш컯嫄닿컯슂씤쑝濡쒕뒗 옉遺덊렪, 痢〓몢븯븙옣븷, 援ш컯嫄댁“ 벑 援ш컯吏덊솚 슂씤뱾씠 슦슱뿉 쁺뼢쓣 二쇰뒗 寃껋쑝濡 굹궗떎(Cho et al., 2022; Hong, 2022).

슦슱利앹 留ㅼ슦 쓷븳 젙떊吏덊솚쓽 븯굹濡 쑀쟾쟻, 솚寃쎌쟻, 깮솕븰쟻 슂씤뿉 쓽빐 쓽슃씠 븯릺뼱 슦슱媛먯쓣 二쇱슂 利앹긽쑝濡 븯뿬 젙떊쟻, 떊泥댁쟻, 씤吏 벑 떎뼇븳 씪긽 湲곕뒫 븯瑜 媛졇삤뒗 吏덊솚씠떎(SNUH, 2023). 슦슱利앹 옄떊뿉 븳 遺젙쟻씤 씤떇쓽 寃곌낵濡 移⑥슱, 洹쇱떖, 떎뙣媛, 臾대젰媛, 긽떎媛 벑쓣 굹궡뒗 젙꽌쟻 옣븷(Kim, 2006)濡 슦슱利앹쓣 洹몃濡 諛⑹튂븷 寃쎌슦 떖옣吏덊솚, 留뚯꽦吏덊솚 벑 쟾떊吏덊솚쓽 쉶蹂듭씠 吏뿰맆 닔 엳쑝硫(Liu et al., 2007), 씪긽깮솢뿉꽌쓽 씎誘몄 利먭굅 긽떎, 옄議닿컧 븯, 뿉꼫吏 媛먯냼, 닔硫 諛 떇슃옣븷 벑 젙떊쟻, 궗쉶쟻 옣븷瑜 쑀諛쒗븷 닔 엳떎(Ferrari et al., 2010).

꽑뻾뿰援ъ뿉꽌뒗 뿀삁꽦 떖옣吏덊솚쓣 媛吏 솚옄媛 슦슱씠 엳뒗 寃쎌슦뿉뒗 궗留앸쪧씠 2諛 씠긽 利앷븯쑝硫, 슦슱利앹씠 엳뒗 寃쎌슦 궗留앸쪧씠 35諛 씠긽 궗留앸쪧씠 넂 寃껋쑝濡 蹂닿퀬븯怨(May et al., 2017), 援ш컯嫄닿컯怨 愿젴븯뿬 移섏븘긽떎, 옉遺덊렪, 移섏<吏덊솚, 蹂댁쿋臾 벑쓽 援ш컯蹂묎낵 슦슱怨쇱쓽 뿰愿꽦뿉 븳 뿰援щ뱾씠 蹂닿퀬맂 諛 엳쑝硫(Hwang and Park., 2018), 援ш컯嫄닿컯긽깭 諛 援ш컯愿由 뻾깭 슦슱 愿젴쐞뿕슂씤(Lee, 2015)怨 援ш컯嫄닿컯듅꽦怨 슦슱쓽 愿젴꽦(Shin, 2023) 蹂닿퀬븳 諛 엳떎.

씠뿉 蹂 뿰援ъ뿉꽌뒗 2021뀈 援誘쇨굔媛뺤쁺뼇議곗궗 옄猷뚮 씠슜븯뿬 븳援 꽦씤쓽 援ш컯嫄닿컯怨 슦슱怨쇱쓽 愿젴꽦쓣 뙆븙븯怨 슦슱뿉 쁺뼢쓣 誘몄튂뒗 援ш컯吏덊솚쓣 삁諛⑺븯湲 쐞븳 湲곗큹옄猷뚮 젣怨듯븯怨좎옄 븳떎.

