한국인의 치과진료이용과 관련된 요인
Determinants for dental service utilization among Korea
전지은, 정원균, 김남희,
소속 상세정보
전지은 ( Jeon Ji-Eun ) - 연세대학교 대학원 치위생학과
정원균 ( Jung Won-Gyun ) - 연세대학교 원주의과대학 치위생학과
김남희 ( Kim Nam-Hee ) - 연세대학교 원주의과대학 치위생학과
KMID : 0355420110350040441
Abstract
Objectives: This study aims to determine the factors affecting the dental service utilization among Koreans.
Methods: This is a cross-sectional study. It analyses in depth the fourth phase data got from the National Health and Nutrition Examination Survey in 2007 to 2009. The sampling method is stratified cluster sampling. This study includes health questionnaire survey and oral examination for 23,480 participants aged over one year. Among the participants 50.2% were males and 49.8% were females. Statistical verification conducted through PASW statistics was 18.0. The difference in the distribution of independent variables related with the dental service utilization was verified with Chi-square test. Relevant factors were determined using logistic regression analysis.
Results: According to logistic regression analysis, females rather than males (OR: 1.54, CI: 1.40∼1.70), recipients of Medical Aid Program (OR: 1.33, CI: 1.01∼1.75) and the participants with low income (OR: 1.17, CI: 1.01∼1.36) utilized the dental service less (p＜0.05). Persons perceiving that their health status as poor (OR: 1.26, CI: 1.13∼1.39), those perceiving their oral health status as poor (OR: 1.56, CI: 1.42∼1.70), those worrying about their oral health status (OR: 1.35, CI: 1.24∼1.48), those feeling discomfort during mastication (OR: 2.02, CI: 1.81∼2.25), those having undergone an unlicensed dental procedure (OR: 1.37, CI: 1.21∼1.56), those feeling currently the necessity for dental treatments (OR: 4.51, CI: 4.07∼5.00) and those not taking oral examination within one year (OR: 1.20, CI: 1.08∼1.35) visited dental clinics or hospitals less (p＜0.05). However, the type of health insurance, economic activity status and CPITN index showed no statistical significance.
Conclusions: Socioeconomic factors and oral health status were found to be determinants for dental service utilization in South Korea in the late 2000. In particular, the participants were observed not to satisfy their demand for dental service perceived by themselves.
키워드
구강건강상태; 국민건강영양조사; 복합표본설계; 인구사회경제; 치과진료이용
complexity sampling; dental service utilization; KNHANES IV; oral health status; socioeconomic status
원문 및 링크아웃 정보
등재저널 정보