Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Factors associated with access to dental care among Korean adults

성인의 구강의료접근성의 관련요인 - 구강질환의 의사진단 및 처치율을 중심으로-

  • Noh, Hie-Jin (Eulji University, College of Health Science, Department of Dental Hygiene) ;
  • Choi, Choong-Ho (Chonnam National University School of Dentistry, Department of preventive and public health dentistry & Dental Science Research Institute) ;
  • Sohn, Woo-Sung (University of Michigan, School of Dentistry Department of Cariology, Restorative Science & Endodontics)
  • 노희진 (을지대학교 보건과학대학 치위생학과) ;
  • 최충호 (전남대학교 치의학전문대학원 예방치 과학교실 & 치의학연구소) ;
  • 손우성
  • Published : 2008.12.30
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Abstract

Objectives: The aim of this analysis was to investigate factors associated with dental visits in terms of getting diagnosis and receiving care for diagnosed dental diseases among Korean adults. Methods: Data used in this analysis were from the 2005 Korean National Health and Nutrition Examination Survey which involved a representative sample of 25,487 adults nineteen years of age and older who resided in Korea. This analysis used data of adults who had completed health interview survey (n = 25,215). Uni- and bi-variate analysis, Chi-square test, and logistic regression analyses. were conducted using SAS. Results: The percentages of people diagnosed (treated) dental canes, periodontal disease. and temporomandibular joint disorder were 70.4(77.1), 16.1 (55.7), and 0.6(37.4), respectively. The reception of treatment for diagnosed dental caries and periodontal disease was significantly associated with older age, high monthly household income, and high education attainment. Logistic regression model indicated that age, monthly household income, education attainment, type of health insurance, and chewing problem were significantly associated with getting diagnosis and treatments of dental diseases. Most frequently answered reason for non - or delayed treatments of diagnosed dental diseases during the last one year was cost of treatments. Conclusions: The findings indicated that socio-economic-status still significantly affected reception of needed dental treatments among Korean adults despite the national health insurance system. Oral health policy and programs should be augmented to provide further support to adults of low socio-economic-status who are more prone to dental diseases yet lack resources for needed dental treatments.

Keywords

References

  1. 권호근, 최연희, 최충호. 예방치과 진료항목 보험급여 방안에 대한 연구. 대한구강보건학회지 2002;26(3):271-281
  2. 권호근, 최연희, 최충호. 치주치료희망치과 의사제도에 대한 평가연구. 대한구강보건학회지 2002;26 (3) :283-294
  3. 김형욱, 신성수, 김종식, 김기영, 김윤지, 홍순민등. 측두하악관절 장애에 대한 임상진단의 유효성 연구. 대한 구강안안면학회지 2007;33 (4): 367-374
  4. 김혜영. 사회경제적 수준과 구강진료필요도의 연관성에 대한 건강행위, 구강진료이용도의 영향평가. 대한구강보건학회지 2006;01(1) :85-94
  5. 김혜영, 이승욱. 한국인의 치과진료서비스 이용도에 관한 연구. 한국보건통계학회지 1999;24 (1) :42-53
  6. 노희진. 치아우식증 예방을 위한 영구치 구치부 교합면 치면열구전색 및 정기검진의 비용편익분석. 치위생과학회지 2001;2 (2) :53-62
  7. 보건복지부. 국민건강영양조사(3기) -총괄-. 서울;보건복지부:2006
  8. 보건복지부. 2006년도 국민구강건강실태조사. 서울;보건복지부:2007
  9. 보건복지부. 국민건강영양조사 제 3 기 원시자료이용지침서. 서울;보건복지부:2006
  10. 송근배, 최연희, 홍석진, 김진범. 한국성인들의 사회경제적 요인 및 구강보건의식행태에 따른 치아우식증 실태분석. 대한구강보건학회지 2003;27 (2) :319-328
  11. 신정제, 진기남. 직장근로자틀의 스케일링 방문에 영향을 미치는 요인. 보건과 사회과학 2007;21:97-115
  12. 신호성, 김현덕 . Income related inequality of dental care utilization in Korea. 보건사회 연구. 서울, 보건사회연구원 2006;26: 69-93
  13. 장동민. 전 국민 의료보험하의 보건의료의 형평성. 보건사회과학 2004; 15:35-70
  14. 최원기, 신승철. 부정치과진료 수진실태에 관한조사연구. 대한구강보건학회지 1993;17(2): 370-385
  15. Armfield, J. M. Socioeconomic inequalities in child oral health: a companson of discrete and composite area-based measures. J Public Health Dent 2007;67 (2):119-125
  16. Azarpazhooh. A. and P. A. Main. Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review. J Can Dent Assoc 2008;74(2):171-177.
  17. Hobdell, M., P. E. Petersen, et al. Global goals for oral health 2020. Int Dent J 2003;53 (5) :285-288 https://doi.org/10.1111/j.1875-595X.2003.tb00761.x
  18. Ismail, A. I. and W. Sohn . The impact of universal acCess to dental care on disparities in caries experience in children. J Am Dent Assoc 2001:132(3): 295-303 https://doi.org/10.14219/jada.archive.2001.0172
  19. Ismail, A. I.. W. Sohn, et al. Risk indicators for dental caries using the International Caries Detection and Assessment System (ICDAS). Community Dent Oral Epidemiol 2008;36 (1) :55-68
  20. Kronenfeld, J. Access to dental care: a comparison of medicine/dentistry and the role of a regular source. Med Care 1979;17 (10): 1000-1011 https://doi.org/10.1097/00005650-197910000-00003
  21. Manski, R. J., J. F. Moeller, et al. Dental services. An analysis of utilization over 20 years. J Am Dent Assoc 2001:132(5): 655-664 https://doi.org/10.14219/jada.archive.2001.0243
  22. McGrath, C., R. Bedi, et al. Who has difficulty in registering with an NHS dentisty-- A national survey. Br Dent J 2001:191 (2): 682-685 https://doi.org/10.1038/sj.bdj.4801269a