Estimation and change of edentulism among Korean population: Korea National Health and Nutrition Examination Survey in 2007-2018
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OBJECTIVES: To estimate the prevalence of edentulism according to the socio-demographic variables of Korean adults between 2007 and 2018 and to analyze the trends. METHODS: This study was conducted using raw data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2018. Edentulism was defined as the absence of upper and lower teeth or the retained root of the missing teeth. To obtain the prevalence of edentulism, complex sample frequency analysis and regression analysis were performed according to the socio-demographic variables to represent the national population. The Korean population structure in 2005 was exploited as a standard population to calculate age-standardized edentulism. RESULTS: The prevalence of edentulism in 2016-2018 was 9.7% in the Korean elderly, and the change of age-standardized edentulism steadily declined over time from 2007, 12.8%. In particular, it decreased by approximately 20% in the period between 2016 and 2018 compared to that in 2007 for those in their 80s. The trend of the prevalence according to gender decreased significantly in women. According to the level of education, the greatest decrease was seen in the group with the lowest education, although the prevalence itself was higher than that seen in those who were more educated. CONCLUSIONS: The prevalence of edentulism among the older Korean population has decreased over time. However, the concern is on those with lower education and men as these groups are still at higher risk for edentulism.
Abstract
OBJECTIVES: To estimate the prevalence of edentulism according to the socio-demographic variables of Korean adults between 2007 and 2018 and to analyze the trends. METHODS: This study was conducted using raw data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2018. Edentulism was defined as the absence of upper and lower teeth or the retained root of the missing teeth. To obtain the prevalence of edentulism, complex sample frequency analysis and regression analysis were performed according to the socio-demographic variables to represent the national population. The Korean population structure in 2005 was exploited as a standard population to calculate age-standardized edentulism. RESULTS: The prevalence of edentulism in 2016-2018 was 9.7% in the Korean elderly, and the change of age-standardized edentulism steadily declined over time from 2007, 12.8%. In particular, it decreased by approximately 20% in the period between 2016 and 2018 compared to that in 2007 for those in their 80s. The trend of the prevalence according to gender decreased significantly in women. According to the level of education, the greatest decrease was seen in the group with the lowest education, although the prevalence itself was higher than that seen in those who were more educated. CONCLUSIONS: The prevalence of edentulism among the older Korean population has decreased over time. However, the concern is on those with lower education and men as these groups are still at higher risk for edentulism.
참고문헌 (25)
- GBD 2017 Oral Disorders Collaborators, "Global, regional, and national levels and trends in burden of oral conditions from 1990to 2017 : a systematic analysis for the global burden of disease 2017 study", J Dent Res, 99, pp.362~373 (2020)
- McGrath C, "Measuring the impact of oral health on life quality in two national surveys-functionalist versus hermeneutic approaches", Community Dent Oral Epidemiol, 30, pp.254~259 (2002)
- 전미진, "한국 노인의 치아상실에 따른 구강건강행태 및 건강행태: 6기 국민건강영양조사", 한국엔터테인먼트산업학회논문지, 10(5), pp.259~268 (2016), 한국엔터테인먼트산업학회[DOI]
- Wu LL, "Oral health indicators for risk of malnutrition in elders", J Nutr Health Aging, 22, pp.254~261 (2018)
- Song IS, "Association between underweight and tooth loss among Korean adults", Sci Rep, 7, pp.41524~ (2017)
- 김은경, "농촌지역 일부 노인의 잔존치아수 및 타액분비량과 일상생활수행도 및 인지장애의 연관성: 예비연구", 대한구강보건학회지, 40(1), pp.43~48 (2016), 대한예방치과·구강보건학회
- Hirotomi T, "Number of teeth and 5-year mortality in an elderly population", Community Dent Oral Epidemiol, 43, pp.226~231 (2015)
- 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)
- Cooper LF, "The current and future treatment of edentulism", J Prosthodont, 18, pp.116~122 (2009)
- Lee SK, "Reasons for extracted permanent teeth in Korean population", J Korean Acad Oral Health, 25, pp.139~163 (2001)
- Nordenram G, "Qualitative studies of patients’ perceptions of loss of teeth, the edentulous state and prosthetic rehabilitation : a system-atic review with meta-synthesis", Acta Odontol Scand, 71, pp.937~951 (2013)
- Peltzer K, "Prevalence of loss of all teeth(edentulism)and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa", Int J Environ Res Public Health, 11, pp.11308~11324 (2014)
- Peres MA, "Tooth loss in Brazil : analysis of the 2010 Brazilian Oral Health Survey", Rev Saude Publica, 47(Suppl 3), pp.78~89 (2013)
- Cocco F, "The burden of tooth loss in Italian elderly population living in nursing homes", BMC Geriatr, 18, pp.76~ (2018)
- Cardoso M, "Edentulism in Brazil : trends, projections and expectations until 2040", Cien Saude Colet, 21, pp.1239~1246 (2016)
- Eklund SA, "Risk factors for total tooth loss in the United States; longitudinal analysis of national data", J Public Health Dent, 54, pp.5~14 (1994)
- Elani HW, "Social inequalities in tooth loss : a multinational comparison", Community Dent Oral Epidemiol, 45, pp.266~274 (2017)
- 류재인, "노인의 치과임플란트 건강보험 급여 이용률 현황", 대한치과의사협회지, 57(9), pp.496~503 (2019), 대한치과의사협회[DOI]
- 우경지, "국민건강영양조사 구강검사 개요", 대한구강보건학회지, 42(4), pp.101~108 (2018), 대한예방치과·구강보건학회[DOI]
- McGarry TJ, "Classification system for complete edentulism. The American College of Prosthodontics", J Prosthodont, 8, pp.27~39 (1999)
- Korea health statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1), "Korea Disease Control and Prevention Agency", Korea Disease Control and Prevention Agency, 165~167 (2020)
- Emami E, "The impact of edentulism on oral and general health", Int J Dent, 2013, pp.498305~ (2013)
- 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)
- 김송이, "한국 장년층 주관적 구강건강상태의 9년간 변화: 국민건강영양조사 4-6기 자료 이용", 대한구강보건학회지, 43(2), pp.50~55 (2019), 대한예방치과·구강보건학회[DOI]
- Health care in Korea from OECD statistics, "Ministry of Health and Welfare", Ministry of Health and Welfare, 3~4 (2019)