A study of the relationship between socioeconomic status, oral health behaviors and periodontitis in the elderly Korean population

한국 노인의 인구.사회경제적 수준 및 구강건강행위와 치주질환 유병과의 관련성

  • Jung, Jung-Ock (Department of Dental Hygiene, Shinheung College) ;
  • Oh, Gyung-Jae (Department of Preventive Medicine, College of Medicine, Wonkwang University)
  • 정정옥 (신흥대학 치위생과) ;
  • 오경재 (원광대학교 의과대학 예방의학교실)
  • Published : 2011.03.30

Abstract

Objectives. This study was designed to examine the effects of socioeconomic status and oral health behaviors on periodontal diseases in the elderly Korean population, to determine whether any inequalities in oral health status exist depending on socioeconomic status, and ultimately to provide essential data for national healthcare policies intended to effectively reduce the inequalities. Methods. The raw data collected from 'The Fourth Korean National Health and Nutrition Examination Survey (KNHANES) 2007' was analyzed in this study. The subjects included in this study were seven hundred and seventy eight (778) elderly people, aged 65 years or older and who had completed the oral examination, health questionnaires and nutrition examination. Results. First, analyses of differences in the prevalence of periodontal diseases depending on socioeconomic status showed that the prevalence of periodontal diseases increases with age and also the prevalence of periodontal diseases is relatively higher in the residents of rural communities such as Eup or Myeon. Second, analyses of differences in the prevalence of periodontal diseases depending on oral health behaviors indicated that a lower frequency of eating between meals leads to a higher prevalence of periodontal diseases. Finally, regarding the magnitude of effects of socioeconomic status and oral health behaviors on periodontal diseases, it was found that both these factors (i.e., socioeconomic status and oral health behaviors) have significant effects on periodontal diseases. However, specifically socioeconomic status has more significant effects on periodontal diseases. Conclusions. In conclusion, it was revealed that considerable inequalities exist in the prevalence of periodontal diseases depending on socioeconomic status in the elderly population, and both the factors of socioeconomic status and oral health behaviors correlate with the prevalence of periodontal diseases. Specifically, the results of this study suggest that the effects of socioeconomic status on periodontal diseases are more significant than the effects of oral health behaviors, and oral health behaviors by themselves closely correlate with socioeconomic status.

Keywords

References

  1. 통계청. 2006년도 장래인구 추계. 서울:통계청;2007:3-10.
  2. 통계청. 2009년도 장래인구 추계. 서울:통계청;2010:15-16.
  3. 박영애, 정성화, 윤수홍, 최연희, 송근배. 포항시 일부지역 노인이 전신건강 및 식생활습관과 구강건강과의 관련성. 대한구강보건학회지 2006;30(2):183-192.
  4. 이현옥, 김 진. 노인의 구강건강신념과 구강건강관리행위가 삶의 질에 미치는 영향. 한국치위생과학회 2008;8(1):57-63.
  5. Inglehart M, Bagramian RA. Oral health-relatrd quality of life. J Public Health Dent 2002;67(2):1-11.
  6. 이가령. 농촌지역 노인들의 구강상태와 구강건강과 관련된 삶의 질 간의 관련성. 대한구강보건학회지 2008;32(1):396-404.
  7. 이승미. 한국 노인의 사회계층별 건강상태와 사회적 지원의 영향에 관한 연구. 한국노년학회지 2002;23(3):274-289.
  8. 한옥자. 한국 노인의 사회계층간 건강상태와 의료서비스 이용의 형평성 연구[박사학위논문]. 경기:경기대학교 대학원; 2005.
  9. Slade GD. Derivation and validation of a short form oral health impact profile. Community Dent Oral Epidemiol 1997;25(4):284-290. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  10. 홍두승, 김병조. 직업과 계층구조. 서울:서울대학교 출판부;2002:311-315.
  11. Hujoel P. Endpoints in periodontal trials: the need for an evidence-based research approach. Periodontal 2000 2004;36(3): 196-204.
  12. Burt B. Epidemiology of periodontal disease. J Dent Res 2005; 76(2):1406-1419.
  13. Chen MS, Stone DB. Toothbrushing, flossioing, and dental visits on relation to socioeconomic characteristics of White american families. Community Dentistry and Oral Epidemiology 1983; 11(4):325-332.
  14. 보건복지부, 질병관리부. 국민건강영양조사 제4기[2007] 원시자료이용 지침서. 서울:보건복지부;2009:5-15.
  15. Pelton WJ, Pennell EH, Druzina A. Tooth morbidity experience of adults. J of ADA 1954;49(3):439-445.
  16. Bulman JS, Richards Nd, Slack Gl, Willcocks AJ. Demand and need for dental care: a socio-dental study. Oxford University Press 1968;42(2):169-177.
  17. 김미정. 서비스산업근로자의 구강보건행태, 주관적 증상 및 구강질환 발생양상에 관한 연구[석사학위논문]. 서울:서울대학교 대학원; 2001.
  18. 장문성. 한국노인의 치주건강상태가 구강건강과 관련된 삶의 질에 미치는 영향[박사학위논문]. 서울:서울대학교 대학원; 2007.
  19. Page RC, Beck JD. Risk assessment for periodontal diseases. Int Dent J 1997;47(4):61-87.
  20. 보건복지부. 2006년도 국민구강건강실태조사 보고서. 서울:보건복지부;2007:3-12.
  21. Brennan DS, Spencer AJ. Comparison of a generic and a specific measure of oral health related qualityoif life. Community Dent Health 2005;22(3):11-18.
  22. 권호근, 김영남, 김백일, 유자혜. 기초생활수급 대상 노인들의 구강건강상태 조사연구. 대한구강보건학회지 2004;28(8):87-96.
  23. 김혜영. 사회경제적 수준에 따른 구강건강실태와 구강건강행위에 관한 연구[박사학위논문]. 서울:서울대학교 대학원;2002.
  24. Peter Davis. Introduction to the sociology of dentistry. University of Otogo Press 2002;72(3):144-157.
  25. Gillbert GH. Racial and socioeconomic disparities in health from population-based research to practice-based research: the example of oral health. J Dent Edu 2005;69(9):1003-1014.
  26. Willamson DL. Health behaviour and health: evidence that relationship is not conditional on income adequaacy. Soc Sci Med 2000;51(2):1744-1754.