긽 諛 諛⑸쾿

뿰援щ긽

蹂 뿰援щ뒗 援誘쇨굔媛뺤쁺뼇議곗궗(Korea National Health and nutrition Examination Survey, KNHANES) 젣8湲 3李⑤뀈룄(2021뀈)쓽 썝떆옄猷뚮 씠슜븯떎. 젣8湲 援誘쇨굔媛뺤쁺뼇議곗궗뒗 吏덈퀝愿由щ낯遺 뿰援ъ쑄由ъ떖쓽쐞썝쉶쓽 듅씤(2018-01-03-C-A, 2018-01-03-2C-A)쓣 諛쏆븘 닔뻾븯쑝硫, 吏덈퀝愿由ъ껌 솃럹씠吏뿉꽌 썝떆옄猷뚮 떎슫濡쒕뱶 븯뿬 遺꾩꽍뿉 궗슜븯떎. 뿰援щ긽 젣8湲 3李⑤뀈룄(2021뀈) 議곗궗뿉 쓳븳 긽옄 7,090紐 以 留 19꽭 씠긽쓽 꽦씤 5,952紐낆쓣 理쒖쥌 긽옄濡 꽑젙븯怨, 뿰援 寃곌낵쓽 珥 鍮덈룄닔 遺덉씪移섎뒗 寃곗륫移섎줈 씤븳 늻씫遺꾩씠떎.

뿰援щ갑踰

씪諛섏쟻 듅꽦: 뿰援щ긽옄쓽 씪諛섏쟻 듅꽦 蹂닔濡쒕뒗 꽦蹂, 뿰졊, 嫄곗<吏, 媛援ъ썝닔, 二쇨쟻 嫄닿컯닔以씠뿀떎. 뿰졊 19~44꽭, 45~64꽭, 65꽭 씠긽쑝濡 援щ텇븯怨, 嫄곗<吏뒗 룞, 쓭-硫댁쑝濡 援щ텇븯쑝硫, 媛援ъ썝닔뒗 1紐, 2紐, 3紐, 4紐, 5紐, 6紐 씠긽쑝濡 援щ텇븯떎. 二쇨쟻 嫄닿컯닔以 '留ㅼ슦 醫뗭쓬'怨 '醫뗭쓬' '醫뗭쓬'쑝濡 遺꾨쪟븯怨, '蹂댄넻' '蹂댄넻'쑝濡 遺꾨쪟븯쑝硫, '굹겏'怨 '留ㅼ슦 굹겏' '굹겏'쑝濡 遺꾨쪟븯떎.

援ш컯愿젴듅꽦: 뿰援щ긽옄쓽 援ш컯愿젴듅꽦 蹂닔濡쒕뒗 蹂몄씤씤吏 援ш컯嫄닿컯긽깭, 옉遺덊렪 샇냼 뿬遺, 理쒓렐 1뀈媛 移섑넻 寃쏀뿕쑀臾댁씠뿀떎. 蹂몄씤씤吏 援ш컯嫄닿컯긽깭뒗 '留ㅼ슦 醫뗭쓬'怨 '醫뗭쓬' '醫뗭쓬'쑝濡 遺꾨쪟븯怨, '蹂댄넻' '蹂댄넻'쑝濡 遺꾨쪟븯쑝硫, '굹겏'怨 '留ㅼ슦 굹겏' '굹겏'쑝濡 遺꾨쪟븯떎.

슦슱媛: 슦슱媛먯 '슦슱利 쓽궗吏꾨떒 뿬遺'瑜 솢슜븯쑝硫, '뾾쓬'怨 '엳쓬'쑝濡 遺꾨쪟븯떎.

옄猷뚮텇꽍(넻怨꾨텇꽍)

蹂 뿰援щ뒗 IBM SPSS (ver 21.0 for windows, SPSS Inc, Chicago, IL, USA)쓣 씠슜븯뿬 떎쓬怨 媛숈 遺꾩꽍쓣 븯떎. 뿰援щ긽옄쓽 씪諛섏쟻 듅꽦怨 援ш컯愿젴듅꽦쓣 솗씤븯湲 쐞빐 蹂듯빀몴蹂 鍮덈룄遺꾩꽍쓣 떎떆븯怨, 씪諛섏쟻 듅꽦뿉 뵲瑜 슦슱媛먭낵 援ш컯愿젴듅꽦뿉 뵲瑜 슦슱媛먯 蹂듯빀몴蹂 援먯감遺꾩꽍쓣 떎떆븯떎. 슦슱媛먯뿉 誘몄튂뒗 쁺뼢쓣 솗씤븯湲 쐞빐 蹂듯빀몴蹂 濡쒖뒪떛 쉶洹遺꾩꽍쓣 떎떆븯떎. 넻怨꾨텇꽍 떆 紐⑤뱺 蹂닔뿉뒗 媛以묒튂瑜 쟻슜븯怨, 寃곗륫媛믪 쑀슚븳 媛믪쑝濡 泥섎━븯쑝硫, 넻怨꾩쟻 寃젙쓽 쑀쓽닔以 0.05濡 븯떎.

