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틀니 보험적용에 따른 지역간 차이와 이용 영향 요인 연구

A Study on the Interregional Actual State and Influential Factors after the Application of Denture Insurance

  • 박일순 (경동대학교 치위생학과)
  • 투고 : 2018.09.19
  • 심사 : 2018.11.20
  • 발행 : 2018.11.28

초록

본 연구는 서울 및 강원지역 만 65세 이상의 노인을 대상으로 노인틀니 건강보험 급여화에 따른 지역간의 차이와 틀니이용실태에 영향을 미치는 요인을 분석한다. 자료는 '2015 지역사회건강조사'를 사용하였다. 연구결과는 다음과 같다. 1)서울지역 노인과 강원지역 노인의 틀니이용행태에 유의한 차이가 있었다. 2) 성별에 따른 틀니이용행태는 강원지역 노인에게서만 유의한 차이를 보였으며, 연령, 가구소득, 기초생활수습여부, 직업, 교육수준, 주관적 구강건강에 따라 서울지역과 강원지역 모두 유의한 차이를 보였다. 3) 치과진료미수진 경험여부에 서울지역 노인의 16.6%, 강원지역 노인의 22.3%가 예라고 응답하였으며, 필요치과진료 미수진 사유로는 서울지역과 강원지역 모두 경제적인 이유가 가장 높은 것으로 나타났다. 이에 다각적 측면을 고려하여 노인틀니 건강보험 급여화 사업이 확대될 수 있도록 노력과 대책이 필요하다.

The purpose of this study is to analyze the factors influencing the regional differences and the denture use behavior after the elderly denture health insurance benefits for the elderly over 65 years old in Seoul and Gangwon provinces. The data was used in the "2015 Community Health Survey". The results of the study are as follows; 1) There is a significant difference in denture use among elderly in Seoul and elderly in Gangwon area. 2) There is significant differences in denture use among the elderly in the Gangwon area. According to the age, household income, basic living conditions, occupation, education level and subjective oral health, There is significant differences in all of 2 areas. 3) Some 16.6% of the elderly in Seoul and some 22.3% of the elderly in Gangwon province answered 'yes'. The reasons for not having the required dental care were the most economical reasons in all of 2 areas. Therefore, the elderly denture health insurance benefit project considering various aspects is necessary.

키워드

Table 1. Socio-demographic characteristics

DJTJBT_2018_v16n11_401_t0001.png 이미지

Table 2. Oral Health Characteristics of the Elderly

DJTJBT_2018_v16n11_401_t0002.png 이미지

Table 3. Subjective systemic and subjective oral health levels

DJTJBT_2018_v16n11_401_t0003.png 이미지

Table 4. Factors Affecting Denture Use Behavior

DJTJBT_2018_v16n11_401_t0004.png 이미지

Table 5. Reqiired Dental Care not Accepted

DJTJBT_2018_v16n11_401_t0005.png 이미지

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