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Factors Associated with Unmet Dental Needs among Single-Person Households in Korea

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주제분류치의학

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Background: The purpose of this study is to provide the data for discussions related to oral health promotion policies for single-person households by analyzing the status of unmet dental needs and related factors in single-person households in Korea, based on the Anderson model.Methods: The data, obtained from 544 single-person households of those over 20 years old who were targeted for the 6th Korea National Health and Nutrition Examination Survey, were analyzed through a complex sample frequency analysis, complex sample cross analysis (Rao–Scott chi-square test), and complex sample binary logistic regression analysis on a complex sampling design.Results: The most frequently given reason for an unmet dental need among single-person households was economic (52.4%). Factors related to the unmet dental needs of single-person households are smoking, which is a predisposing factor; personal income levels, which are an enabling factor; chewing discomfort; and limited daily activities, which are need factors. Smokers, the high-income group, the chewing-discomfort group, and the limited activity group showed high unmet dental care experience. Smokers had a 2.75 times higher rate of unmet dental care than non-smokers, and the high-income group had a 5.29 times higher rate of unmet dental needs than the median group. The rate of unmet dental needs for the chewing discomfort group was 3.27 times higher than the non-chewing discomfort group, and the limited activity group had a 7.87 times higher rate of unmet dental needs than the non-limited activity group. Conclusion: It is necessary to map out policies designed to help maintain and promote met dental needs considered to be internally heterogeneous to single-person householders, based on the Anderson model.

Abstract

Background: The purpose of this study is to provide the data for discussions related to oral health promotion policies for single-person households by analyzing the status of unmet dental needs and related factors in single-person households in Korea, based on the Anderson model.Methods: The data, obtained from 544 single-person households of those over 20 years old who were targeted for the 6th Korea National Health and Nutrition Examination Survey, were analyzed through a complex sample frequency analysis, complex sample cross analysis (Rao–Scott chi-square test), and complex sample binary logistic regression analysis on a complex sampling design.Results: The most frequently given reason for an unmet dental need among single-person households was economic (52.4%). Factors related to the unmet dental needs of single-person households are smoking, which is a predisposing factor; personal income levels, which are an enabling factor; chewing discomfort; and limited daily activities, which are need factors. Smokers, the high-income group, the chewing-discomfort group, and the limited activity group showed high unmet dental care experience. Smokers had a 2.75 times higher rate of unmet dental care than non-smokers, and the high-income group had a 5.29 times higher rate of unmet dental needs than the median group. The rate of unmet dental needs for the chewing discomfort group was 3.27 times higher than the non-chewing discomfort group, and the limited activity group had a 7.87 times higher rate of unmet dental needs than the non-limited activity group. Conclusion: It is necessary to map out policies designed to help maintain and promote met dental needs considered to be internally heterogeneous to single-person householders, based on the Anderson model.

참고문헌 (27)

