Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Relationship between socioeconomic status and periodontal disease using Structural Equation Modeling

구조방정식 모델을 이용한 사회경제적 수준과 치주질환과의 연관성

  • Hwang, Su-Yeon (Department of Public Health Sciences, Graduate School, Korea University) ;
  • Yang, Jin-Young (Department of Dental Hygiene, Daejeon Institute of Science and Technology) ;
  • Kim, Ki-Eun (Department of Dental Hygiene, Daejeon Institute of Science and Technology)
  • 황수연 (고려대학교 대학원 보건과학과) ;
  • 양진영 (대전과학기술대학교 치위생과) ;
  • 김기은 (대전과학기술대학교 치위생과)
  • Received : 2018.09.25
  • Accepted : 2018.11.04
  • Published : 2018.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to investigate the relationship between socioeconomic status and periodontal disease. Methods: The data used for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2015). A total of 5,632 adults, aged over 19 years, were included in the study. This study analyzed data relating to socioeconomic status and health behaviors. The socioeconomic status was defined as an exogenous factor. Periodontal disease was the endogenous variable. Health behavior was a mediating variable. The study hypotheses were tested using Structural Equation Modeling analysis with Mplus 7.0 software. Results: According to the model fit test, the associated root-mean-square error was 0.05 (90% CI: 0.046-0.059); comparative fit index was 0.93; Tucker-Lewis index was 0.88; and standardized root-mean-square residual was 0.03. We found that socioeconomic status had significant effects on health behaviors (${\beta}=0.304$, p<0.001) and periodontal disease (${\beta}=-0.289$, p=0.001). Moreover, health behaviors had significant effects on periodontal diseases (${\beta}=0.143$, p<0.001). The analysis of a possible relationship between socioeconomic status and periodontal disease using path analysis demonstrated health behaviors difficulties, along with direct and indirect effects, further increased the risk of periodontal disease. Conclusions: The findings suggest that future interventions for the prevention of periodontal disease should consider health behavior.

Keywords

References

  1. Tamashiro KL. Metabolic syndrome: links to social stress and socioeconomic status. Ann N Y Acad Sci 2011;1231:46-55. https://doi.org/10.1111/j.1749-6632.2011.06134.x.
  2. Kondo N, Sembajwe G, Kawachi I, van Dam RM, Subramanian SV, Yamagata Z. Income inequality, mortality, and self rated health: meta-analysis of multilevel studies. BMJ 2009;339:b4471. https://doi.org/10.1136/bmj.b4471
  3. Ha GY. The association between health behaviors and medical expenditures [Doctoral dissertation]. Seoul: Univ.of Ewha Womans, 2016.
  4. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2) 2014: 63-216.
  5. Jang YJ, Kim NS. Relationship of oral health behavior to subjective oral health status and the DMFT index in Korean adults. J Korean Soc Dent Hyg 2011;11(4):499-509.
  6. Won JH, Ha MN. An association of periodontitis and diabetes. J Den Hyg Sci 2014;14(2):107-13.
  7. Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health 2006;27:297-322. https://doi.org/10.1146/annurev.publhealth.27.021405.102100
  8. Gruenewald TL, Karlamangla AS, Hu P, Stein-Merkin S, Crandall C, Koretz B, et al. History of socioeconomic disadvantage and allostatic load in later life. Soc Sci Med 2012;74(1):75-83. https://doi.org/10.1016/j.socscimed.2011.09.037
  9. Kim SH. The relationship between socioeconomic status and metabolic syndrome, using Structural Equation Modelling. Korean J Health Promot 2016;16(2):92-100. https://doi.org/10.15384/kjhp.2016.16.2.92
  10. Cunha-Cruz J, Hujoel PP, Kressin NR. Oral health-related quality of life of periodontal patients. J Periodontal Res 2007;42(2):169-76. https://doi.org/10.1111/j.1600-0765.2006.00930.x
  11. Guzeldemir E, Toygar HU, Tasdelen B, Torun D. Oral health-related quality of life and periodontal health status in patients undergoing hemodialysis. J Am Dent Assoc 2009;140(10):1283-93. https://doi.org/10.14219/jada.archive.2009.0052
  12. Kim J, Ahn ES. Association of periodontal status with health lifestyle in adults. J Den Hyg Sci 2015;15(1):83-9. https://doi.org/10.17135/jdhs.2015.15.1.83
  13. Sheiham A, Watt RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol 2000;28(6):399-406. https://doi.org/10.1034/j.1600-0528.2000.028006399.x
  14. Klinge B, Norlund A. A socio-economic perspective on periodontal diseases: a systematic review. J Clin Periodontol 2005;32:314-25. https://doi.org/10.1111/j.1600-051x.2005.00801.x
  15. Choi MI, Mun SJ. Relationship between socioeconomic characteristics and prevalence of periodontal disease in Korean adults: The 6th Korean National Health and Nutrition (2015). J Korean Soc Dent Hyg 2017;17(6):1109-19. https://doi.org/10.13065/jksdh.2017.17.06.1109
  16. Korea Centers for Disease Control and Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3). Seoul, Korea: Korea Centers for Disease Control and Prevention;2015: i-ii.
  17. Bagozzi RP, Yi Y. On the evaluation of structural equation models. J Acad Mark Sci 1988;16(1):74-94. https://doi.org/10.1007/BF02723327
  18. Browne MW, Cudeck R. Testing structural equation model: Alternative ways of assessing model fit. United States: SAGE Publishing; 1993: 136.
  19. Sohn AR. The effects of stress and depression on problem drinking. Health Soc Sci 2010;27:61-79.
  20. Sohn AR, Legaspi SV, Hong IO, Kim TK, Ryu EJ, Oh GJ. Alcohol use disorder, stress, mental health and suicide among Seoul citizens. Korean J Health Educ Prom 2009;26(4):71-81.
  21. Yoon S, Bae J, Lee S, An K, Kim S. The effects of job stress on depression, drinking and smoking among Korean men. Health Soc Sci 2006;19(19):31-50.
  22. Park HJ, Lee JH. The effect of socioeconomic status, oral health consciousness and behaviors on the periodontal-health disparities among Korean adults. Korean J Health Educ Prom 2010;27(1):61-9.
  23. Hobdell M, Oliveira E, Bautista R, Myburgh N, Lalloo R, Narendran S, et al. Oral diseases and socio-economic status (SES). Br Dent J 2003;194(2):91-6. https://doi.org/10.1038/sj.bdj.4809882
  24. Jung J, Oh G. A study of the relationship between socioeconomic status, oral health behaviors and periodontitis in the elderly Korean population. J Korean Acad Oral Health 2011;35(1):57-66.
  25. Kang HJ. Convergence relationship between health behaviors, urinalysis and Periodontitis. Korea Convergence Soc 2018;9(6):117-24.

Cited by

  1. 성인의 구강건강행위와 치주질환과의 융복합 연구 vol.10, pp.5, 2019, https://doi.org/10.15207/jkcs.2019.10.5.063