본문 바로가기
KERD
논문KCI 등재

Incidence of edentulism among older adults using the Korean National Health Insurance Service Database, 2013-2018

김은경|신호성|최연희|Ahn Song Vogue|Jung Hoi-In|Hyeonjeong Go|Amano Atsuo
한국역학회 (Korean Society of Epidemiology)|2022.01|Epidemiology and Health|제44권 |pp. 1-8|DOI 10.4178/epih.e2022091

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

IncidenceElderlyCohort databaseTooth lossEdentulismKorean National Health Service Insurance

초록

OBJECTIVES: Population aging is rapidly accelerating worldwide. Oral diseases related to aging are also on the rise. This study examined trends in the incidence of edentulism among the older Korean population using data from the Korean National Health Insurance Service (KNHIS ). METHODS: Data on older adults, aged ≥ 75 years of age, were obtained from the KNHIS for the period 2013-2018. Edentulism was defined as a treatment history of complete dentures in the KNHIS database. The exclusion criteria consisted of both disease codes and treatment codes related to conservative dental treatment, including periodontal and extraction treatment afterward. Crude incidence rates (CIRs) and age-standardized incidence rates (AIRs) with 95% confidence intervals were calculated and reported per 100,000 person-years by the direct method. Trends were tested by Cochrane Armitage models. RESULTS: Statistically significant increasing trends in both CIRs and AIRs were found among the older Korean population registered in the KNHIS (CIRs, 742.31 to 895.92; AIRs, 742.31 to 889.68; p< 0.01). The incidence tended to increase in both genders (p< 0.01). Both CIRs and AIRs in specific regions also showed slight but significant annual increases except for Jeju Island (p< 0.01 or < 0.05). The incidence showed increasing trends (p< 0.01) in all income quintiles apart from the highest quintile. The edentulism incidence was highest in the lowest income group (the first quintile). CONCLUSIONS: Our data showed that the incidence of edentulism among the elderly showed an increasing trend from 2013 to 2018. This result provides a basis for future epidemiological studies on the incidence of edentulism in the older Korean population.

Abstract

OBJECTIVES: Population aging is rapidly accelerating worldwide. Oral diseases related to aging are also on the rise. This study examined trends in the incidence of edentulism among the older Korean population using data from the Korean National Health Insurance Service (KNHIS ). METHODS: Data on older adults, aged ≥ 75 years of age, were obtained from the KNHIS for the period 2013-2018. Edentulism was defined as a treatment history of complete dentures in the KNHIS database. The exclusion criteria consisted of both disease codes and treatment codes related to conservative dental treatment, including periodontal and extraction treatment afterward. Crude incidence rates (CIRs) and age-standardized incidence rates (AIRs) with 95% confidence intervals were calculated and reported per 100,000 person-years by the direct method. Trends were tested by Cochrane Armitage models. RESULTS: Statistically significant increasing trends in both CIRs and AIRs were found among the older Korean population registered in the KNHIS (CIRs, 742.31 to 895.92; AIRs, 742.31 to 889.68; p< 0.01). The incidence tended to increase in both genders (p< 0.01). Both CIRs and AIRs in specific regions also showed slight but significant annual increases except for Jeju Island (p< 0.01 or < 0.05). The incidence showed increasing trends (p< 0.01) in all income quintiles apart from the highest quintile. The edentulism incidence was highest in the lowest income group (the first quintile). CONCLUSIONS: Our data showed that the incidence of edentulism among the elderly showed an increasing trend from 2013 to 2018. This result provides a basis for future epidemiological studies on the incidence of edentulism in the older Korean population.

참고문헌 (40)

