대도시에 거주하는 65세 이상 노인들의 현존치아수와 의치장착상태: 제6기(2013-2015년) 국민건강영양조사 자료 이용
The number of existing permanent teeth and the denture status of elderly adults aged 65 years and above living in metropolitan cities using data from the Korean National Health and Nutrition Examination Survey
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Objectives: The aim of this study was to investigate the number of existing permanent teeth and the denture usage status in elderly adults aged 65 years and above living in metropolitan cities and to confirm the degree of oral health inequality caused by the differences in oral conditions in each metropolitan city using the Lorenz curve and the Gini coefficient. Methods: The raw data for the analysis were obtained from the dataset of the sixth Korea National Health and Nutrition Examination Survey conducted between 2013 and 2015. The subjects included 1,764 people who underwent oral examination and answered questions. The complex samples general linear model was used to analyze the number of existing permanent teeth adjusted for age and monthly household income. The proportion of edentulousness and the denture status was analyzed using complex samples crosstabs. Results: The number of existing permanent teeth in the elderly adults aged 65 years and above was lowest in Ulsan (15.41) and highest in Gwangju (20.44). The proportion of edentulousness was highest in Busan (14.5%) and lowest in Daejeon (4.0%). With regard to the proportion of denture users, Busan had the highest tendency fordenture usage (50.4%) and Gwangju had the lowest tendency (34.9) (p=0.172). The Gini’s coefficientfor the number of existing teeth was lowest in Busan (0.332). Oral health inequality was most severein metropolitan cities. Conclusions: We found that oral health inequality exists among elderly adultsliving in the metropolitan cities of Korea using the Lorenz curve and Gini’s coefficient.
Abstract
Objectives: The aim of this study was to investigate the number of existing permanent teeth and the denture usage status in elderly adults aged 65 years and above living in metropolitan cities and to confirm the degree of oral health inequality caused by the differences in oral conditions in each metropolitan city using the Lorenz curve and the Gini coefficient. Methods: The raw data for the analysis were obtained from the dataset of the sixth Korea National Health and Nutrition Examination Survey conducted between 2013 and 2015. The subjects included 1,764 people who underwent oral examination and answered questions. The complex samples general linear model was used to analyze the number of existing permanent teeth adjusted for age and monthly household income. The proportion of edentulousness and the denture status was analyzed using complex samples crosstabs. Results: The number of existing permanent teeth in the elderly adults aged 65 years and above was lowest in Ulsan (15.41) and highest in Gwangju (20.44). The proportion of edentulousness was highest in Busan (14.5%) and lowest in Daejeon (4.0%). With regard to the proportion of denture users, Busan had the highest tendency fordenture usage (50.4%) and Gwangju had the lowest tendency (34.9) (p=0.172). The Gini’s coefficientfor the number of existing teeth was lowest in Busan (0.332). Oral health inequality was most severein metropolitan cities. Conclusions: We found that oral health inequality exists among elderly adultsliving in the metropolitan cities of Korea using the Lorenz curve and Gini’s coefficient.
