한국 노인의 인구·사회경제적 특성과 미 충족 치과진료와의 관련성
Relationship between demographic and socioeconomic characteristics of the Korean elderly and unmet dental care needs
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Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the 6th Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the 6th NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with ‘low’ and ‘below average’ than ‘above average’ income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly’s access to dental care.
Abstract
Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the 6th Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the 6th NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with ‘low’ and ‘below average’ than ‘above average’ income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly’s access to dental care.
참고문헌 (23)
- "Statistics in elderly 2015"[URL]
- "At the end of August 2017, the number of residents 5,175 ten thousand people" (2017)[URL]
- 이민경, "우리나라 성인의 미충족 치과진료 현황 및 관련요인: 제5기 국민건강영양조사자료를 이용하여", 한국치위생학회지, 15(5), pp.787~795 (2015), 한국치위생학회[DOI]
- 전지은, "우리나라 국민의 인구사회경제특성에 따른 치과진료 미충족 이유: 제4기 국민건강영양조사 자료를 이용하여", 대한구강보건학회지, 36(1), pp.73~81 (2012), 대한예방치과·구강보건학회
- 안은숙, "노인의 치과의료서비스 이용에 영향을 미치는 요인", 치위생과학회지, 15(1), pp.60~66 (2015), 한국치위생과학회
- 문상은, "한국인의 미충족 치과치료에 영향을 미치는 요인: 제6기 국민건강영양조사 자료를 이용하여", 한국치위생학회지, 16(5), pp.767~774 (2016), 한국치위생학회[DOI]
- The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 4~11 (2012)
- 김창숙, "우리나라 국민기초생활수급자의 사회경제적인 특성과구강건강에 관한 연구", 한국치위생학회지, 13(6), pp.995~1004 (2013), 한국치위생학회[DOI]
- 진혜정, "사회경제적 수준에 따른 치아우식증 예방과 관련 인식조사 : 한국갤럽자료를 활용하여", 한국치위생학회지, 15(1), pp.39~46 (2015), 한국치위생학회[DOI]
- Evashwick C, "Factors related to utilization of dental services by the elderly", Am J Public Health, 72(10), pp.1129~1135 (1982)
- Davidson PL, "Determinants of dental care utilization for diverse ethnic and age groups", Adv Dent Res, 11(2), pp.254~262 (1997)
- Caban-Martinez AJ, "Dental care access and unmet dental care needs among U.S. workers. The National Health Interview Survey, 1997 to 2003", J Am Dent Assoc, 138(2), pp.227~230 (2007)
- Ohi T, "Determinants of the utilization of dental services in a community-dwelling elderly Japanese population", Tohoku J Exp, 218(3), pp.241~250 (2009)
- Silva AR, "Use of dental services and associated factors among elderly in southern Brazil", Rev Bras Epidemiol, 16(4), pp.1005~1016 (2013)
- 허익강, "일부 노인의 치과보철물 상태가 구강건강관련 삶의 질에 미치는 영향", 대한치과보철학회지, 48(02), pp.101~110 (2010), 대한치과보철학회[DOI]
- 이홍자, "노인의 구강건강 영향지수가 우울과 삶의 질에 미치는 영향", 지역사회간호학회지, 23(3), pp.338~346 (2012), 한국지역사회간호학회
- 박정순, "일부 노인의 주관적 구강건강상태 및 구강건강행위가 행복감에 미치는 영향", 한국치위생학회지, 15(3), pp.443~450 (2015), 한국치위생학회[DOI]
- The ministry for health, welfare and family affairs of the Republic of Korea, "Korea national health and nutrition examination survey raw data use guidelines", Korea Centers For Disease Control And Prevention, 3~10 (2014)
- Jung YH, "Korea health panel’s view on the restricted activity and unmet medical needs", Korea Institute for Health and Social Affairs Issue & Focus, 120, pp.1~8 (2012)
- 정미희, "사회경제적 수준에 따른 주관적 구강건강 수준의 차이", 치위생과학회지, 14(2), pp.207~213 (2014), 한국치위생과학회
- 김귀분, "가족동거노인과 독거노인의 건강상태, 우울 및 삶의 질 비교연구", 성인간호학회지, 20(5), pp.765~777 (2008), 한국성인간호학회
- Yoo KS, "Comparison of health status between senior people living alone and those who live with their families", J Gerontol Soc, 23(4), pp.163~179 (2003)
- 최미숙, "한국인의 필요 치과진료 미수진에 영향을 미치는 요인 -제5기 국민건강영양조사자료 분석(2010-2012)-", 보건의료산업학회지, 8(2), pp.139~148 (2014), 보건의료산업학회