구조방정식 모델을 이용한 사회경제적 수준과 치주질환과의 연관성
Relationship between socioeconomic status and periodontal disease using Structural Equation Modeling
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Objectives: The purpose of this study was to investigate the relationship between socioeconomic status and periodontal disease. Methods: The data used for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2015). A total of 5,632 adults, aged over 19 years, were included in the study. This study analyzed data relating to socioeconomic status and health behaviors. The socioeconomic status was defined as an exogenous factor. Periodontal disease was the endogenous variable. Health behavior was a mediating variable. The study hypotheses were tested using Structural Equation Modeling analysis with Mplus 7.0 software. Results: According to the model fit test, the associated root-mean-square error was 0.05 (90% CI: 0.046-0.059); comparative fit index was 0.93; Tucker-Lewis index was 0.88; and standardized root-mean-square residual was 0.03. We found that socioeconomic status had significant effects on health behaviors (β=0.304, p<0.001) and periodontal disease (β=-0.289, p=0.001). Moreover, health behaviors had significant effects on periodontal diseases (β=0.143, p<0.001). The analysis of a possible relationship between socioeconomic status and periodontal disease using path analysis demonstrated health behaviors difficulties, along with direct and indirect effects, further increased the risk of periodontal disease. Conclusions: The findings suggest that future interventions for the prevention of periodontal disease should consider health behavior.
Abstract
Objectives: The purpose of this study was to investigate the relationship between socioeconomic status and periodontal disease. Methods: The data used for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2015). A total of 5,632 adults, aged over 19 years, were included in the study. This study analyzed data relating to socioeconomic status and health behaviors. The socioeconomic status was defined as an exogenous factor. Periodontal disease was the endogenous variable. Health behavior was a mediating variable. The study hypotheses were tested using Structural Equation Modeling analysis with Mplus 7.0 software. Results: According to the model fit test, the associated root-mean-square error was 0.05 (90% CI: 0.046-0.059); comparative fit index was 0.93; Tucker-Lewis index was 0.88; and standardized root-mean-square residual was 0.03. We found that socioeconomic status had significant effects on health behaviors (β=0.304, p<0.001) and periodontal disease (β=-0.289, p=0.001). Moreover, health behaviors had significant effects on periodontal diseases (β=0.143, p<0.001). The analysis of a possible relationship between socioeconomic status and periodontal disease using path analysis demonstrated health behaviors difficulties, along with direct and indirect effects, further increased the risk of periodontal disease. Conclusions: The findings suggest that future interventions for the prevention of periodontal disease should consider health behavior.
참고문헌 (25)
- Kellie L. K. Tamashiro, "Metabolic syndrome: links to social stress and socioeconomic status", Annals of the New York Academy of Sciences, 1231(1), pp.46~55 (2011), Wiley[DOI]
- N. Kondo, "Income inequality, mortality, and self rated health: meta-analysis of multilevel studies", BMJ, 339(nov10 2), pp.b4471~b4471 (2009), BMJ[DOI]
- Ha GY, "The association between health behaviors and medical expenditures", Doctoral, pp.2016
- Korea National Health and Nutrition Examination Survey (KNHANES VI-2), "Korea Health Statistics", 63~216 (2014)
- 장윤정, "한국 성인의 구강보건행태와 주관적인 구강건강인지 및 우식경험영구치지수와의 관련성", 한국치위생학회지, 11(4), pp.499~509 (2011), 한국치위생학회
- 원재희, "치주질환과 당뇨병의 관련성", 치위생과학회지, 14(2), pp.107~113 (2014), 한국치위생과학회
- James F. Sallis, "AN ECOLOGICAL APPROACH TO CREATING ACTIVE LIVING COMMUNITIES", Annual Review of Public Health, 27(1), pp.297~322 (2006), Annual Reviews[DOI]
- Tara L. Gruenewald, "History of socioeconomic disadvantage and allostatic load in later life", Social Science & Medicine, 74(1), pp.75~83 (2012), Elsevier BV[DOI]
- 김성희, "구조방정식 모형을 이용한 사회경제적 수준과 대사증후군의 관련성 분석", Korean Journal of Health Promotion, 16(2), pp.92~100 (2016), 대한임상건강증진학회[DOI]
- J. Cunha-Cruz, "Oral health-related quality of life of periodontal patients", Journal of Periodontal Research, 42(2), pp.169~176 (2007), Wiley[DOI]
- Esra Guzeldemir, "Oral Health–Related Quality of Life and Periodontal Health Status in Patients Undergoing Hemodialysis", The Journal of the American Dental Association, 140(10), pp.1283~1293 (2009), Elsevier BV[DOI]
- 김진, "성인의 건강관련 라이프스타일과 치주상태와의 관련성 연구", 치위생과학회지, 15(1), pp.83~89 (2015), 한국치위생과학회
- Aubrey Sheiham, "The Common Risk Factor Approach: a rational basis for promoting oral health", Community Dentistry and Oral Epidemiology, 28(6), pp.399~406 (2000), Wiley[DOI]
- Bjorn Klinge, "A socio-economic perspective on periodontal diseases: a systematic review", Journal of Clinical Periodontology, 32(s6), pp.314~325 (2005), Wiley[DOI]
- 최마이, "한국 성인의 사회경제적 수준과 치주질환 유병과의 관련성: 제6기 국민건강영양조사(2015년) 자료를 중심으로", 한국치위생학회지, 17(6), pp.1109~1119 (2017), 한국치위생학회[DOI]
- The Sixth Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ-3), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2015)
- Bagozzi RP, "On the evaluation of structural equation models", J Acad Mark Sci, 16(1), pp.74~94 (1988)
- Browne MW, "Testing structural equation model : Alternative ways of assessing model fit", pp.136~ (1993), SAGE Publishing;
- 손애리, "구조방정식 모형을 이용한 스트레스, 우울 및 문제음주 간의 관련성 연구", 보건과 사회과학, (27), pp.61~80 (2010), 한국보건사회학회
- 손애리, "서울시 지역주민의 알코올장애와 스트레스, 정신건강 및 자살", 보건교육건강증진학회지, 26(4), pp.73~83 (2009), 한국보건교육건강증진학회
- 윤숙희, "직장인 직무스트레스와 우울, 음주 및 흡연 행태", 보건과 사회과학, 19, pp.25~42 (2006), 한국보건사회학회
- 박희정, "한국 성인의 치주건강 불평등에 미치는 사회경제적 요인과 구강건강의식 및 행태의 효과", 보건교육건강증진학회지, 27(1), pp.61~69 (2010), 한국보건교육건강증진학회
- M H Hobdell, "Oral diseases and socio-economic status (SES)", British Dental Journal, 194(2), pp.91~96 (2003), Springer Nature[DOI]
- 정정옥, "한국 노인의 인구ㆍ사회경제적 수준 및 구강건강행위와 치주질환 유병과의 관련성", 대한구강보건학회지, 35(1), pp.57~66 (2011), 대한예방치과·구강보건학회
- 강현주, "건강행태 및 요검사 수치와 치주염과의 융합적 관련성", 한국융합학회논문지, 9(6), pp.117~124 (2018), 한국융합학회[DOI]