참고문헌 (32)
- "Korea Statistical Information System(KOSIS), Statistic DB, Life expectancy"[URL]
- H-N Kim, "Factors related to number of present teeth in Korean elderly adults aged 55-84 years", International Journal of Dental Hygiene, 14(2), pp.151~158 (2016), Wiley[DOI]
- 전은주, "55-84세 성인에서 현존영구치수와 다량영양소 및 다량무기질 섭취량의 관련성: 국민건강영양조사 제5기(2010-2012년) 자료 이용", 대한구강보건학회지, 40(2), pp.85~91 (2016), 대한예방치과·구강보건학회
- Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ-3), , Korea Center for Disease Control & Prevention, 1~503 (2015)
- Ko JS, "Age changes in the oral cavity", The Journal of the Korean Dental Association, 20, pp.1005~1010 (1982)
- Ku IY, "Oral health education", pp.105~113 (2014), Komoonsa
- C.A. Migliorati, "The interface between oral and systemic health: the need for more collaboration", Clinical Microbiology and Infection, 13, pp.11~16 (2007), Elsevier BV[DOI]
- Georgios Tsakos, "Clinical correlates of oral health-related quality of life: evidence from a national sample of British older people", European Journal of Oral Sciences, 114(5), pp.391~395 (2006), Wiley[DOI]
- Kyungdo Han, "Age threshold for moderate and severe periodontitis among Korean adults without diabetes mellitus, hypertension, metabolic syndrome, and", or obesity, 2017, pp.96(33), e7835~[DOI]
- Bosworth HB, "Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife", Psychosom Med, 63, pp.603~608 (2001)
- 하정은, "국민건강보험 요양급여자료를 이용한 한국 성인의 영구치 발거원인 구강상병 비중", 대한구강보건학회지, 36(1), pp.32~37 (2012), 대한예방치과·구강보건학회
- 장선희, "OHIP-14를 이용한 일부 요양기관 노인들의 구강건강관련 삶의 질", 한국치위생학회지, 11(4), pp.475~487 (2011), 한국치위생학회
- 신혜선, "한국 성인의 현존자연치아수와 건강관련 삶의 질과의 연관성: 제5기 1차년도 (2012년) 국민건강영양조사자료 분석 결과", 대한구강보건학회지, 39(4), pp.303~310 (2015), 대한예방치과·구강보건학회
- Locker D, "Oral health-related quality of life of a population of medically compromised elderly people", Community Dent Health, 19, pp.90~97 (2002)
- Developing indicators of equity in health and monitoring magnitude of socioeconomic inequality in health, "University of Ulsan College of Medicine", Management Center for Health Promotion, 28~31 (2006)
- 김철신, "지니계수를 활용한 한국 12세 아동의 구강건강불평등 추이연구", 대한구강보건학회지, 37(3), pp.154~160 (2013), 대한예방치과·구강보건학회[DOI]
- "Korea statistical Information System (KOSIS), Statistics DB, Gini’ coefficient"[URL]
- Developing health inequalities indicators and monitoring the status of health inequalities in Korea, "Kim DJ", Korea institute for health and social affairs, 1~567 (2013)
- 최연희, "우리나라 대도시, 중소도시, 군 지역 간 성인 구강건강 수준의 차이", 대한구강보건학회지, 33(2), pp.243~253 (2009), 대한예방치과·구강보건학회
- 김민자, "도시와 농어촌지역 중․고등학생의 구강건강인식 및 구강보건 의식행태 비교연구", 보건의료산업학회지, 6(4), pp.205~217 (2012), 보건의료산업학회
- The sixth Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ), "Korea Centers for Disease Control and Prevention", Ministry of Health & Welfare, ~ (2013)
- Poulsen S, "Lorenz curves and their use in describing the distribution of ‘the total burden’ of dental caries in a population", Community Dent health, 18, pp.68~71 (2001)
- Shkolnikov VM, "Gini coefficient as a life table function : computation from discrete data, decomposition of differences and empirical examples", Demogr Res, 8, pp.305~358 (2003)
- Kim JB, "Public oral health", pp.312~317 (2009), Komoonsa
- "DB, Regional medical use statistics 2014"[URL]
- "Health insurance review & assesment service, Statistical Yearbook of Health Insurance"[URL]
- Chol JG, "Oral disease in the elderly", The Journal of the Korean Dental Association, 33, pp.327~335 (1995)
- Kenneth Shay, "The Importance of Oral Health in the Older Patient", Journal of the American Geriatrics Society, 43(12), pp.1414~1422 (1995), Wiley[DOI]
- Sei Won Kim, "The relationship between the number of natural teeth and airflow obstruction: a cross-sectional study using data from the Korean National Health and Nutrition Examination Survey", International Journal of Chronic Obstructive Pulmonary Disease, 11, pp.13~ (2015), Dove Medical Press Ltd.[DOI]
- An SH, "Effect of the number of existing permanent teeth and removable dentures on nutrient intakes in Korean adults aged 55 years or more", Doctoral, pp.2017
- Christian Stock, "A comparison of tooth retention and replacement across 15 countries in the over-50s", Community Dentistry and Oral Epidemiology, 44 (2015), Wiley[DOI]
- J. Steele, "The Interplay between Socioeconomic Inequalities and Clinical Oral Health", Journal of Dental Research, 94(1), pp.19~26 (2014), SAGE Publications[DOI]
