Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Economic Inequality in Perceived Oral Health Behavior among Adults in Korea

한국 성인의 경제적 불평등에 따른 구강건강행태

  • Kim, Mi-Jeong (Department of Dental Hygiene, VISION College of Jeonju) ;
  • Lim, Cha-Young (Department of Dental Hygiene, VISION College of Jeonju)
  • 김미정 (전주비전대학교 치위생과) ;
  • 임차영 (전주비전대학교 치위생과)
  • Received : 2018.01.23
  • Accepted : 2018.04.06
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to investigate the status of oral health behavior according to economic inequality in Korea. Raw data for the 3rd year (2015) of the 6th national health and nutrition survey were analyzed. Among surveyed individuals, adults over the age of 19 were designated as research subjects. The results indicated that a smaller 'house income' was associated with a higher supply and demand experience for basic living and a higher DMFT. Additionally, a higher DMFT was associated with a lower 'house income', lower 'education level', and the 'experience of basic living security received'. Oral health behavior inequality was caused by economic inequality. Overall, these results indicate that it is necessary for the oral health service of vulnerable groups to strengthen preventive activities through comprehensive arbitration policies regarding the social decision factors of public health projects.

본 연구는 소득 불평등의 심화가 건강 불평등을 가속화시키는 중요한 경로가 되고 있기에 한국 성인의 경제적 수준에 따른 구강건강상태 및 행태의 현황을 확인하여 구강건강 불평등 완화를 위한 대책과 함께 구강건강증진의 효율적 방안을 모색하는데 기초자료를 제공하고자 한다. 국민건강영양조사 제6기 3차년도(2015) 원시자료를 이용하여 분석하였고, 전체 대상자 중에서 만 19세 이상의 성인 총 5855명을 연구대상으로 선정하였다. 연구결과 가구소득이 적을수록, 기초생활수급 경험이 있는 사람일수록 DMFT는 높게 나타났고, DMFT와 경제적 불평등 변수와의 상관성은 DMFT가 높을수록 가구소득이 적고, 교육수준이 낮고, 기초생활보장 수급자 경험이 있는 것으로 나타났다. 이에 경제적 불평등은 객관적 구강건강과 구강건강행태 불평등으로 나타나는 것을 확인하였다. 또한 동에 거주하는 기초생활보장 수급자보다 읍, 면에 거주하는 기초생활보장 수급자의 객관적 구강건강상태가 좋았는데 그것은 정부의 구강보건사업이 도시 지역보다 농어촌 지역으로 편중되어 있기 때문으로 판단된다. 이에 취약계층의 구강보건사업을 지역별 구강보건사업 보다 더 나은 효율적인 방안을 모색하여야 할 것이며, 단순히 의료적 접근 등의 해소가 아닌 건강의 사회적 결정요인에 대한 포괄적인 중재정책과 공중보건사업을 통해 예방활동 강화가 필요할 것으로 판단되었다.

