Factors Affecting Dental Utilization and Dental Expenses in the Economically Active Population: Based on the 2010∼2014 Korea Health Panel Data
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: The health of the economically active population contributes to increased corporate productivity by reducing the productivity loss caused by disease and increasing job efficiency, which in turn is a national benefit. Since the economically active population is a concept encompassing workers and a source of economic development for a country, that population’s health should be treated with importance not only from a personal standpoint but also at a national level.Methods: In this study, data of 11,007 adults aged 20 years and older who participate in economic activities were analyzed in the five-year Korea Health Panel Study from 2010 to 2014 including the number of dental visits and dental medical expenses. Results: Factors related to “gender,” “education level,” “age,” “duty category,” “income level,” “employment type,” “national health insurance,” and “chronic disease status” of the economically active population are affected in relation to the number of visits and dental medical expenses. The number of dental visits increased with higher education levels (p<0.001), and the number of visits to the dentist increased with older age (p<0.001). Dental medical expenses were 91,806 Korean won (KRW) more for “white-collar workers” than for “blue-collar workers” (p<0.03), and 127,674 KRW more for “regular workers” than for “atypical workers” (p<0.02).Conclusion: When it is necessary to improve policies to enhance the efficiency of the distribution of health and medical resources in the overall balance of the dental health sector, we should try to identify various factors of oral health disorder due to income inequality among the classes according to the country’s employment type in order to find ways to reduce the health gap among the social classes.
Abstract
Background: The health of the economically active population contributes to increased corporate productivity by reducing the productivity loss caused by disease and increasing job efficiency, which in turn is a national benefit. Since the economically active population is a concept encompassing workers and a source of economic development for a country, that population’s health should be treated with importance not only from a personal standpoint but also at a national level.Methods: In this study, data of 11,007 adults aged 20 years and older who participate in economic activities were analyzed in the five-year Korea Health Panel Study from 2010 to 2014 including the number of dental visits and dental medical expenses. Results: Factors related to “gender,” “education level,” “age,” “duty category,” “income level,” “employment type,” “national health insurance,” and “chronic disease status” of the economically active population are affected in relation to the number of visits and dental medical expenses. The number of dental visits increased with higher education levels (p<0.001), and the number of visits to the dentist increased with older age (p<0.001). Dental medical expenses were 91,806 Korean won (KRW) more for “white-collar workers” than for “blue-collar workers” (p<0.03), and 127,674 KRW more for “regular workers” than for “atypical workers” (p<0.02).Conclusion: When it is necessary to improve policies to enhance the efficiency of the distribution of health and medical resources in the overall balance of the dental health sector, we should try to identify various factors of oral health disorder due to income inequality among the classes according to the country’s employment type in order to find ways to reduce the health gap among the social classes.
