Differences in Oral Health Status between Rural and Urban Populations of Korean Elders: A Population-Based Study from the Korean National Health and Nutrition Examination Survey VI (2013∼2015)
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey Ⅵ, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.
Abstract
Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey Ⅵ, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.
참고문헌 (39)
- Judith A. Jones, "Issues in Financing Dental Care for the Elderly", Journal of Public Health Dentistry, 50(4), pp.268~275 (1990), Wiley[DOI]
- 김한나, "55~84세 한국 성인의 현존치아수와 구강기능의 관계", 치위생과학회지, 15(3), pp.340~347 (2015), 한국치위생과학회
- Gary D. Slade, "Social impact of oral conditions among older adults", Australian Dental Journal, 39(6), pp.358~364 (1994), Wiley[DOI]
- D M Davis, "The emotional effects of tooth loss: a preliminary quantitative study", British Dental Journal, 188(9), pp.503~506 (2000), Springer Science and Business Media LLC[DOI]
- Al-Omiri MK, "Impacts of missing upper anterior teeth on daily living", Int Dent J, 59, pp.127~132 (2009)[DOI]
- National dental telephone interview survey 1995, "Carter KD", AIHW Dental Statistics and Research Unit, the University of Adelaide, ~ (1995)
- Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis — United States, 1988-1994and 1999-2002, "Beltrán-Aguilar ED", Surveillance Summaries, 1~43 (2005)
- Ten great public health achievements--United States, 1900-1999, "Centers for Disease Control and Prevention (CDC)", Morbidity and Mortality Weekly, 241~243 (1999)
- Tor Osterberg, "Prognosis of and factors associated with dental status in the adult Swedish population, 1975-1989", Community Dentistry and Oral Epidemiology, 23(4), pp.232~236 (1995), Wiley[DOI]
- D.M. Williams, "Global Oral Health Inequalities", Advances in Dental Research, 23(2), pp.211~220 (2011), SAGE Publications[DOI]
- Hugo G, "The new rural health", pp.12~43 (2002), Oxford University Press
- Strong K, "Health and family services in rural and remote Australia" (1998), Department of Health and Family Services
- Lesley Steele, "RURAL AND REMOTE ORAL HEALTH, PROBLEMS AND MODELS FOR IMPROVEMENT: A WESTERN AUSTRALIAN PERSPECTIVE", Australian Journal of Rural Health, 8(1), pp.22~28 (2000), Wiley[DOI]
- CLEMENCIA M. VARGAS, "Oral health status of rural adults in the United States", The Journal of the American Dental Association, 133(12), pp.1672~1681 (2002), Elsevier BV[DOI]
- Yoon YS, "The present state and prospect of geriatric denture prosthetic dentistry affairs among community dental hygienists", J Dent Hyg Sci, 6, pp.255~261 (2006)
- María Vicenta Eustaquio-Raga, "Factors associated with edentulousness in an elderly population in Valencia (Spain)", Gaceta Sanitaria, 27(2), pp.123~127 (2013), Elsevier BV[DOI]
- Jun-Beom Lee, "The association between periodontitis and dyslipidemia based on the fourth Korea National Health and Nutrition Examination Survey", Journal of Clinical Periodontology, 40(5), pp.437~442 (2013), Wiley[DOI]
- D-W Kim, "Socioeconomic disparities of periodontitis in Koreans based on the KNHANES IV", Oral Diseases, 20(6), pp.551~559 (2014), Wiley[DOI]
- 2009Korea National Health and Nutrition Examination Survey:the 4th survey, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2009)
- Hye-Sun Shin, "The Number of Teeth Is Inversely Associated With Metabolic Syndrome: A Korean Nationwide Population-Based Study", Journal of Periodontology, 88(9), pp.830~838 (2017), Wiley[DOI]
- World Health Organization, "The Asia-Pacific perspective: redefining obesity and its treatment" (2000), Health Communications Australia
- Kweon S, "Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES)", Int J Epidemiol, 43, pp.69~77 (2014)[DOI]
- J.Y. Lee, "The Ethical Imperative of Addressing Oral Health Disparities", Journal of Dental Research, 93(3), pp.224~230 (2014), SAGE Publications[DOI]
- H.D. Sgan-Cohen, "IADR Global Oral Health Inequalities Research Agenda (IADR-GOHIRA®)", Journal of Dental Research, 92(3), pp.209~211 (2013), SAGE Publications[DOI]
- D.M. Williams, "Global Oral Health Inequalities", Advances in Dental Research, 23(2), pp.211~220 (2011), SAGE Publications[DOI]
- The oral health atlas: mapping a neglected global health issue, "Beaglehole R", FDI World Dental Federation, 96~103 (2009)
- "Promising practices to improve access to oral health care in rural communities" (2013)[URL]
- Petersen PE, "The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme", Community Dent Oral Epidemiol, 31(Suppl 1), pp.3~23 (2003)
- Chong Ren, "Edentulism and associated factors among community-dwelling middle-aged and elderly adults in China", Gerodontology, 34(2), pp.195~207 (2017), Wiley[DOI]
- N.J. Kassebaum, "Global Burden of Severe Tooth Loss", Journal of Dental Research, 93(7_suppl), pp.20S~28S (2014), SAGE Publications[DOI]
- C. Adams, "Edentulism and associated factors in people 60 years and over from urban, rural and remote Western Australia", Australian Dental Journal, 48(1), pp.10~14 (2003), Wiley[DOI]
- Carlo E. Medina-Solís, "Edentulism Among Mexican Adults Aged 35 Years and Older and Associated Factors", American Journal of Public Health, 96(9), pp.1578~1581 (2006), American Public Health Association[DOI]
- H.C. Lin, "Tooth Loss, Occluding Pairs, and Prosthetic Status of Chinese Adults", Journal of Dental Research, 80(5), pp.1491~1495 (2016), SAGE Publications[DOI]
- David A. Felton, "Complete Edentulism and Comorbid Diseases: An Update", Journal of Prosthodontics, 25(1), pp.5~20 (2016), Wiley[DOI]
- Tôrres Luísa Helena do Nascimento, "Association between underweight and overweight", obesity with oral health among independently living Brazilian elderly, 2013, pp.29(1), 152~157[DOI]
- 공영미, "대상자 특성에 따른 비만유형과 치주질환의 관련성", 치위생과학회지, 12(3), pp.279~286 (2012), 한국치위생과학회[DOI]
- Georgios Tsakos, "Tooth Loss Associated with Physical and Cognitive Decline in Older Adults", Journal of the American Geriatrics Society, 63(1), pp.91~99 (2015), Wiley[DOI]
- Poul Holm-Pedersen, "Tooth Loss and Subsequent Disability and Mortality in Old Age", Journal of the American Geriatrics Society, 56(3), pp.429~435 (2008), Wiley[DOI]
- Eun-Jeong Kim, "Comparison of oral health status and daily nutrient intake between elders who live alone and elders who live with family: Based on the Korean National Health and Nutrition Examination Survey (KNHANES VI) (2013-2015)", Gerodontology, 35(2), pp.129~138 (2018), Wiley[DOI]