  1. Silva-Junior MF, "Incidence of tooth loss in adults : a 4-year population-based prospective cohort study", Int J Dent, 2017, pp.6074703~ (2017)
  2. Jafarian M, "Reasons for extraction of permanent teeth in general dental practices in Tehran, Iran", Med Princ Pract, 22, pp.239~244 (2013)
  3. De Marchi RJ, "Four-year incidence and predictors of tooth loss among older adults in a southern Brazilian city", Community Dent Oral Epidemiol, 40, pp.396~405 (2012)
  4. Russell SL, "Sex", gender differences in tooth loss and edentulism : historical perspectives, biological factors, and sociologic reasons, 2013, pp.57, 317~337
  5. 전미진, "한국 노인의 치아상실에 따른 구강건강행태 및 건강행태: 6기 국민건강영양조사", 한국엔터테인먼트산업학회논문지, 10(5), pp.259~268 (2016), 한국엔터테인먼트산업학회[DOI]
  6. Wu LL, "Oral health indicators for risk of malnutrition in elders", J Nutr Health Aging, 22, pp.254~261 (2018)
  7. Jae-Hong Lee, "Charlson comorbidity index as a predictor of periodontal disease in elderly participants", Journal of Periodontal & Implant Science, 48(2), pp.92~102 (2018), 대한치주과학회
  8. Song IS, "Association between underweight and tooth loss among Korean adults", Sci Rep, 7, pp.41524~ (2017)
  9. do Nascimento TL, "Association between underweight and overweight", obesity with oral health among independently living Brazilian elderly, 2013, pp.29, 152~157
  10. 김은경, "농촌지역 일부 노인의 잔존치아수 및 타액분비량과 일상생활수행도 및 인지장애의 연관성: 예비연구", 대한구강보건학회지, 40(1), pp.43~48 (2016), 대한예방치과·구강보건학회
  11. Murray Thomson W, "Epidemiology of oral health conditions in older people", Gerodontology, 31(Suppl 1), pp.9~16 (2014)
  12. Emami E, "The impact of edentulism on oral and general health", Int J Dent, 2013, pp.498305~ (2013)
  13. Anbarserri NM, "Impact of severity of tooth loss on oralhealth-related quality of life among dental patients", J Family Med Prim Care, 9, pp.187~191 (2020)
  14. Marcenes W, "Global burden of oral conditions in 1990-2010 : a systematic analysis", J Dent Res, 92, pp.592~597 (2013)
  15. Kassebaum NJ, "Global burden of severe tooth loss : a systematic review and meta-analysis", J Dent Res, 93(7 Suppl), pp.20S~28S (2014)
  16. Kassebaum NJ, "Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015 : a systematic analysis for the global burden of diseases, injuries, and risk factors", J Dent Res, 96, pp.380~387 (2017)
  17. Kim HN, "Factors related to number of present teeth in Korean elderly adults aged 55-84 years", Int J Dent Hyg, 14, pp.151~158 (2016)
  18. Al-Rafee MA, "The epidemiology of edentulism and the associated factors : a literature review", J Family Med Prim Care, 9, pp.1841~1843 (2020)
  19. Slade GD, "Projections of U. S. edentulism prevalence following 5 decades of decline", J Dent Res, 93, pp.959~965 (2014)
  20. Cardoso M, "Edentulism in Brazil : trends, projections and expectations until 2040", Cien Saude Colet, 21, pp.1239~1246 (2016)
  21. Yu NH, "Estimation and change of edentulism among the Korean population : Korea National Health and Nutrition Examination Survey 2007-2018", Epidemiol Health, 43, pp.e2021020~ (2021)
  22. Lee J, "Cohort profile : the National Health Insurance Service-National Sample Cohort(NHIS-NSC), South Korea", Int J Epidemiol, 46, pp.e15~ (2017)
  23. 송선옥, "Background and Data Configuration Process of a Nationwide Population-Based Study Using the Korean National Health Insurance System", Diabetes and Metabolism Journal, 38(5), pp.395~403 (2014), 대한당뇨병학회[DOI]
  24. 구본석, "국민건강보험공단 노인 코호트 자료를 이용한 완전 무치악 환자의 치매 발병률 분석", 대한치과보철학회지, 58(3), pp.193~200 (2020), 대한치과보철학회[DOI]
  25. "Guide for health insurance about denture (National Health Insurance Act Enforcement Decree, Article 19 (1) 2) (2012)"[URL]
  26. Keyfitz N, "3. Sampling variance of standardized mortality rates", Hum Biol, 38, pp.309~317 (1966)
  27. Statistics Korea, "2021 Statistics on the aged", Statistics Korea, 25~ (2021)
  28. New paradigm and policy suggestions for research on senile chronic disease. Survey report, "Kim DJ", Korea Health Industry Development Institute, 2~4 (2017)
  29. Analysis of the risk of tooth loss in chronic diseases using data from the National Health Insurance Service. Survey report, "Yoon JH", National Health Insurance Service Ilsan Hospital, 3~12 (2016)
  30. Peng J, "The relationship between tooth loss and mortality from all causes, cardiovascular diseases, and coronary heart disease in the general population:systematic review and dose-response meta-analysis of prospective cohort studies", Biosci Rep, 39, pp.20181773~ (2019)
  31. Baelum V, "A global perspective on changes in the burden of caries and periodontitis : implications for dentistry", J Oral Rehabil, 34, pp.872~906 (2007)
  32. 최성숙, "일부지역 노인들의 만성질환 경험에 따른 구강상태와 구강건강관리 효능감 및 주관적 구강건강수준에 미치는 영향", 한국구강보건과학회지, 8(2), pp.65~72 (2020), 한국구강보건과학회[DOI]
  33. Kassebaum NJ, "Global burden of severe tooth loss : a systematic review and meta-analysis", J Dent Res, 93(7 Suppl), pp.20S~28S (2014)
  34. Silva-Junior MF, "Incidence of tooth loss in adults : a 4-year population-based prospective cohort study", Int J Dent, 2017, pp.6074703~ (2017)
  35. Cooray U, "Importance of socioeconomic factors in predicting tooth loss among older adults in Japan : evidence from a machine learning analysis", Soc Sci Med, 291, pp.114486~ (2021)
  36. Kim YH, "Number of remaining teeth and its association with socioeconomic status in South Korean adults : data from the Korean National Health and Nutrition Examination Survey 2012-2013", PLoS One, 13, pp.e0196594~ (2018)
  37. Wu B, "Social stratification and tooth loss among middle-aged and older Americans from 1988 to 2004", Community Dent Oral Epidemiol, 42, pp.495~502 (2014)
  38. Laguzzi PN, "Tooth loss and associated factors in elders : results from a national survey in Uruguay", J Public Health Dent, 76, pp.143~151 (2016)
  39. Agenda-based regional status and welfare indicators study in 2019. Survey report, "Kim SY", Community Chest of Korea, 1~171 (2019)
  40. 서혜원, "건강보험 보장성 확대정책에 따른 치과 이용 및 의료비 지출 변화 : 한국의료패널(2012-2016)을 이용하여", 한국치위생학회지, 20(5), pp.611~621 (2020), 한국치위생학회[DOI]

