성인의 부정구강진료 경험 관련 요인: 국민건강영양조사제4기(2007-2009년) 자료를 중심으로
Factors related to the experience of illegal dental treatments among Korean adults: The Fourth Korea National Health and Nutrition Examination Survey, 2007-2009
김지은, 정지인, 김한나, 김세연, 전은주, 김민지, 정승화, 김진범,
소속 상세정보
김지은 ( Kim Ji-Eun ) - 부산대학교 치의학전문대학원 예방치과학교실
정지인 ( Jung Ji-In ) - 부산대학교 치의학전문대학원 예방치과학교실
김한나 ( Kim Han-Na ) - 부산대학교 치의학전문대학원 예방치과학교실
김세연 ( Kim Se-Yeon ) - 부산대학교 치의학전문대학원 예방치과학교실
전은주 ( Jun Eun-Joo ) - 부산대학교 치의학전문대학원 예방치과학교실
김민지 ( Kim Min-Ji ) - 부산대학교 치의학전문대학원 예방치과학교실
정승화 ( Jeong Seung-Hwa ) - 부산대학교 치의학전문대학원 예방치과학교실
김진범 ( Kim Jin-Bom ) - 부산대학교 치의학전문대학원 예방치과학교실
KMID : 0355420140380040254
Abstract
Objectives: The aim of the study was to analyze the factors related to the illegal dental treatment experience(IDTX) among Korean adults.
Methods: The raw data for the analysis of IDTX among Korean adults were obtained from the datasetof the Fourth Korea National Health and Nutrition Examination Survey conducted in 2007-2009. Stratifiedweighted subjects aged ≥45 years were selected according to region by using clustered samplingmethods. In total, the data of 9,254 subjects, who participated in the interview and dental examinationsrelated to the experience of illegal dental treatments, were analyzed using chi-square test, general linearmodel, and logistic regression analysis with complex sampling design by considering demographicand socioeconomic variables (age, gender, region, educational level, household income, and medicaland dental delivery system) as well as oral status variables (prosthesis and number of natural remainingteeth).
Results: IDTX rate was <10% among adults aged 35-44 years or below. However, it increased to 15%among adults aged 45-54 years and was >30% among adults aged ≥65 years. The age group with ahigh IDTX rate coincided with the age group with a high number of lost teeth. Most of the IDTX caseswere presumed to be prosthetic treatments. The model comprising demographic, socioeconomic, andoral status variables had the highest explanation power. Significant variables were educational level,household income, prosthesis status, and number of remaining teeth. Women and persons under themedicaid system were more likely to undergo illegal dental treatments.
Conclusions: Comprehensive prosthetic treatments are suggested to be included in the care servicesof the national health insurance and medicaid system to reduce the number of illegal dental treatments.
키워드
Dental care; Medicaid;National health insurance;Prosthetics;Socioeconomic factors
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