Keywords

References

  1. Michael G, Marmot, "Status syndrome: a challenge to medicine," JAMA, vol. 295, no. 11, pp. 304-1307, March, 2006.
  2. The 4th Health Plan2020 Trend Report 2017, pp. 10-13, Korea Health Promotion Institute, 2016.
  3. H. P. Kim, "2th Trend Knowledge Dictionary," Person and ideas, pp. 289-290, 2014.
  4. Pine, Cynthia, Harris, Rebecca, "Community Oral Health, Second Edition," quintessence pub, pp. 253-290, 2007.
  5. H. H. Lee, "A study on structures of the Koreans' health inequality : focused on effects of socioeconomic status," Ph.D. dissertation, Korea University, pp. 1-283, 2015.
  6. W. Y. Lee, "The Role of Selected Health-Related Behaviors in the Socioeconomic Disparities in Oral Health among Adults," Korean journal of health education and promotion, vol. 26, no. 1, pp. 129-140, 2009.
  7. B. M. Shin, S. H. Jung, "Original Arties : Socio-economic inequalities in dental caries in Korea," Journal of Korean Academy of Oral Health, vol. 36, no. 2, pp. 144-152, 2012.
  8. Sabbah W, Tsakos G, Sheiham A, Watt RG, "The role of health-related behaviors in the socioeconomic disparities in oral health," Social Science & Medicine, vol. 68, no. 2, pp. 298-303, 2009. DOI: https://doi.org/10.1016/j.socscimed.2008.10.030
  9. Daly, Watt RG, Batchelor p, Treasure ET. "Essential Dental public Health," UK: Oxford, pp. 21-32, 2005.
  10. Korea Centers for Disease Control and Prevention, "Korea Institute for Health and Social Affairs, In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Interview and Health Behavior Survey Part," Korea Centers for Disease Control and Prevention, pp. 157-179, 2007.
  11. S. J. Shin, Y. S. Ahn, S. H. Jung, "The relation between dental health behaviors and socioeconomic status among Korean adolescents," Journal of Korean Academy of Oral Health, vol. 32, no. 2, pp. 223-230, 2008.
  12. Audit Commission, "Primary dental care services in england and wales," Health Briefing, 2002.
  13. Sheiham A, Watt RG. "The common risk factor approach: a rational basis for promoting oral health," community dent oral epidemiol, vol. 28, no. 6, pp. 399-406, 2000. https://doi.org/10.1034/j.1600-0528.2000.028006399.x
  14. Whitehead M, Dahlgren G, "Concepts and principles for tackling social inequities in health," World Health Organization 2006.
  15. Richard G.A, "Feachem Poverty and inequity: a proper focus for the new century," Bulletin of the World Health Organization, vol. 78, no. 1, pp. 1-2, 2000.
  16. J. W. Lee, S. L. Lee, "Economic Crisis and Income Disparity : Income Distribution and Poverty before and after the 1997 Crisis," International Economic Journal, vol. 7, no. 2, pp. 79-109, 2001.
  17. H. P. Moon, K. J. Yu, "Direction of future operations of unemployment and welfare measures: Focused on the Social Productivity and Labor Welfare," Korea Development Institute, 1999.
  18. M. S. Lee, "Health Inequalities Among Korean Adults Socioeconomic Status and Residential Area Differences," Korean Journal of Sociology, vol. 39, no. 6, pp. 183-209, 2005.
  19. Petersen PE, "Sociobehavioural risk factors in dental caries-international perspectives," community dent oral epidemiol, vol. 33, no. 4, pp. 274-279, 2005. https://doi.org/10.1111/j.1600-0528.2005.00235.x
  20. S. H. Jung, "The application of a new oral health strategy to overcome the oral health inequality in the Republic of Korea," National Research Foundation of Korea, pp. 35-40
  21. B. M. Shin, S. H. Jung, "Original Articles : Socio-economic inequalities in the self-rated oral health status of South Koreans," Journal of Korean Academy of Oral Health, vol. 36, no. 3, pp. 219-227, 2012.
  22. D. J. Kim, S. Y. Lee, M. H. Kim, S. S. Kim, Y. M. Kim, "Developing health inequalities indicators and monitoring the status of health inequalities in Korea," korea institute for health and social affairs, seoul, pp. 44-53, 2013.
  23. Luchi CA, Peres KG, Bastos JL, Peres MA, "Inequalities in self rated oral health in adults," Revista de Saude Publica, vol. 47, no. 4, pp. 740-791, 2013. DOI: https://doi.org/10.1590/S0034-8910.2013047004364
  24. Sanders AE, Spencer AJ, Slade GD, "Evaluating the role of dental behaviour in oral health inequalities," Community Dentistry and Oral Epidemiology, vol. 34, no. 1, pp. 71-79, 2006. DOI: https://doi.org/10.1111/j.1600-0528.2006.00261.x
  25. Wamala S, Merlo J, Bostrom G, "Inequity in access to dental care services explains current socioeconomic disparties in oral health: the swedish national surveys of public health 2004-2005," Journal of Epidemiology and Community Health, vol. 60, no. 12, pp. 1027-1033, 2006. DOI: https://doi.org/10.1136/jech.2006.046896