寃 怨

뿰援щ긽옄쓽 씪諛섏쟻 듅꽦

뿰援щ긽옄쓽 씪諛섏쟻 듅꽦쓣 遺꾩꽍븳 寃곌낵, 궓옄 2,496紐(49.8%), 뿬옄 3,189紐(50.2%)씠뿀怨, 뿰졊 19~44꽭 1,779紐(42.0%), 45~64꽭 2,107紐(38.5%), 65꽭 씠긽 1,799紐(19.5%)씠뿀쑝硫, 嫄곗<吏뒗 '룞' 4,406紐(83.9%), '쓭-硫' 1,279紐(16.1%)씠뿀떎. 媛援ъ썝닔뒗 1紐 958紐(13.5%), 2紐 1,976紐(28.7%), 3紐 1,335紐(28.2%), 4紐 1,044紐(22.3%), 5紐 283紐(5.7%), 6紐 씠긽 87紐(1.6%)씠뿀怨, 二쇨쟻 嫄닿컯닔以 '醫뗭쓬' 1,757紐(34.8%), '蹂댄넻' 2,499紐(47.4%), '굹겏' 1,100紐(17.8%)씠뿀떎(Table 1).

General characteristics of the subject
Unit: N (%)

Characteristics Division N (%)
Gender Male 2,496 (49.8)
Female 3,189 (50.2)
Age (yr) 19~44 1,779 (42.0)
45~64 2,107 (38.5)
65돞 1,799 (19.5)
Residence Dong 4,406 (83.9)
Eup-myeon 1,279 (16.1)
Number of household members 1 958 (13.5)
2 1,976 (28.7)
3 1,335 (28.2)
4 1,044 (22.3)
5 283 (5.7)
6돞 87 (1.6)
Subjective health level Good 1,757 (34.8)
Normal 2,499 (47.4)
Bad 1,100 (17.8)


뿰援щ긽옄쓽 援ш컯愿젴듅꽦

뿰援щ긽옄쓽 援ш컯愿젴듅꽦쓣 遺꾩꽍븳 寃곌낵, 二쇨쟻 援ш컯嫄닿컯 '醫뗭쓬' 549紐(13.7%), '蹂댄넻' 2,132紐(54.3%), '굹겏' 1,284紐(32.1%)씠뿀怨, 옉遺덊렪 샇냼 뿬遺뒗 '븘땲슂' 4,437紐(82.4%), '삁' 1,191紐(17.6%)씠뿀쑝硫, 理쒓렐 1뀈 씠궡 移섑넻 뿬遺뒗 '븘땲슂' 2,780紐(68.6%), '삁' 1,185紐(31.4%)씠뿀떎(Table 2).

Oral-related characteristics
Unit: N (%)

Characteristics Division N (%)
Subjective oral health Good 549 (13.7)
Normal 2,132 (54.3)
Bad 1,284 (32.1)
Chewing discomfort No 4,437 (82.4)
Yes 1,191 (17.6)
Toothache within 1year No 2,780 (68.6)
Yes 1,185 (31.4)


씪諛섏쟻 듅꽦뿉 뵲瑜 슦슱媛

씪諛섏쟻 듅꽦뿉 뵲瑜 슦슱媛먯쓣 遺꾩꽍븳 寃곌낵, 꽦蹂(2 = 46.993, P < 0.001), 媛援ъ썝닔(2 = 17.106, P = 0.047), 二쇨쟻 嫄닿컯닔以(2 = 68.857, P < 0.001)씠 슦슱媛먯뿉 쑀쓽븳 愿젴꽦씠 엳뿀怨, 뿰졊, 嫄곗<吏뒗 쑀쓽븳 愿젴꽦씠 뾾뿀떎(Table 3).

