The association of perceived oral health with oral epidemiological indicators in Korean adults

한국 성인의 주관적 구강건강인식과 객관적 구강건강상태와의 관련성

Kim, Young-Nam;Kwon, Ho-Keun;Chung, Won-Gyun;Cho, Young-Sik;Choi, Youn-Hee
김영남;권호근;정원균;조영식;최연희

  • Published : 2005.09.30

Abstract

Objectives: The purpose of this study was to examine oral health perception of Korean adult population. And the association of self-rated oral health with oral epidemiological indicators under the control of demographic, socioeconomic factors and oral health related behaviors was tried to clarify. Methods: The oral examination and survey data of 4,428 subjects over 18 years were analyzed. Baseline-category logits model was used to multivariate analysis for perceived oral health of young middle and old age groups. Results: 43.67% of Korean adults rated their oral health as poor, 28.77% as fair, and 27.55% as good. In young age group of 18-34 years old, living in metropolitan area, low income, lower DMFS index, no fixed bridge, no bleeding gum or calculus, no worry about their oral health, and use of oral hygiene products were positively associated with self-rated oral health. In middle age group of 35-64 years old, older age, middle income than low, professional job, lower DMFS index, more remaining teeth, no bridge, no periodontal pocket, no worry about their oral health, and brushing more than 4 times were positively associated with self-rated oral health. In old age group of over 65 years old, older age, living in metropolitan area, no job, more remaining teeth, no denture, no periodontal pocket, and no worry about their oral health were positively associated with self-rated oral health.Conclusions: Self-rated oral health is a simple measure and reflects not only objective oral status but also socioeconomic status and psychological effect as worry about oral health. So, we should actively use the perceived oral health to promote nation's actual oral well-being.

Keywords

References

  1. World Health Organization, Definition of health. 'URL' http://www.who.int/about/definition/en/ 'online' 2005.5.24
  2. Willits FK, Crider DM. Health rating and life satisfaction in the later middle years. J GerontoI 1988;43(5):S172-176
  3. Matthias RE, Atchison KA, Lubben JE, Dejong F, Schweitzer SO. Factors affecting self-ratings of oral health. J Public Health Dent 1995;55:197-204 https://doi.org/10.1111/j.1752-7325.1995.tb02370.x
  4. Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res 1970;9:208-220
  5. Aday LA, Fleming G, Andersen R. Access to health care in the US: who has it, who doesn't? Chicago:Pluribus Press; 1984
  6. Atchison KA, Matthias RE, Dolan TA et al, Comparison of oral health ratings by dentists and dentate elders. J Public Health Dent 1993;53:223-230 https://doi.org/10.1111/j.1752-7325.1993.tb02708.x
  7. Brunswick AF, Nikias M. Dentists' rating and adolescents' perceptions of oral health. J Dent Res 1975;54:836-843 https://doi.org/10.1177/00220345750540042301
  8. Berkey DB, Call RL, Loupe MJ. Oral health perceptions and self-esteem in non-institutionalized older adults. Gerodontics 1985;1:213-216
  9. Gooch BF, Dolan TA, Bourque LB. Correlates of selfreported dental health status upon enrollment in the Rand Health insurance Experiment. J Dent Educ 1989;53:629-637
  10. Drake CW, Beck JD, Strauss RP. The accuracy of oral selfperceptions in a dentate older population. Spec Care Dent 1990;10:16-20 https://doi.org/10.1111/j.1754-4505.1990.tb01081.x
  11. Reisine ST, Bailit HL. Clinical oral health status and adult perceptions of oral health. Soc Sci Med 1980;14(A):597-605
  12. Rosenoer LM, Sheiham A. Dental impacts on daily life and satisfaction with teeth in relation to dental status in adults. J Oral RehabiI 1995;22:469-480 https://doi.org/10.1111/j.1365-2842.1995.tb01191.x
  13. Gift HC, Atchison KA, Drury TF. Perceptions of the natural dentition in the context of multiple variables. J Dent Res 1998;77:1529-1538 https://doi.org/10.1177/00220345980770070801
  14. Chen M, Hunter P. Oral helath and quality of life in New Zealand: a social perspective. Soc Sci Med 1996;43:1213-1222 https://doi.org/10.1016/0277-9536(95)00407-6
  15. 한국구강보건의료원. 2003 국민구강건강실태조사. 서울:보건복지부;2004
  16. Agresti A. Categorical Data Analysis. 2nd ed. New Jersey: John Wiley & Sons; 2002:267-273
  17. SAS Institute Inc. SAS/STAT user's guide release 8.00. NC: Cary;1999
  18. Atchison KA, Gift HC. Perceived oral health in a diverse sample. Adv Dent Res 1997;11:272-280 https://doi.org/10.1177/08959374970110021001
  19. Cruz GD, Galvis DL, Kim M et al. 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