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Dental Care Utilization for Examination and Regional Deprivation

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Objectives: Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization. Methods: Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258). Results: Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model. Conclusions: This study’s findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination.

Abstract

Objectives: Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization. Methods: Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258). Results: Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model. Conclusions: This study’s findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination.

참고문헌 (28)

  1. Petersen PE, "Improving the oral health of older people: the approach of the WHO Global Oral Health Programme", Community Dent Oral Epidemiol, 33(2), pp.81~92 (2005)
  2. Hjern A, "Social inequality in oral health and use of dental care in Sweden", Community Dent Oral Epidemiol, 29(3), pp.167~174 (2001)
  3. Jamieson LM, "Adult oral health inequalities described using area-based and household-based socioeconomic status measures", J Public Health Dent, 66(2), pp.104~109 (2006)
  4. Chen MS, "Oral health and quality of life in New Zealand: a social perspective", Soc Sci Med, 43(8), pp.1213~1222 (1996)
  5. Lang IA, "Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England", J Public Health (Oxf), 30(4), pp.472~478 (2008)
  6. Yen IH, "The social environment and health: a discussion of the epidemiologic literature", Annu Rev Public Health, 20, pp.287~308 (1999)
  7. Pattussi MP, "The potential impact of neighborhood empowerment on dental caries among adolescents", Community Dent Oral Epidemiol, 34(5), pp.344~350 (2006)
  8. Turrell G, "The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: a multilevel analysis", Community Dent Oral Epidemiol, 35(3), pp.195~206 (2007)
  9. Bower E, "Area deprivation and oral health in Scottish adults: a multilevel study", Community Dent Oral Epidemiol, 35(2), pp.118~129 (2007)
  10. Lumme S, "Multilevel modeling of regional variation in equity in health care", Med Care, 46(9), pp.976~983 (2008)
  11. Antunes JL, "Multilevel assessment of determinants of dental caries experience in Brazil", Community Dent Oral Epidemiol, 34(2), pp.146~152 (2006)
  12. Aida J, "Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3-year-old children", Community Dent Oral Epidemiol, 36(2), pp.149~156 (2008)
  13. Leyland AH, "Multilevel modelling and public health policy", Scand J Public Health, 31(4), pp.267~274 (2003)
  14. Hox JJ, "Multilevel analysis: techniques and applications", pp.7~ (2002), Lawrence Erlbaum Associates
  15. Locker D, "Deprivation and oral health: a review", Community Dent Oral Epidemiol, 28(3), pp.161~169 (2000)
  16. Townsend P, "Deprivation", J Soc Policy, 16(2), pp.125~146 (1987)
  17. Measuring deprivation in Scotland: developing a long-term strategy-final report, "Bailey N", Scottish Executive Central Statistics Unit, 62~ (2003)
  18. Townsend P, "Health and deprivation: inequality and the North", pp.1~211 (1988), Croom Helm
  19. Carstairs VD, "Deprivation and health in Scotland", pp.1~334 (1991), Aberdeen University Press
  20. Health promotion strategies and programs development for health inequalities alleviation, "Shin YJ", Korea Health Promotion Foundation, 1~648 (2009)
  21. "Community Health Survey"[URL]
  22. Lake ET, "Multilevel models in health outcomes research. Part II: statistical and analytic issues", Appl Nurs Res, 19(2), pp.113~115 (2006)
  23. Locker D, "Using area-based measures of socioeconomic status in dental health services research", J Public Health Dent, 56(2), pp.69~75 (1996)
  24. 김명희, "서울시 노인의 구강통증 여부 및 치과서비스이용의 사회적 결정요인에 대한 다수준분석", 대한구강보건학회지, 31(1), pp.103~115 (2007), 대한예방치과·구강보건학회
  25. Abrahamsson KH, "Phobic avoidance and regular dental care in fearful dental patients: a comparative study", Acta Odontol Scand, 59(5), pp.273~279 (2001)
  26. Bagewitz IC, "Dental care utilization: a study of 50- to 75-year-olds in southern Sweden", Acta Odontol Scand, 60(1), pp.20~24 (2002)
  27. Manski RJ, "Dental services. An analysis of utilization over 20 years", J Am Dent Assoc, 132(5), pp.655~664 (2001)
  28. Organisation for Economic Cooperation and Development, "Health at a glance 2011: OECD indicators", OECD, 141~ (2011)

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