Depression in relation to the general characteristics
Unit: N (%)

Characteristics Depression 2
No Yes (P*)
Gender Male 2,281 (97.00) 72 (3.0) 46.993 (< 0.001)
Female 2,782 (92.9) 208 (7.1)
Age (yr) 19~44 1,645 (95.7) 75 (4.3) 6.696 (0.057)
45~64 1,889 (94.8) 107 (5.2)
65돞 1,529 (93.7) 98 (6.3)
Residence Dong 3,935 (94.9) 226 (5.1) 0.366 (0.545)
Eup-myeon 1,128 (95.4) 54 (4.6)
Number of household members 1 806 (94.0) 55 (6.0) 17.106 (0.047)
2 1,731 (93.9) 113 (6.1)
3 1,216 (94.5) 62 (5.5)
4 965 (96.6) 40 (3.4)
5 263 (97.4) 9 (2.6)
6돞 82 (97.5) 1 (2.5)
Subjective health level Good 1,709 (97.3) 47 (2.7) 68.857 (< 0.001)
Normal 2,373 (95.1) 121 (4.9)
Bad 981 (90.1) 112 (9.9)

*by complex samples chi-square test



援ш컯愿젴듅꽦뿉 뵲瑜 슦슱媛

援ш컯愿젴듅꽦뿉 뵲瑜 슦슱媛먯쓣 遺꾩꽍븳 寃곌낵, 옉遺덊렪 샇냼 뿬遺(2 = 11.955, P = 0.006), 理쒓렐 1뀈 씠궡 移섑넻 뿬遺(2 = 8.525, P = 0.023)媛 슦슱媛먯뿉 쑀쓽븳 愿젴꽦씠 엳뿀怨, 二쇨쟻 援ш컯嫄닿컯닔以 쑀쓽븳 愿젴꽦씠 뾾뿀떎(Table 4).

Depression in relation to the oral-related characteristics

Characteristics Depression 2
No Yes (P*)
Subjective oral health Good 502 (94.9) 26 (5.1) 4.846 (0.150)
Normal 1,895 (95.6) 92 (4.4)
Bad 1,129 (93.9) 81 (6.1)
Chewing discomfort No 4.21 (95.5) 200 (4.5) 11.955 (0.006)
Yes 1,033 (92.7) 80 (7.3)
Toothache within 1year No 2,474 (95.7) 119 (4.3) 8.525 (0.023)
Yes 1,052 (93.4) 80 (6.6)

*by complex samples chi-square test



슦슱媛 愿젴슂씤

슦슱媛 愿젴슂씤쓣 솗씤븯湲 쐞빐 삤利덈퉬瑜 遺꾩꽍븳 寃곌낵, 궓꽦씠 뿬꽦뿉 鍮꾪빐 슦슱媛먯씠 0.43諛(95% CI: 0.28~ 0.65) 넂븯怨, 二쇨쟻 嫄닿컯닔以뿉꽌 굹겏뿉 鍮꾪빐 醫뗭쓬씠 0.46諛(95% CI: 0.28~0.75), 蹂댄넻씠 0.59諛(95% CI: 0.40~ 0.87) 슦슱媛먯씠 넂븯쑝硫 넻怨꾩쟻쑝濡 쑀쓽븯떎. 媛援ъ썝닔뒗 쟻쓣닔濡, 옉遺덊렪씠 엳쓣 븣, 理쒓렐 1뀈 씠궡 移섑넻쓣 寃쏀뿕븯쓣 븣 슦슱媛먯씠 넂븯쑝굹 넻怨꾩쟻쑝濡 쑀쓽븯吏 븡븯떎(Table 5).

