Journal of Korean Academy of Oral Health

The Korean Academy of Preventive Dentistry and Oral Health (대한예방치과·구강보건학회)
권호 표지

A Study on the Dental Services Utilization by Application of the Andersen Model in Students of Some Korean University

앤더슨 모형을 이용한 우리나라 일부대학생의 구강진료이용행태에 관한 연구

Jeong, Gi-Chun;Lee, Heung-Soo;Kim, Soo-Nam
정기천;이흥수;김수남

  • Published : 20030900
⟨ Previous Next ⟩

Abstract

The purpose of this study is to provide framework for understanding university students' dental services utilization. In this paper Andersen model is applied to the analysis of dental services utilization. This model consists of predisposing, enabling, and need components that describe a person's decision to use dental health services. Questionnaire surveys were conducted for 521 university students. The number of independent variables used in the analysis was 36 in total, ie 25 predisposing components, 8 enabling components, and 3 need components. For statistical analyses of collected data, the multiple regression and the path analysis were adopted. The results obtained were as follows; 1. The proportion of students' dental visits was 41.5%, and the average of the dental visits was 2.33. 2. The purpose of most important recent utilization was dental caries treatment in university student. Also 4.4% of student visited dental clinic for oral disease prevention. 3. The amount of variance of the Andersen model for university student's dental visits was 16%. And of predisposing, enabling and need factors, which are components of the Andersen model, the need factors showed the largest amount of variance for university student's dental visits. 4. Number of restricted activity days caused by oral disease, having a regular dental care, socioeconomic status and perception on oral disease prevention were found to have significant major effects on dental services utilization of university student. Number of restricted activity days was most important factor affecting dental services utilization of student.

