Journal of Korean society of Dental Hygiene (한국치위생학회지)

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

DOI QR Code

A study on the relationship between socioeconomic level and oral health: analysis of data from the Sixth Korean National Health and Nutritional Examination Survey

사회경제적 수준과 구강건강과의 관련성 연구: 제6기 국민건강영양조사 자료를 이용하여

  • Song, Ae-Hee (Department of Dental Hygiene, Chunnam Techno University) ;
  • Youn, Hye-Jeong (Departnent of Dental hygiene, Suwon Women's University)
  • 송애희 (전남과학대학교 치위생과) ;
  • 윤혜정 (수원여자대학교 치위생과)
  • Received : 2019.07.09
  • Accepted : 2019.07.31
  • Published : 2019.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: In this study, both subjective and objective levels of oral health were used to identify the relationship between oral health inequalities. Methods: Korean National Health and Nutritional Examination Survey data from 2013 to 2015 were combined to create an analysis plan. Oral health questions categorized as subjective oral health conditions and oral health-related diseases used dental tissue disease status as data measured by the Community Periodical Index(CPI) and decayed, missing, filled teeth(DMFT) experience. Other data on oral health behaviors such as toothache experience, the frequency of toothbrush use, chewing problems, oral examination status, and unmet dental care needs were classified and analyzed according to the socioeconomic level. Data were analyzed using frequency and cross analyses, and the statistical significance level was set at 0.05. Results: It was found that higher the economic and educational level, better was the subjective oral health, lower the CPI, lower the experience of toothache, higher the frequency of toothbrush use, lower the number of people having chewing problems, and higher the frequency of oral checkups. Conclusions: Oral health inequality exists among social classes. It is suggested that continuous research and efforts be carried out to promote oral health while considering socioeconomic and educational levels. Further, active government efforts will be needed to address polarization by social class.

Keywords

References

  1. Kim DJ, Chae SM, Choi JH, Kim CY, Kim MH, Park YK, et al. Socioeconomic inequalities in health in Korea: Magnitude of its challenges and strategy for alleviation (I). Korea institute for health and social affairs 2016: 1-548.
  2. Lee MS. Health inequalities among Korean adults: scioeconomic status and residential area differences. Korean J Soc 2005;39(6):183-209.
  3. Kim DB, Yoo BS, Lee JE. Health inequalities among the elderly: mediation effect of social participation between educational level inequalities and self-rated health, depression. Korean Journal of Social welfare studies 2012;43(1):117-42. https://doi.org/10.16999/kasws.2012.43.1.117
  4. Song MY, Lim WY, Kim JI. Gender based health inequality and impacting factors. Korean J Women Health Nurs 2015;21(2):150-9. https://doi.org/10.4069/kjwhn.2015.21.2.150
  5. Heo HH, Cha XH, Jeong WJ, Chung HJ. Evaluation of community interventions to reduce health inequity in socioeconomically vulnerable populations. Korean J Health Educ Promot 2017;34(2):1-13. https://doi.org/10.14367/kjhep.2017.34.2.1
  6. 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
  7. Lee WY. The role of selected health-related behaviors in the socioeconomic disparities in oral health among adults. Korean J Health Educ Promot 2009;26(1):129-40.
  8. Mejia G, Armfield JM, Jamieson LM. Self-rated oral health and oral health-related factors: the role of social inequality. Aust Dent J 2014;59(2):226-33. https://doi.org/10.1111/adj.12173
  9. Elani HW, Harper S, Allison PJ, Bedos C, Kaufman JS. Socio-economic inequalities and oral health in Canada and the United States. J Dent Res 2012;91(9):865-70. https://doi.org/10.1177/0022034512455062
  10. Shin BM, Bae SM, Yoo SH, Shin SJ. Oral health and occupational status among Korean adults. J Dent Hyg Sci 2016;16(3):225-34. https://doi.org/10.17135/jdhs.2016.16.3.225
  11. Ahn ES, Shin HS. On decomposing the determinants of dental utilization inequalities. Journal of Korean Official Statistics 2015;20(2):140-59.
  12. Kim MJ, Lim CY. Economic inequality in perceived oral health behavior among adults in Korea. J Korea Acad Industr Coop Soc 2018;19(4):439-45. https://doi.org/10.5762/KAIS.2018.19.4.439
  13. Kim JH. Socioeconomic status in perceived oral health and contribution of oral health behavioral factors on convergence. J Korea Conv Soc 2018;9(9):337-43. https://doi.org/10.15207/JKCS.2018.9.9.337
  14. Jung MH, Kim SS, Kim YS, Ahn ES. Relationship of socioeconomic status to self-rated oral health. J Dent Hyg Sci 2014;14(2):207-13.
  15. Wamala S, Merlo J, Bostrom G. Inequity in access to dental care services explains current socioeconomic disparities in oral health: the Swedish National Surveys of Public Health 2004-2005. J Epidemiol Community Health 2006;60(12):1027-33. https://doi.org/10.1136/jech.2006.046896
  16. Whitehead, M, Dahlgren G. Concepts and principles for tackling social inequities in health: Levelling up Part 1. World Health Organization: Studies on social and economic determinants of population health, Liverpool, England: University of Liverpool; 2006: 16-9.
  17. Feachem RG. Poverty and inequity: a proper focus for the new century. Sao Paulo Brazil: World Health Organization; 2000;78(1): 1-2.
  18. Shin SJ, Ahn YS, Jung SH. Public health dentistry : The relation between dental health behaviors and socioeconomic status among Korean adolescents. J Korean Acad Dent Health 2008;32(2):223-30.
  19. Hong MH. Relationship between oral health behavior, chronic disease and periodontal disease in middle and older adults according to gender. J Korea Acad Industr Coop Soc 2018;19(11):403-10. https://doi.org/10.5762/KAIS.2018.19.11.403
  20. Kim HY. Evaluation of effects of health behaviors and dental service use on the association between socioeconomic status and unmet dental treatment needs. J Korean Acad Dent Health 2006;30(1):85-94.
  21. Sabbah W, Tsakos G, Sheiham A, Watt RG. The role of health-related behaviors in the socioeconomic disparities in oral health. Soc Sci Med 2009;68(2):298-303. https://doi.org/10.1016/j.socscimed.2008.10.030
  22. Ueno M, Ohara S, Inoue M, Tsugane S, Kawaguchi Y. Association between education level and dentition status in Japanese adults: Japan public health center based oral health study. Community Dent Oral Epidemiol 2012;40(6):481-7. https://doi.org/10.1111/j.1600-0528.2012.00697