General and oral factors associated with depression

Characteristics Depression
Adjusted OR 95%CI
Gender (/Female) Male 0.43 0.28~0.65
Number of household members (/6돞) 1 1.77 0.25~12.39
2 1.95 0.27~13.71
3 1.69 0.24~11.78
4 1.06 0.16~6.84
5 0.87 0.10~7.58
Subjective health level (/Bad) Good 0.46 0.28~0.75
Normal 0.59 0.40~0.87
Chewing discomfort (/Yes) No 0.67 0.44~1.00
Toothache within 1year (/Yes) No 0.75 0.51~1.09

*by complex samples multiple logistic regression analysis

OR: odds ratio, CI: confidence interval


怨 李

蹂 뿰援щ뒗 젣8湲 3李⑤뀈룄(2021) 援誘쇨굔媛뺤쁺뼇議곗궗 옄猷뚮 솢슜븯뿬 븳援 꽦씤 珥 5,952紐낆쓽 援ш컯嫄닿컯怨 슦슱媛먭낵쓽 뿰愿꽦쓣 븣븘蹂닿린 쐞븯뿬 떎떆릺뿀떎. 씪諛섏쟻 듅꽦뿉 뵲瑜 슦슱媛먯쓣 遺꾩꽍븳 寃곌낵 꽦蹂꾩뿉꽌뒗 뿬옄媛, 媛援ъ썝닔媛 쟻쓣닔濡, 二쇨쟻 嫄닿컯닔以씠 굹걯떎怨 뒓굜닔濡, 슦슱利 吏꾨떒쓣 諛쏆 寃껋쑝濡 굹궗쑝硫 넻怨꾩쟻쑝濡 쑀쓽븯떎. 씪諛섏쟻 듅꽦 蹂닔 以 媛援ъ쓽 援ъ꽦쓣 뿰援ы븳 Shin (2023)쓽 寃곌낵 쑀궗븯쑝硫, 씠뒗 媛議깆쓽 援ъ꽦썝씠 쟻쓣닔濡 媛젙뿉 쓽吏븷 궗엺씠 遺議깊븯뿬 洹몃줈 씤븳 쇅濡쒖怨 寃고븤씠 슦슱媛먯쑝濡 굹궃 寃껋쑝濡 蹂댁뿬吏꾨떎.

援ш컯愿젴듅꽦뿉 뵲瑜 슦슱媛먯쓣 遺꾩꽍븳 寃곌낵 옉 떆 遺덊렪媛먯씠 엳뒗 寃쎌슦 理쒓렐 1뀈 씠궡 移섑넻 寃쏀뿕援곗뿉꽌 슦슱利앹쓣 吏꾨떒諛쏆 寃껋쑝濡 굹궗쑝硫 넻怨꾩쟻쑝濡 쑀쓽븯떎. 씠뒗 옉遺덊렪怨 슦슱媛먯쓽 뿰愿꽦쓣 뿰援ы븳 Lee and Do (2019), Yang and Baek (2020)쓽 뿰援ъ 씪移섑븯쑝硫 굹씠媛 뱾뼱 媛덉닔濡 옍議댁튂븘 媛먯냼濡 씤븳 옉 遺덊렪媛먭낵, 移섏<吏덊솚 諛 꽦愿젅 吏덊솚쓣 寃쏀뿕븯寃 릺硫댁꽌 洹몃줈 씤븳 넻利앹쑝濡 씤븯뿬 슦슱利앹쓣 吏꾨떒 諛쏄쾶 맂 寃껋쑝濡 蹂댁뿬吏꾨떎. 洹몃윭誘濡 援ш컯 궡 遺덊렪媛 媛먯냼瑜 쐞븯뿬 媛 媛쒖씤蹂 듅꽦뿉 留욌뒗 援ш컯嫄닿컯愿由 봽濡쒓렇옩쓣 留덈젴븯뿬 쟻洹뱀쟻쑝濡 援ш컯愿由щ 븷 닔 엳룄濡 븯뿬빞 븷 寃껋쑝濡 뿬寃⑥쭊떎.

슦슱媛먯뿉 誘몄튂뒗 슂씤쓣 遺꾩꽍븳 寃곌낵 슦슱媛먯 꽦蹂꾩뿉꽌뒗 뿬옄媛, 二쇨쟻 쟾떊嫄닿컯씠 굹걯떎怨 뒓瑗덉쓣 븣 뒓瑗덉쓣 븣 뜑 쁺뼢쓣 留롮씠 諛쏆 寃껋쑝濡 굹궗떎. 씠뒗 二쇨쟻 援ш컯嫄닿컯닔以蹂대떎 二쇨쟻 쟾떊嫄닿컯씠 슦슱媛먯뿉 뜑 쑀쓽븳 쁺뼢쓣 誘몄튂뒗 寃껋쑝濡 굹궃 Shin (2023)쓽 뿰援 寃곌낵 쑀궗븯떎.