Keywords

References

  1. 이재승, 윤영만, 이흥수, 김수남. 우리나라 일부대학생의 구강병으로 인한 활동제한실태에 관한 연구. 대한구강보건학회지 2001;25(3):245-258
  2. 한국보건사회연구원. 1998 한국의 보건복지지표. 서울:한국보건사회연구원;1998:93
  3. 김종배, 최유진, 문혁수 등. 공중구강보건학. 재개정판. 서울:고문사;2000 :273-276
  4. 문창진. 보건의료사회학. 개정증보. 서울:신광출판사;1997:113-119
  5. 예방의학과 공중보건 편집위원회. 예방의학과 공중보건. 개정2판. 서울:계축문화사;1995:641-642
  6. 이흥수. 앤더슨-뉴만 모형을 이용한 여성의 치과 의료이용행태에 관한 연구. 대한구강보건학회지 1994;18(2):513-525
  7. Jong AW. Community Dental Health. second edition. St. Louis: C.V. Mosby;1988:58-61
  8. Cockerham WC. Medical Sociology. 5th Edition. London: Prentice Hall;1992:114-115
  9. Reisine S. A path analysis of the utilization of dental services. Community Dent Oral Epidemiol 1987;15:119-124 https://doi.org/10.1111/j.1600-0528.1987.tb00497.x
  10. Evashwick C, Rowe G, Diehr P, Branch L. Factors explaining the use of health care services by the elderly. Health Services Research 1984;19(3):357-382
  11. Striffler DF, Young WO, Burt BA. Dentistry, Dental Practice and the Community. third edition, Philadelphia: W.B.Saunders;1983:293-339
  12. 배상수. 의료이용에 영향을 미치는 요인에 관한 분석. 예방의학회지 1985;18(1):13-24
  13. 문창진. 보건의료 사회학. 서울:신광출판사;1992:93-102
  14. Aday LA, Awe WC. Health services utilization models. In Gochman D: Handbook of Health Behavior Reserarch: 1 Personal and Social Determinant. New York: Plenum Press;1997:153-172
  15. Gift HC. Utilization of professional dental services. In: Cohen LK, Bryant PS. Social Science and Dentistry: A Critical Bibliography. Vol II. New York: Quintessence;1985:202-266
  16. Strayer MS, Branch LG, Jones JA, Adelson R. Predictors of the use of dental services by older veterans. Spec Care Dentist 1988;8:209-213 https://doi.org/10.1111/j.1754-4505.1988.tb00737.x
  17. 이흥수. 전라북도 수개지역 주민의 치과의료이용행태에 관한 조사연구 1. 치과의료이용에 영향을 미치는 요인에 관한 경로분석. 대한구강보건학회지 1993;17(1):121-134
  18. 김수남, 이흥수, 김경희, 김대업, 박득희. 앤더슨 뉴만 모형을 이용한 아동의 치과의료이용행태에 영향을 미치는 요인에 관한 연구. 대한소아치과학회지 1998;25(1):11-19
  19. 김수남, 이흥수, 김대업. 앤더슨-뉴만 모행율 이용한 여성의 예방목적 치과의료이용행태에 관한 연구. 대한소아치과학회지 1997;24(1):195-203
  20. 정기천, 이흥수, 김수남. 앤더슨모형을 이용한 아동의 예방목적 구강보건진료기관이용에 영향을 미치는 요인에 관한 연구. 대한구강보건학회지 1999;23(3):241-253
  21. 이흥수, 유형근. 앤더슨뉴만 모형올 이용한 여성의 직접구강진료비 지출에 관한 연구. 대한치주과학회지 1996;26(3):689-699
  22. Dolan TA, Corey CR, Freeman HE. Older American's access to oral health care. J Dent Educ 1988;52:631-642
  23. Kiyak HA. explaining pattern of dental service utilization among the elderly. J Dent Educ 1986;50:679-687
  24. Evashwick C, Conard D, Lee F. Factors related to dental services by the elderly. Am J Public Health 1982;72:1129-1135 https://doi.org/10.2105/AJPH.72.10.1129
  25. Strayer MS, Branch LG, Jones JA, Adelson R. Predictors of the use of dental services by older veterans. Spec Care Dentist 1988;8:209-213 https://doi.org/10.1111/j.1754-4505.1988.tb00737.x
  26. Branch LG,Jette A, Evashwick C, Polansky M, Rowe G, Diehr P, Toward understanding elders' health service utilization. J Community Health 1981;7:80-92
  27. Wolinsky FD, Arnold CL. A birth cohort analysis of dental contact among elderly Americans. Am J Public Health 1989;79:47-51 https://doi.org/10.2105/AJPH.79.1.47
  28. Freeman HE, Lambert C. Preventive dental behavior of urban mothers. J Health Human Behavior 1965;6:141-147 https://doi.org/10.2307/2948697
  29. Metz AS, Richards LG. Children's preventive dental visits:influencing factors. J Am Coll Dent 1967;34:204-212
  30. Kriesberg L, Treiman BR. Preventive utilization of dentists' services amomg teenagers. J Am Coll Dent 1962;29:28-45
  31. Hayward RA, Meetz HK, Freeman HE. Utilization of dental services: 1986 patterns and trends. J Public Health Dent 1989;49(3):147-152 https://doi.org/10.1111/j.1752-7325.1989.tb02051.x
  32. 이흥수, 이광희, 김수남. 전라북도 일부지역 주민의 치과의료이용행태에 관한 조사연구 2. 치료원별 치과의료이용에 영향을 미친 요인에 관한 경로분석. 대한구강보건학회지 1993;17(2):324-342
  33. Weintrab JA. Gender differences in oral health research: Beyond the dichotomous variable. J Dent Educ 1993;57(10):753-757
  34. 최정수, 남정자, 김태정, 계훈방. 한국인의 건강과 의료이용실태 : 1995년도 국민건강 및 보건의식행태조사. 서울:한국보건사회연구원 1995:192-194
  35. 김혜영. 한국인의 치과진료서비스 이용도에 관한 연구. 서울:서울대학교 보건대학원 석사학위논문, 1998
  36. 보건복지부 . 2000 국민구강건강실태조사. 서울:보건복지부;2000:325
  37. 박동준, 이흥수, 김수남. 우리나라 일부 구강진료이용 노동자의 환자만족도에 관한 연구. 대한구강보건학회지 2001;25(3):259-271
  38. 최정수, 정세환. 구강건강증진을 위한 전략개발연구. 서울:한국보건사회연구원;2000:63