Factors related to self-reported oral health status in Korean adults

단문항 자기평가에 의한 주관적 구강건강인식에 영향을 미치는 요인

Kim, Hye-Young
김혜영

  • Published : 2005.12.30

Abstract

Objectives: Studies evaluate on subjective oral health indicators is sparse in Korea. This study was implemented to examine the associations between erceived oral health and, clinical oral health status, sociodemographic factors, and subjective oral symptoms. Methods: This cross-sectional study analyzed randomly-sampled 10,000 observations from data of 894,823 Korean government employees examined by the National Health Insurance Corporation(NHIC) in the year 2000. The main outcome variable was perceived oral health and was compared and analyzed with clinically assessed oral health status, sociodemographic factors, and subjective oral symptoms. Following univariate and bivariate analysis, multiple logistic regression was employed. Results: Seventy one percent was men, with the mean age of 39 years and 31 % reported 'healthy' perceived oral health. The Kappa indices for dental caries and periodontal disease between subjective and objective assessment were 0.18 and 0.05, respectively. In the results of the final model, gingival bleeding(OR=5.16) was the strongest influencing factor in the relationship with periodontal disease. Significant factors selected by the final model were, demographic factors such as age, income occupation, and clinical examination findings such as dental caries, missing teeth, periodontitis, and oral symptoms. Conclusion: Different from clinically examined oral health, perceived oral health connotes useful meaning for oral health surveys and could be used in various aspects of studies.

Keywords

References

  1. Matthias RE, Atchson KA, Lubben JE, long FD, Schweitzer SO. Factors affecting self-ratings of oral health. J Public Health Dent 1995;55(4):197-204 https://doi.org/10.1111/j.1752-7325.1995.tb02370.x
  2. Heft MW, Gilbert GH, Shelton BJ, Duncan RP. Relationship of dental status, sociodemographic status, and oral symptoms to perceived need for dental care. Community Dent Oral Epidemiol 2003;31:351-360 https://doi.org/10.1034/j.1600-0528.2003.00014.x
  3. Cruz GD, Galvis DL, Kim M, Le-Geros RZ, Barrow SL, Tavares M, Bachiman R. Self-perceived oral health among three subgroups of Asian-Americans in New York City: a preliminary study. Community Dent Oral Epidemiol 2001;29;99-106 https://doi.org/10.1034/j.1600-0528.2001.290204.x
  4. 김영남, 권호근, 정원균, 조영식, 최연희. 한국성인의 주관적 구강건강인식과 객관적 구강건강상태와의 관련성. 대한구강보건학회지 2005;29(3):250-260
  5. Locker D, Miller Y. Evaluation of subjective oral health status indicators. J Public Health Dent 1994;54(3):167-176 https://doi.org/10.1111/j.1752-7325.1994.tb01209.x
  6. Ostberg AL, Eriksson B, Lindblad U, Halling A. Epidemiological dental indices and self-perceived oral health in adolescents: ecological aspects. Acta Odonto Scand 2003;61:19-24
  7. Atchison KA, Gift HC. Perceived oral health in a diverse sample. Adv Dent Res 1997;11(2):272-280 https://doi.org/10.1177/08959374970110021001
  8. Robinson PG, Nadanovsky P, Sheiham A. Can questionnaires replace clinical surveys to assess dental treatment needs of adults? J Public Health Dent 1998; 58(3):250-253 https://doi.org/10.1111/j.1752-7325.1998.tb03002.x
  9. 제만희, 정세환, 미득상, 이승우, 박덕영. 강릉시 12세 인구의 자기평가치아건강수준과 치아건강상태의 관계. 대한구강보건학회지 2004;28(1):45-55
  10. Vered Y, Sgan-Cohen HD. Self-perceived and clinically diagnosed dental and periodontal health status among young adults and their implications for epidemiological surveys. BMC Oral Health 2003;3:3
  11. SAS Institute Inc. Logistic regression examples using the SAS system, Version 6. Cary NC:SAS Institute Inc;1995
  12. Swets JA. Measuring the accuracy of diagnostic systems. Science 1988;240:1285-1293 https://doi.org/10.1126/science.3287615
  13. Gift HC, Atchison KA, Drury TF. Perceptions of the natural dentition in the context of multiple variables. J Dent Res 1998;77(7):1529-1538 https://doi.org/10.1177/00220345980770070801
  14. Gilbert GH, Heft MW, Duncan RP, Ringelberg ML. Perceived need for dental care in dentate older adults. Int Dent J 1994;44:145-152
  15. Locker D. Application of self-reported assessments of oral health outcomes. J Dent Education 1996;60(6):494-450