슦슱媛먯씠 궓옄뿉 鍮꾪빐 뿬옄媛 뜑 넂寃 굹궃 寃껋 뿬옄媛 꽦씤씠 릺硫댁꽌 異쒖궛怨 쑁븘 媛숈 떎뼇븳 솚寃쎌쓽 蹂솕濡 씤빐 굹궃 寃껋쑝濡 蹂댁뿬吏硫, 二쇨쟻 쟾떊嫄닿컯씠 굹걯떎怨 뒓瑗덉쓣 븣 슦슱媛먯씠 넂寃 굹궃 寃껋 쟾떊嫄닿컯씠 굹걶 寃쎌슦 닔硫닿낵 궣쓽 吏덉씠 궙븘졇 씪긽깮솢 李몄뿬媛 궙븘吏寃 릺怨 洹몃줈 씤븳 쓽슃긽떎, 臾닿린젰 벑씠 슦슱媛먯쑝濡 諛섏쁺맂 寃곌낵씪 깮媛곷맂떎. 洹몃윭誘濡 떖由ъ쟻씤 뒪듃젅뒪瑜 以꾩씠湲 쐞븳 끂젰怨 옄湲 議댁쨷媛먯쓣 넂뿬 옄떊쓽 嫄닿컯怨 궣뿉 吏 뼢긽쓣 쐞븳 봽濡쒓렇옩 李몄뿬 湲고쉶瑜 넂뿬以 븘슂媛 엳쓣 寃껋쑝濡 궗猷뚮맂떎.

뵲씪꽌 蹂 뿰援ъ뿉꽌뒗 슦슱媛먯뿉 誘몄튂뒗 슂씤쓣 솗씤븯怨, 씠윴 寃곌낵瑜 넻빐 옉遺덊렪怨 移섑넻怨 媛숈 援ш컯 궡 遺덊렪媛먯씠 슦슱怨 媛숈 젙떊嫄닿컯뿉 쁺뼢쓣 誘몄튇떎뒗 寃껋쓣 솗씤븯쑝硫, 슦슱 媛먯냼瑜 쐞빐 젙떊嫄닿컯 肉먮쭔 븘땲씪 援ш컯嫄닿컯愿由 뻾깭瑜 媛쒖꽑븷 닔 엳뒗 援먯쑁怨 삁諛 봽濡쒓렇옩씠 媛쒕컻릺뼱졇빞 븷 寃껋쑝濡 깮媛곷맂떎.

蹂 뿰援щ뒗 떒硫댁“궗濡 씤怨쇨怨꾨 援ъ껜쟻쑝濡 洹쒕챸븯湲곕뒗 뼱졄떎뒗 븳怨꾩젏쓣 媛吏怨 엳吏留 援誘쇨굔媛뺤쁺뼇議곗궗瑜 솢슜븯뿬 떊猶고븷 닔 엳怨 븳援 꽦씤쓽 援ш컯 궡 遺덊렪븿怨 젙떊嫄닿컯쓽 愿젴꽦쓣 뿰援ы븯떎뒗 寃껋뿉 쓽쓽媛 엳떎. 뵲씪꽌 씠瑜 諛뷀깢쑝濡 援ш컯 궡 遺덊렪媛 빐냼瑜 쐞빐 슦슱媛먭낵 媛숈 젙떊嫄닿컯쓣 뼢긽떆궎뒗 寃껉낵 援ш컯嫄닿컯怨 젙떊嫄닿컯뿉 愿젴맂 援ш컯蹂닿굔援먯쑁 봽濡쒓렇옩쓣 넻빐 뒪뒪濡 옄떊쓽 嫄닿컯쓣 梨낆엫吏怨 룎蹂 닔 엳룄濡 룞湲곕뿬媛 븘슂븷 寃껋쑝濡 蹂댁뿬吏꾨떎.

ACKNOWLEDGEMENT

None.

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

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