Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지

Relationship of Socioeconomic Status to Self-Rated Oral Health

사회경제적 수준에 따른 주관적 구강건강 수준의 차이

  • Jung, Mee-Hee (Department of Health Science, Graduate School, Hanyang University) ;
  • Kim, Song-Sook (Department of Health Science, Graduate School, Hanyang University) ;
  • Kim, Yoon-Shin (Department of Health Science, Graduate School, Hanyang University) ;
  • Ahn, Eunsuk (Department of Humanity and Social Dentistry, Wonkwang University College of Dentistry)
  • 정미희 (한양대학교 대학원 보건학과) ;
  • 김송숙 (한양대학교 대학원 보건학과) ;
  • 김윤신 (한양대학교 대학원 보건학과) ;
  • 안은숙 (원광대학교 치과대학 인문사회치의학교실)
  • Received : 2014.05.19
  • Accepted : 2014.05.30
  • Published : 2014.06.30
⟨ Previous Next ⟩

Abstract

How to eliminate health disparity to ensure health equity is one of major issues that are handled across the world. The purpose of this study was to examine any possible differences in self-rated oral health state according to socioeconomic status and the relationship between the two based on the data of the 5th National Health & Nutrition Examination Survey of 2010~2012. As for differences in self-rated oral health state according to sociodemographic characteristics, the women considered themselves to be in poorer oral health than the men. The older respondents found themselves to be in poorer oral health, and there was a tendency that the respondents who were less educated and whose household income was smaller rated their own health as worse. When a logistic regression analysis was made to determine influential factors for self-rated oral health status, the women perceived they were in better oral health than the men did, and the better-educated respondents were more likely to consider themselves healthier. Concerning disparities in self-rated health state according to income level, there were broader differences in that regard according to an increase of income. The findings of the study illustrated that there was oral health inequity according to social stratum. It's required to make a nationwide effort to promote national oral health, and appropriate support should especially be provided for disadvantaged people at the same time in order to get rid of the gap in oral health among different social classes, as there is a yawning gap between them and the other classes.

본 연구는 국민건강영양조사 5기(2010~2012년) 원시자료를 이용하여 사회경제적 수준에 따른 주관적 구강건강 상태의 차이와 관련성을 분석하기 위하여 실시되었다. 주관적 구강건강 수준을 '좋다'와 '나쁘다'로 분류하여 사회경제적 수준이 건강불평등에 미치는 요인을 분해하여 다음과 같은 결과를 얻었다. 주관적 구강건강 상태는 남자에 비해 여자가 구강건강을 좋지 않다고 인식하는 것으로 나타났으며, 연령 증가 시 본인의 구강건강을 나쁘게 인식하는 것으로 분석되었다. 또한 교육수준이 낮을수록, 가구소득이 낮을수록 주관적 구강건강상태를 나쁘다고 자가 평가하는 경향을 보였다. 로지스틱회귀분석을 활용하여 주관적 구강건강 상태에 대한 영향 요인을 분석한 결과 사회계층에 따른 건강상의 차이는 남자에 비해서 여자에서 자신의 구강건강수준을 더 건강하게 인지할 확률이 높아지고 있으며 교육수준이 높을수록 건강하게 인지할 가능성이 높았다. 소득수준에 따른 주관적 건강수준에 대한 인식의 격차는 소득증가에 따라 더 심화되는 것으로 나타났다. 이상의 연구결과를 살펴보면 구강건강에 사회계층별 불평등은 존재하는 것으로 나타났다. 전체 국민의 구강건강을 증진하는 사업은 물론 사회 양극화에 따른 사회계층별 구강건강의 격차를 해소하기 위해 상대적으로 격차가 큰 취약계층에 적절한 정책적 지원이 고려되어야 할 것으로 사료된다.

Keywords

References

  1. Ahn J, Kim H: A study on the determinants of children and adolescent's health inequality in Korea. Stud Korean Youth 24: 205-231, 2013.
  2. Kim M, Jung W, Lim S, et al.: Socioeconomic inequity in self rated health status and contribution of health behavioral factor in Korea. J Prev Med Public Health 43: 56-61, 2010.
  3. Carter-Pokras O, Baqueut C: What is a "health disparity?". Public Health Rep 117: 426-434, 2002.
  4. Kim DJ, Lee SY, Ki M, et al. : Developing health inequalities indicators and monitoring the status of health inequalities in Korea. Korea Institute for Health and Social Affairs, Seoul, pp.44-53, 2013.
  5. Weucg S, Lewis G, Jenkins SP: Income equality and self rated health in Britain. J Epidemiol Community Health 56: 436-441, 2002. https://doi.org/10.1136/jech.56.6.436
  6. Hildebrand V, Kerm PV: Income inequality and self-rated health status: evidence from the European community household panel. Demography 46: 805-825, 2009. https://doi.org/10.1353/dem.0.0071
  7. Luchi CA, Peres KG, Bastos JL, Peres MA: Inequalities in self rated oral health in adults. Rev Saude Publica 47: 1-10, 2013.
  8. Idler EL, Benyamini Y: Self rated health and mortality. J Health Soc Behav 38: 21-37, 1997. https://doi.org/10.2307/2955359
  9. Kang Y, Jung K: The relationship between income inequality and self rated health status-using koeran labor and income panel study data. Korean Public Admin Rev 46: 265-291, 2012.
  10. Seo JH, Kim H, Shin YJ: Analysis for the impact of adulthood and childhood socioeconomic positions and intergenerational social mobility on adulthood health. J Prev Med Public Health 43: 138-150, 2010. https://doi.org/10.3961/jpmph.2010.43.2.138
  11. Kunst AE, Bos V, Lahelma E, et al.: Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol 34: 295-305, 2005. https://doi.org/10.1093/ije/dyh342
  12. Ahn ES, Han JH: The significant caries index of 12 years old in Korean. J Dent Hyg Sci 13: 91-96. 2013.
  13. Lee SH: A multilevel analysis on the association between socioeconomic factors and oral health. Unpublished doctoral dissertation, Dankook University, Cheonan, 2014.
  14. Kim CS, Jeon JE: Trend in oral health inequality in 12-year-old Korean children: a study using the Gini coefficient. J Korean Acad Oral Health 37: 154-160, 2013. https://doi.org/10.11149/jkaoh.2013.37.3.154