Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Dental Care Utilization for Examination and Regional Deprivation

  • Kim, Cheol-Sin (Research Institute for Dental Care Policy, Korean Dental Association) ;
  • Han, Sun-Young (Research Institute for Dental Care Policy, Korean Dental Association) ;
  • Lee, Seung Eun (Graduate School of Public Health, Seoul National University) ;
  • Kang, Jeong-Hee (Department of Nursing Science, Youngdong University) ;
  • Kim, Chul-Woung (Department of Preventive Medicine, Chungnam National University School of Medicine)
  • Received : 2015.04.13
  • Accepted : 2015.07.17
  • Published : 2015.07.31
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Abstract

Objectives: Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization. Methods: Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258). Results: Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model. Conclusions: This study's findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination.

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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. Hjern A, Grindefjord M, Sundberg H, Rosen M. Social inequality in oral health and use of dental care in Sweden. Community Dent Oral Epidemiol 2001;29(3):167-174. https://doi.org/10.1034/j.1600-0528.2001.290302.x
  3. Jamieson LM, Thomson WM. Adult oral health inequalities described using area-based and household-based socioeconomic status measures. J Public Health Dent 2006;66(2):104-109. https://doi.org/10.1111/j.1752-7325.2006.tb02564.x
  4. Chen MS, Hunter P. Oral health and quality of life in New Zealand: a social perspective. Soc Sci Med 1996;43(8):1213-1222. https://doi.org/10.1016/0277-9536(95)00407-6
  5. Lang IA, Gibbs SJ, Steel N, Melzer D. Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England. J Public Health (Oxf) 2008;30(4):472-478. https://doi.org/10.1093/pubmed/fdn047
  6. Yen IH, Syme SL. The social environment and health: a discussion of the epidemiologic literature. Annu Rev Public Health 1999;20:287-308. https://doi.org/10.1146/annurev.publhealth.20.1.287
  7. Pattussi MP, Hardy R, Sheiham A. The potential impact of neighborhood empowerment on dental caries among adolescents. Community Dent Oral Epidemiol 2006;34(5):344-350. https://doi.org/10.1111/j.1600-0528.2006.00283.x
  8. Turrell G, Sanders AE, Slade GD, Spencer AJ, Marcenes W. The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: a multilevel analysis. Community Dent Oral Epidemiol 2007;35(3):195-206. https://doi.org/10.1111/j.1600-0528.2006.00311.x
  9. Bower E, Gulliford M, Steele J, Newton T. Area deprivation and oral health in Scottish adults: a multilevel study. Community Dent Oral Epidemiol 2007;35(2):118-129. https://doi.org/10.1111/j.1600-0528.2007.00308.x
  10. Lumme S, Leyland AH, Keskimaki I. Multilevel modeling of regional variation in equity in health care. Med Care 2008;46(9):976-983. https://doi.org/10.1097/MLR.0b013e3181791970
  11. Antunes JL, Peres MA, de Campos Mello TR, Waldman EA. Multilevel assessment of determinants of dental caries experience in Brazil. Community Dent Oral Epidemiol 2006;34(2):146-152. https://doi.org/10.1111/j.1600-0528.2006.00274.x
  12. Aida J, Ando Y, Oosaka M, Niimi K, Morita M. Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3-year-old children. Community Dent Oral Epidemiol 2008;36(2):149-156. https://doi.org/10.1111/j.1600-0528.2007.00380.x
  13. Leyland AH, Groenewegen PP. Multilevel modelling and public health policy. Scand J Public Health 2003;31(4):267-274. https://doi.org/10.1080/14034940210165028
  14. Hox JJ. Multilevel analysis: techniques and applications. 2nd ed. Mahwah: Lawrence Erlbaum Associates; 2002, p. 7.
  15. Locker D. Deprivation and oral health: a review. Community Dent Oral Epidemiol 2000;28(3):161-169. https://doi.org/10.1034/j.1600-0528.2000.280301.x
  16. Townsend P. Deprivation. J Soc Policy 1987;16(2):125-146. https://doi.org/10.1017/S0047279400020341
  17. Bailey N; Scottish Executive; Central Statistics Unit; Scottish Centre for Research on Social Justice. Measuring deprivation in Scotland: developing a long-term strategy-final report. Edinburghz: Scottish Executive Central Statistics Unit; 2003, p. 62.
  18. Townsend P, Phillimore P, Beattie A. Health and deprivation: inequality and the North. London: Croom Helm; 1988, p. 1-211.
  19. Carstairs VD, Morris R. Deprivation and health in Scotland. Aberdeen: Aberdeen University Press; 1991, p. 1-334.
  20. Shin YJ, Yoon TH, Kim MH. Health promotion strategies and programs development for health inequalities alleviation. Seoul: Korea Health Promotion Foundation; 2009, p. 1-648 (Korean).
  21. Korea Centers for Disease Control and Prevention. Community Health Survey [cited 2014 Nov 27]. Available from: http://chs.cdc.go.kr/01_business/greeting_02.jsp (Korean).
  22. Lake ET. Multilevel models in health outcomes research. Part II: statistical and analytic issues. Appl Nurs Res 2006;19(2):113-115. https://doi.org/10.1016/j.apnr.2006.01.001
  23. Locker D, Ford J. Using area-based measures of socioeconomic status in dental health services research. J Public Health Dent 1996;56(2):69-75. https://doi.org/10.1111/j.1752-7325.1996.tb02399.x
  24. Kim MH, Cho YT. Social determinants of oral pain and dental service utilization among the elderly Seoul residents: a multilevel study. J Korean Acad Oral Health 2007;13(1):103-114 (Korean).
  25. Abrahamsson KH, Berggren U, Hakeberg M, Carlsson SG. Phobic avoidance and regular dental care in fearful dental patients: a comparative study. Acta Odontol Scand 2001;59(5):273-279. https://doi.org/10.1080/000163501750541129
  26. Bagewitz IC, Soderfeldt B, Palmqvist S, Nilner K. Dental care utilization: a study of 50- to 75-year-olds in southern Sweden. Acta Odontol Scand 2002;60(1):20-24. https://doi.org/10.1080/000163502753471952
  27. Manski RJ, Moeller JF, Maas WR. Dental services. An analysis of utilization over 20 years. J Am Dent Assoc 2001;132(5):655-664. https://doi.org/10.14219/jada.archive.2001.0243
  28. Organisation for Economic Cooperation and Development (OECD). Health at a glance 2011: OECD indicators. Paris: OECD; 2011, p. 141.

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