Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
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Changes in factors on unmet dental scaling rate according to the National Health Insurance coverage

국민건강보험급여에 따른 스케일링 미수진율의 영향요인 변화

  • Kim, Han-Nah (Graduate School of Dental Hygiene, Yonsei University) ;
  • Kim, Chun-Bae (Department of Preventive Medicine, Wonju College of Medicine, Yonsei University) ;
  • Kim, Nam-Hee (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
  • 김한나 (연세대학교 일반대학원 치위생학과) ;
  • 김춘배 (연세대학교 원주의과대학 예방의학교실) ;
  • 김남희 (연세대학교 원주의과대학 치위생학과)
  • Received : 2017.04.07
  • Accepted : 2017.05.23
  • Published : 2017.06.30
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Abstract

Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.

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References

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