Journal of Korean society of Dental Hygiene (한국치위생학회지)

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

DOI QR Code

Factors associated with unmet dental needs among adults with activity limitations

활동제한 성인의 미충족 치과의료에 영향을 미치는 요인

  • Lee, Won-Ik (Department of Social Welfare, Pusan National University)
  • Received : 2020.04.08
  • Accepted : 2020.10.05
  • Published : 2020.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aimed to investigate the factors associated with unmet dental needs among adults with activity limitations. Methods: Data were obtained from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). The final sample consisted of 945 adults aged 20 years or older with limited activity. Logistic regression analysis was used to examine the influence of predisposing, enabling, and need factors on unmet dental needs. Results: The proportion of adults with unmet dental needs during the last year was 52.2% in the middle-aged group and 45.5% in the older adult group. Higher household income was associated with fewer unmet dental needs in both groups. In the older adult group, married people were less likely to have unmet dental needs. In the middle-aged group, adults who perceived their oral health as poor were more likely to have unmet dental needs. Conclusions: All three factors (predisposing, enabling, and need) were found to be associated with unmet dental needs among adults with activity limitations. Special efforts should be made to improve access to dental care services for middle-aged adults with activity limitations.

Keywords

References

  1. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol 2005;33(2):81-92. https://doi.org/10.1111/j.1600-0528.2004.00219.x
  2. Borgnakke WS, Ylostalo PV, Taylor GW, Genco RJ. Effect of periodontal disease on diabetes: systematic review of epidemiologic observational evidence. J periodontol 2013;84:S135-52. https://doi.org/10.1902/jop.2013.1340013
  3. Scannapieco FA, Papandonatos GD, Dunford RG. Associations between oral conditions and respiratory disease in a national sample survey population. Ann Periodontol 1998;3(1):251-6. https://doi.org/10.1902/annals.1998.3.1.251
  4. Beck JD, Offenbacher S. Systemic effects of periodontitis: epidemiology of periodontal disease and cardiovascular disease. J Periodontol 2005;76(11suppl):2089-100. https://doi.org/10.1902/jop.2005.76.11-S.2089
  5. Walls AW, Steele JG. The relationship between oral health and nutrition in older people. Mech Ageing Dev 2004;125(12):853-7. https://doi.org/10.1016/j.mad.2004.07.011
  6. Locker D, Clarke M, Payne B. Self-perceived oral health status, psychological well-being, and life satisfaction in an older adult population. J Dent Res 2000;79(4):970-5. https://doi.org/10.1177/00220345000790041301
  7. Jones M, Lee JY, Rozier RG. Oral health literacy among adult patients seeking dental care. J Am Dent Assoc 2007;138(9):1199-208. https://doi.org/10.14219/jada.archive.2007.0344
  8. Lee ES, Kim KM, Kim HJ. Status of oral health in relation to the acknowledgement of oral health trouble and oral health habits in recipients of dental screening in hospital. Korean J Heal Serv Manag 2016;10(2):121-31. https://doi.org/10.12811/kshsm.2016.10.2.121
  9. Evashwick C, Conrad D, Lee F. Factors related to utilization of dental services by the elderly. Am J Public Health 1982;72(10):1129-35. https://doi.org/10.2105/AJPH.72.10.1129
  10. Kim JH, Kim GU. The influence of oral health behavior and periodontal status of the people who experienced scaling in dental hygienics on their OHIP-14. J Digit Converg 2014;12(11):461-8. https://doi.org/10.14400/JDC.2014.12.11.461
  11. Ha JE, Bae KH. Reasons for extraction of permanent teeth in Korea. J Korean Acad Oral Health 2012;36(1):32-7.
  12. Kim JW, Bae HJ. A study of the experience of unmet dental care needs among older adults. Health Soc Welf Rev 2019;39(1):365-89. https://doi.org/10.15709/hswr.2019.39.1.365