관련 논문AI추천

Estimation and change of edentulism among Korean population: Korea National Health and Nutrition Examination Survey in 2007-2018송근배, 신아라, 유나현, 최연희, Ahn Song Vogue한국역학회 · Epidemiology and Health2021 · 제43권 Trend in the Incidence of Severe Partial Edentulism among Adults Using the Korean National Health Insurance Service Claim Data, 2014–2018고현정, 신호성, 안성복, 안정훈, 정회인, 최연희, Atsuo Amano연세대학교의과대학 · Yonsei Medical Journal2024 · 제65권 제4호Differences 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)김은정, 최용금한국치위생과학회 · 치위생과학회지2019 · 제19권 제3호노인 구강건강의 역학적 특징과 중요성정회인대한치과의사협회 · 대한치과의사협회지2022 · 제61권 제1호The socioeconomic impact of Korean dental health insurance policy on the elderly: a nationwide cohort study in South Korea김영택, 서혜원, 윤준호, 이보아, 임현선대한치주과학회 · Journal of Periodontal & Implant Science2019 · 제49권 제4호대도시에 거주하는 65세 이상 노인들의 현존치아수와 의치장착상태: 제6기(2013-2015년) 국민건강영양조사 자료 이용김세연, 김지수, 김진범, 전은주, 정승화한국치위생학회 · 한국치위생학회지2018 · 제18권 제6호

이 간행물의 다른 논문 (112건)

Socioeconomic inequality in compliance with precautions and health behavior changes during the COVID-19 outbreak: an analysis of the Korean Community Health Survey 2020양재원, Kim Hyeon Chang, Jung Sun Jae, 이가빈, YANG YIYI, Hoang Thang Manhpp. 1-8Model-based cost-effectiveness analysis of oral antivirals against SARS-CoV-2 in KoreaHuh Kyungmin, Kim Sun Bean, 유진홍, 백경란, 정재훈, Jo Youngji, Radnaabaatar Munkhzul, Park Hojunpp. 1-10Predictors of COVID-19 booster vaccine hesitancy among fully vaccinated adults in Korea: a nationwide cross-sectional surveyChoe Seung-Ah, 이상원, 신주영, 김주환, 윤동원, 최영준, Noh Yunha, Jung Jaehunpp. 1-8Obesity, hypertension, diabetes mellitus, and hypercholesterolemia in Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination SurveyKim Yoonjung, Kim Hyeon Chang, Park Suyeon, Oh Kyungwon, 이가빈pp. 1-8The Korea National Health and Nutrition Examination Survey data linked Cause of Death dataOh Kyungwon, Yun Sunghapp. 1-7
원문 보기