  1. 안은숙, "구강 통증을 경험한 성인의 미충족 치과의료 관련 요인", 치위생과학회지, 16(5), pp.355~360 (2016), 한국치위생과학회
  2. Donabedian A, "Aspects of medical care administration:specifying requirements for health care" (1973), Harvard University Press
  3. Alonso J, "Unmet health care needs and mortality among Spanish elderly", Am J Public Health, 87, pp.365~370 (1997)
  4. 허순임, "우리나라 성인의 미 충족의료 현황: 연령 간의 차이를 중심으로", 보건경제와 정책연구, 13(2), pp.1~16 (2007), 한국보건경제정책학회
  5. Diamant AL, "Delays and unmet need for health care among adult primary care patients in a restructured urban public health system", Am J Public Health, 94, pp.783~789 (2004)
  6. "Status of medical institutions by type establishment" (2018)[URL]
  7. 신호성, "치과의사 인력 현황 및 수급 예측", 보건사회연구, 27(1), pp.81~102 (2007), 한국보건사회연구원[DOI]
  8. Social security by statistics, "Ministry of Health and Welfare", Ministry of Health and Welfare, 14~ (2017)
  9. Solo economy analysis, "Son HK", Statistics Korea, 153~173 (2017)
  10. 최재필, "사회취약계층 주거지원을 위한 폐교시설 활용계획", 대한건축학회논문집, 26(03), pp.3~11 (2010), 대한건축학회
  11. Seung-Bum Shim, "Cardiovascular Risk of One-Person Households", Korean Journal of Family Practice, 8(1), pp.8~14 (2018), The Korean Academy of Family Medicine[DOI]
  12. 하지경, "1인가구의 건강관련 습관적 소비, 생활시간이 주관적 건강에 미치는 영향: 비1인가구와 세대별 비교를 중심으로", Human Ecology Research, 55(2), pp.141~152 (2017), 대한가정학회[DOI]
  13. Policy implications of changes in family structure: focused on the increase of single person households in Korea, "Jeong KM", Korea Institute for Health and Social Affairs (KIHASA), 138~139 (2012)
  14. Korea health system based on healthcare indicators-2016 Korea medical panel in-depth analysis report, "National Health Insurance, Korea Institute for Health and Social Affairs", National Health Insurance Health Insurance Policy Institute, ~ (2016)
  15. 이혜재, "노인의 미충족 의료 경험의 결정요인 – 가구 유형을 중심으로", 보건경제와 정책연구, 23(2), pp.85~108 (2017), 한국보건경제정책학회
  16. 문정화, "독거노인의 미충족 의료와 영향요인: 취약계층 행동모델 적용", 보건사회연구, 36(2), pp.480~510 (2016), 한국보건사회연구원[DOI]
  17. 정기천, "앤더슨 모형을 이용한 우리나라 일부대학생의 구강진료이용행태에 관한 연구", 대한구강보건학회지, 27(3), pp.357~374 (2003), 대한예방치과·구강보건학회
  18. 김동휘, "우리나라 경제활동자의 구강검진 수진 영향요인: 국민건강영양조사 제6기 2차년도(2014) 자료를 바탕으로", 치위생과학회지, 17(4), pp.323~332 (2017), 한국치위생과학회[DOI]
  19. 이동영, "재가독거노인의 건강증진프로그램 참여의사 결정요인에 관한 연구: 앤더슨 행동모형(Anderson Model)의 적용", 사회복지정책, 38(4), pp.1~23 (2011), 한국사회복지정책학회[DOI]
  20. 유세희, "의사결정트리를 이용한 성인의 미충족 치과의료 영향 요인과 이유 분석", 보건사회연구, 37(4), pp.294~335 (2017), 한국보건사회연구원[DOI]
  21. 김수정, "우리나라 가구 의료비부담과 미충족 의료 현황: 의료보장 형태와 경제적 수준을 중심으로", 보건경제와 정책연구, 17(1), pp.47~70 (2011), 한국보건경제정책학회
  22. 문상은, "한국인의 미충족 치과치료에 영향을 미치는 요인: 제6기 국민건강영양조사 자료를 이용하여", 한국치위생학회지, 16(5), pp.767~774 (2016), 한국치위생학회[DOI]
  23. Organisation for Economic Co-operation and Development (OECD), "Health at a glance 2013: OECD indicators", pp.146~147 (2013), OECD Publishing
  24. 신민선, "외래서비스 이용과 건강행태", 한국콘텐츠학회 논문지, 13(5), pp.342~353 (2013), 한국콘텐츠학회[DOI]
  25. 주온주, "흡연자와 비흡연자의 치아건강도 비교", 치위생과학회지, 16(3), pp.200~209 (2016), 한국치위생과학회
  26. 이근유, "전문가 구강위생관리가 장기요양시설 재원노인의 구강상태에 미치는 효과", 치위생과학회지, 16(6), pp.432~441 (2016), 한국치위생과학회

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