DOI QR코드

DOI QR Code

The effect of employment status and household equalization income on unmet dental and medical care needs : a study on the application of Korea Medical Panel Data 2018

종사상 지위와 가구 균등화 소득이 치과 의료 미충족에 미치는 영향 : 2018 한국의료패널 자료를 활용한 분석

  • Jin-Ha Lee (Department of Dental Hygiene, Kyungbok University) ;
  • Gyung-Jae Oh (Department of Preventive Medicine, School of Medicine, Wonkwang University)
  • 이진하 (경복대학교 치위생학과) ;
  • 오경재 (원광대학교 의과대학 예방의학교실)
  • Received : 2023.03.27
  • Accepted : 2023.04.13
  • Published : 2023.04.30

Abstract

Objectives: This study used the 2018 Korea Health Panel Survey data to analyze factors affecting employment status and income relating to unmet dental and medical care needs. Additionally it investigated measures to reduce oral health inequality among various socioeconomic classes. Methods: Descriptive statistics for the subjects' unmet dental and medical care needs were calculated through chi-square test analysis, and multivariate logistic regression analysis was applied to identify factors affecting the unmet dental and medical care needs. The odds ratio and 95% confidence interval were calculated for each level. These data were analyzed using STATA 17.0 SE (64-bit) version, and the statistical significance level was set to p<0.05. Results: As a result of unmet dental and medical care needs according to general characteristics, the lower the education level (p<0.001), the higher the age (p<0.001) and the lower the household equalization income (p<0.024) and the smoker status (p<0.003) were, respectively. Factors that have a statistically significant impact on unmet dental and medical care needs were divorce, separation and bereavement (p<0.001) in individuals than in married persons, and being smokers than non-smokers (p<0.009). The frequency of unmet dental and medical care needs were found to be lower in the cases of a high school graduate than an elementary school graduate (p<0.018), and of higher household equalization income (p<0.001) than the lowest household equalization income, respectively. Conclusions: It was found that various factors such as age, education level, household equalization income, employment status, type of working hours type, and smoking status affect unmet dental and medical care needs.

Keywords

References

  1. Ji MG, Lee MR, Jung SJ. Recognition and satisfaction fusion survey regarding health insurance coverage of dental scaling. JCIT 2018;8(1):15-25.https://doi.org/10.22156/CS4SMB.2018.8.1.015 
  2. Malecki K, Wisk L, Walsh E, Williams MC, Eggers S, Olson M. Oral health equity and unmet dental care needs in a population-based sample: findings from the Survey of the Health of Wisconsin. Am J Public Health 2015;105(3):S466-74. https://doi.org/10.2105/AJPH.2014.302338 
  3. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes 2010;8(1):126. https://doi.org/10.1186/1477-7525-8-126 
  4. Choi KC, Lee SM, Lee HY. A survey on the actual cost of health insurance in 2008. Seoul: National Health Insurance Institute; 2009:1-201. 
  5. Seo NK, Yi OK, Ahn SZ. Changes in medical cost composition by hospital size after the benefit coverage extending policy. Health Economics and Policy 2019;25(4):93-118. 
  6. Kim NY, Kim JH. Related factors and whether oral examination for economically active population. JKCA 2018;18(10):175-82. https://doi.org/10.5392/JKCA.2018.18.10.175 
  7. Park JY, Kim KH, Kim CB, Shin SH. Public insurance response to the introduction of Korea; National Health Insurance Corporation Health Insurance Research Center 2002. 
  8. 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 
  9. Ahs AMH, Westerling R. Health care utilization among persons who are unemployed or outside the labour force. Health Policy 2006;78(2-3):178-93. https://doi.org/10.1016/j.healthpol.2005.10.010 
  10. Lee MY, Chang SJ, Kim CB, Chung WG, Choi EM, Kim NH. Community periodontal treatment needs in South Korea. Int J Dent Hyg 2015;13(4):254-60. https://doi.org/10.1111/idh.12102 
  11. Schou L. Oral health promotion at worksites. Int Dent J 1989;39(2):122-8.  https://doi.org/10.1111/j.1600-0528.1989.tb01815.x
  12. Kim YH. The study on the oral health knowledge and behavior of industrial workers at Ulsan province. J Dent Hyg Sci 2009;9(1):17-23. 
  13. Lee SY, Kim KT. Path to poverty of sick workers and fictional Korean social security. KSPR 2017;24(4):113-50. https://doi.org/10.17000/kspr.24.4.201712.113 
  14. Park JY, Lee NK, Yoon SH, Choi BK, Kim SS. A systematic review of the relationship between non-standard employment and health in South Korea. Health Soc Welf Rev 2016;36(3):119-57. https://doi.org/10.15709/hswr.2016.36.3.119 
  15. 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 
  16. Woo DH, You HY, Kim MJ, Kim HN, Kim JB, Jeong SH. Risk indicators of periodontal disease in Korean adults. J Korean Acad Oral Health 2013;37(2):95-102. https://doi.org/10.11149/jkaoh.2013.37.2.95 
  17. Yeo JY, Jeong HS. Determinants of dental screening and unmet dental needs: interaction effect between geographical accessibility and economic affordability. Korean J Health Econ Policy 2012;18(4):109-26. 
  18. Kim IJ. Investigation into actual status of dental health for workers[Master's thesis]. Jinju; Kyungsan University, 1992. 
  19. Park JY. The impact of health status of for the elderly on oral health-related of life quality. Journal of Digital Convergence 2014;12(5):271-80. https://doi.org/10.14400/JDC.2014.12.5.271 
  20. Yoon JH, Lee KH, Hahn KY, Oh SS, Jang SJ, Min SG, et al. Suicide trend of standardized mortality ratio and age standardized proportion mortality ratio according to occupational groups in Korea: 1993-2007. Korean J Occup Environ Med 2011;23(2):173-82.  https://doi.org/10.35371/kjoem.2011.23.2.173
  21. Byun GS, Lee HW. The impact of employment instability on mental health: the case of South Korea. Health and Social Welfare Review 2018;38(3):129-60. https://doi.org/10.15709/hswr.2018.38.3.129 
  22. Kim JW, Kim CS. Enrollment situation in private health insurance by type of employment: analysis of middle aged male employees. Health and Social Welfare Review 2015;35(2):100-23. https://doi.org/10.15709/hswr.2015.35.2.100 
  23. Kim SA, Seo YW, Woo KS, Shin YJ. A systematic review of studies on current status and influencing factors of unmet medical needs in Korea. JCSW 2019;62:53-92. https://doi.org/10.47042/ACSW.2019.02.62.53 
  24. Park YK, Kim CY, Hwang SS. Interaction effects of income and unmet healthcare needs to subjective health status: using the Korea Health Panel, 2009-2014. Health and Social Science 2018;47(1):57-83.  https://doi.org/10.21489/hass.2018.04.47.57
  25. Kim NH, Jeon JE, Jung WG, Kim DK. Social determinants related to the regional difference of unmet dental need in Korea. J Korean Acad Oral Health 2012;36(1):62-72. 
  26. Ahn ES, Shin MS. 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