  13. Chen J, Hou F. Unmet needs for health care. Health Rep 2002;13(2):23-4.
  14. Kim S, Seo Y, Woo K, Shin Y. A systematic review of studies on current status and influencing factors of unmet medical needs in Korea. J Crit Soc Welf 2019;(62):53-92.
  15. OECD. Health at a Glance 2013, Paris: OECD Publishing; 2013: 146-7.
  16. Park HR, Moon SJ. Connections between the subjective awareness characteristics of oral health of certain adults and their oral health knowledge and practice behavior of oral health. J Korea Contents Assoc 2013;13(1):300-10. https://doi.org/10.5392/JKCA.2013.13.01.300
  17. Lee JY, Divaris K, Baker AD, Rozier RG, Vann Jr WF. The relationship of oral health literacy and selfefficacy with oral health status and dental neglect. Am J Public Health 2012;102(5):923-9. https://doi.org/10.2105/AJPH.2011.300291
  18. Xiang X, Kang S, Lee W. Determinants of preventive dental care service utilization among adults with mental disorders. Soc Welf Policy Pract 2018;4(1):75-101.
  19. Jensen PM, Saunders RL, Thierer T, Friedman B. Factors associated with oral health-related quality of life in community-dwelling elderly persons with disabilities. J Am Geriatr Soc 2008;56(4):711-7. https://doi.org/10.1111/j.1532-5415.2008.01631.x
  20. Kim YJ. Dental considerations for special care dentistry according to the types of disabilities. J Korean Dent Assoc 2011;49(12):732-8.
  21. Jin HJ. Survey of unmet dental treatment needs among adult disabled. J Korea Acad Industr Coop Soc 2015;16(11):7501-7. https://doi.org/10.5762/KAIS.2015.16.11.7501
  22. Jeong Y. Unmet dental needs and limited mobility using Korean medical panel data. Public Health Welf Issue Foc 2012;120:1-8.
  23. Jeon JE, Chung WG, Kim NH. The reason of unmet dental need related socioeconomic status in Korea: Using the 4th Korea national health and nutritional examination survey. J Korean Acad Oral Health 2012;36(1):73-81.
  24. Lee MK, Jin HJ. The prevalence and association factors of unmet dental care needs in Korean adults: The 5th Korea national health and nutritional examination survey. J Korean Soc Dent Hyg 2015;15(5):787-95.https://doi.org/10.13065/jksdh.2015.15.05.787
  25. Ahn E, Shin M. Factors related to the unmet dental care needs of adults with dental pain. J Dent Hyg Sci 2016;16(5):355-60. https://doi.org/10.17135/jdhs.2016.16.5.355
  26. Mahmoudi E, Meade MA. Disparities in access to health care among adults with physical disabilities: analysis of a representative national sample for a ten-year period. Disabil Health J 2015;8(2):182-90. https://doi.org/10.1016/j.dhjo.2014.08.007
  27. Heaton LJ, Mancl LA, Grembowski D, Armfield JM, Milgrom P. Unmet dental need in communitydwelling adults with mental illness: Results from the 2007 medical expenditure panel survey. J Am Dent Assoc 2013;144(3):e16-23. https://doi.org/10.14219/jada.archive.2013.0122
  28. Leroy R, Declerck D. Objective and subjective oral health care needs among adults with various disabilities. Clin Oral Invest 2013;17(8):1869-78. https://doi.org/10.1007/s00784-012-0879-x
  29. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 1995;36(1):1-10. https://doi.org/10.2307/2137284
  30. Che X, Park HJ. Factors associated with the persistence of unmet dental care needs. J Korean Acad Oral Health 2018;42(4):152-8. https://doi.org/10.11149/jkaoh.2018.42.4.152
  31. Bershadsky J, Kane RL. Place of residence affects routine dental care in the intellectually and developmentally disabled adult population on medicaid. Health Serv Res 2010;45(5p1):1376-89. https://doi.org/10.1111/j.1475-6773.2010.01131.x
  32. Fernandez SC, Ajuria AF, Martin JJ, Murphy MJ. The impact of the economic crisis on unmet dental care needs in Spain. J Epidemiol Community Health 2015;69(9):880-5. https://doi.org/10.1136/jech-2014-204493