참고문헌 (29)
- 김연화, "울산지역 사업장 근로자의 구강보건지식과 행태에 관한 연구", 치위생과학회지, 9(1), pp.17~23 (2009), 한국치위생과학회
- Schou L, "Oral health promotion at worksites", Int Dent J, 39, pp.122~128 (1989)
- Kim JB, "Oral health education", pp.3~19 (2010), Komoonsa
- 정혜주, "고용관계와 건강불평등: 경로와 메커니즘에 관한 탐색", 한국사회정책, 18(2), pp.245~287 (2011), 한국사회정책학회[DOI]
- 신순철, "직업과 고용형태가 주관적 건강상태에 미치는 영향", 보건과 사회과학, (22), pp.205~224 (2007), 한국보건사회학회
- Kim CY, "Socioeconomic status, health, and health risk behavior", Health Welf Policy Forum, 6, pp.18~25 (2004)
- Anneloes E Gerritsen, "Tooth loss and oral health-related quality of life: a systematic review and meta-analysis", Health and Quality of Life Outcomes, 8(1), pp.126~ (2010), Springer Science and Business Media LLC[DOI]
- 이은경, "일부 농촌지역 주민들의 OHIP-14와 EQ-5D에 관한 연구", 한국치위생학회지, 11(2), pp.197~211 (2011), 한국치위생학회
- A survey on the actual cost of health insurance in 2008, "Choi KC", National Health Insurance Service, ~ (2009)
- 신명숙, "한국 노인의 DMFS, DMFT 지수와 FS-T 지수의 비교 연구", 치위생과학회지, 10(4), pp.251~257 (2010), 한국치위생과학회
- Leiyu Shi, "Access to Medical Care, Dental Care, and Prescription Drugs: The Roles of Race", Ethnicity, Health Insurance, and Income, 2010, pp.103(6), 509~516[DOI]
- 김미정, "일부 지역의 근로자가 지각하는 구강건강상태와 구강건강행위실천에 관한 연구", 한국치위생학회지, 12(1), pp.201~212 (2012), 한국치위생학회
- 장분자, "계획된 행동이론을 이용한 산업장 근로자의 치과의료이용에 관한 연구", 대한구강보건학회지, 32(4), pp.587~599 (2008), 대한예방치과·구강보건학회
- 김혜성, "우리나라 치과 외래의료비 지출규모와 치과 외래의료비 지출에 미치는 요인", 보건행정학회지, 22(2), pp.207~224 (2012), 한국보건행정학회[DOI]
- 김효진, "국내 중고령층의 민간의료보험 가입에 대한 영향 요인", 한국콘텐츠학회 논문지, 12(12), pp.683~693 (2012), 한국콘텐츠학회[DOI]
- 손미아, "노동과 건강 불평등, 그 근원은 어디인가?", 예방의학회지, 38(3), pp.241~251 (2005), 대한예방의학회
- 신보미, "우리나라 성인의 직업 수준에 따른 구강건강불평등 현황", 치위생과학회지, 16(3), pp.225~234 (2016), 한국치위생과학회
- Burt B, "Position paper: epidemiology of periodontal diseases", Journal of Periodontology, 76(8), pp.1406~1419 (2005), Wiley[DOI]
- 우동협, "제4기 국민건강영양조사 자료를 이용한 18-44세 한국 성인의 치주질환 유병 관련 위험요인", 대한구강보건학회지, 37(2), pp.95~102 (2013), 대한예방치과·구강보건학회[DOI]
- 장지언, "산업장 근로자의 치과의료이용양상 및 관련요인", 한국치위생학회지, 10(5), pp.841~849 (2010), 한국치위생학회
- 서현석, "충남지역 사업장 근로자의 구강건강수준 및 행태에 관한 연구", 대한구강보건학회지, 27(4), pp.641~654 (2003), 대한예방치과·구강보건학회
- 여지영, "구강검진 및 필요치과진료 수진의 결정요인: 경제적 접근성과 지리적 접근성 간의 상호작용효과 분석", 보건경제와 정책연구, 18(4), pp.109~126 (2012), 한국보건경제정책학회
- 정형선, "Trends in Scale and Structure of Korea’s Health Expenditure over Last Three Decades (1980-2009): Financing, Functions and Providers", Journal of Korean Medical Science, 27, pp.13~20 (2012), 대한의학회[DOI]
- 김혜성, "가계 소득수준과 치과의료서비스 지출 경향", 대한구강보건학회지, 38(1), pp.17~24 (2014), 대한예방치과·구강보건학회[DOI]
- Karasek R, "The demand-control-support model and CVD", Occup Med, 15, pp.78~83 (2000)
- 김일호, "산업군별 고용형태에 따른 근로자 흡연율 변화 추이: 1992-2006", 보건교육건강증진학회지, 28(4), pp.15~25 (2011), 한국보건교육건강증진학회
- 윤진하, "우리나라에서 직업군에 따른 자살의 표준화사망비와 연령보정 비례사망비의 추세:1993-2007년", Annals of Occupational and Environmental Medicine, 23(2), pp.173~182 (2011), 대한직업환경의학회
