• 한국산학기술학회논문지
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• 제16권11호
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• pp.7501-7507
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• 2015

이 연구는 장애인 대상 치과진료 필요자 중 치과의료 서비스 미충족율과 그 이유를 조사하고, 미충족 치과치료에 따른 구강상태를 분석하였다. 국민건강영양조사 참여 대상 중 만 19세 이상 장애등록 응답자 444명을 선정하였고, 그 중 구강검진과 설문조사를 완료한 대상자 375명을 최종분석하였다. 장애유형은 6종류(지체장애, 뇌병변장애, 감각장애, 발달장애, 정신장애, 내분비장애)로 분류하였다. 연구대상자 중 미충족 치과치료 대상자는 128명이었으며, 최근 1년 동안 치과진료를 받지 못한 가장 주된 이유는 '경제적인 이유로'에 대한 항목이 49.2%으로 가장 많았으며, '다른 문제에 비해 덜 중요하다고 느껴서'에 대한 항목이 18.0%이었다. 치주질환과 영구치우식경험을 가진 장애인 중 미충족 치과치료 빈도와 진행정도가 높은 것으로 확인하였다. 치과진료 자원의 가용성 측면에서 장애인 수 대비 적절한 치과진료 서비스를 충분히 제공하여 치과진료 서비스의 원활한 이용이 요구된다.

• 한국치위생학회지
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• 제20권3호
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• pp.243-256
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• 2020

Objectives: This study aimed to determine and facilitate provisions for the unmet dental needs of Koreans, stratified by time, influencing factors, and research trends, through a systematic review of related published studies since 2006. Methods: this review focused on previous studies published between January 2006 and November 2019 that analyzed influencing the factors underlying the unmet dental needs of koreans. We followed the guidelines set for each phase of research and selected the final 32 studies that met the selection criteria for the analysis. Results: The number of studies has rapidly increased since 2015 (22 studies, 68.7%). the were 68.9% in 2006, 25.9% in 2009, 41.3% in 2010- 2012, and 33.3% in 2013-2015 for adults and 27.9% in 2010, 24.6% in 2015, and 16.1% in 2017 for the rates of older adults. the rates of unmet dental needs related to economic factors, were 38.6% in 2006, 41.4% in 2007-2009, and 35.9% in 2013-2015 for adults and 50.5% in 2010 and 41.2% in 2015 for the older adults. There were common influencing factors for unmet dental needs. the rate of unmet dental needs was increased by with female gender, younger age, single marital status, low family income, low educational level, worsened subjective health condition, and the presence of chronic diseases. Conclusions: Standardized studies with more accurate definitions and assessment tools are required. however, our study emphasizes the need for a policy intervention that accounts for the characteristics of subjects to reduce unmet dental needs.

• 대한치과기공학회지
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• 제33권4호
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• pp.413-425
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• 2011

Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

• 여성건강간호학회지
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• 제26권1호
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• pp.93-103
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• 2020

Purpose: This study was conducted to identify unmet healthcare needs among man and woman one-person households and to explore related factors by gender. Methods: Data were drawn from the 2017 Korea National Health and Nutrition Examination Survey. The final sample consisted of 820 one-person households. The statistical analysis, conducted in SPSS version 20.1, included complex sampling analysis; descriptive statistics, the chi-square test, and logistic regression. Results: The demographic and socioeconomic characteristics of women in one-person households were significantly different from those of men in one-person households. Women in single-person households were mainly in their 70s or older and married, and they tended to have a low education level, low income, and no formal occupation. Unmet healthcare needs were experienced by 17.3% of women in one-person households and 13.5% of men in one-person households, which was not a statistically significant difference (χ²=2.17, p=.139). Factors related to unmet healthcare needs were subjective health status and unmet dental care needs in single-person-household men. By contrast, having experienced impairment within the past year, stress, and unmet dental care needs were factors related to unmet healthcare needs in single-person-household women. Conclusion: As one-person households become increasingly common, more attention needs to be paid to them and our understanding of them needs to be improved. Women in one-person households, in particular, are especially vulnerable, as they experience more unmet healthcare needs.

• 한국치위생학회지
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• 제17권3호
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• pp.539-551
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• 2017

Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.

• 대한치과의료관리학회지
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• 제11권1호
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• pp.1-7
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• 2023

The purpose of this study was to identify chronic diseases and oral health care behaviors in 65-year-old individuals and to determine the factors that influence masticatory mobility. The raw data from the 8th National Health and Nutrition Examination Survey in 2020 were utilized to analyze factors associated with chewing discomfort in 1,278 elderly Koreans. Using IBM SPSS Statistics 27.0, we conducted complex sample cross-analysis to examine the difference in chewing discomfort based on general characteristics, chronic diseases, and oral health care behaviors. Additionally, we performed complex sample multiple logistic regression analysis to identify the factors associated with chewing discomfort. As a factor influencing chewing discomfort, unmet dental care was 3.33 times higher (p<0.001), and subjective oral health was 0.18 times more likely to be moderate (p<0.001) and 0.48 times more likely to be good (p<0.001) lower. In the case of arthritis, the level of chewing discomfort was high (OR=1.08, p=0.694), but there was no significant difference. As a result of the aforementioned factors, it is believed that there is a need for policies and systems to provide dental care to the elderly before their oral health deteriorates. Additionally, tailored oral health promotion programs should be implemented.

• 한국치위생학회지
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• 제9권4호
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• pp.768-783
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• 2009

Objectives : The purpose of this study was to analyze dental records performed through a dental hygiene process and provide basic data on clinical training education for dental hygienists. Methods : The dental hygiene records of 440 senior dental hygiene students in Y University from March 2005 to September 2008, were examined. The needs of the clients confirmed by the dental hygiene diagnosis was based on Human Need Theory. The client's needs and the number of visits were analyzed according to the general characteristics(gender, age). The contents of the dental hygiene implementation performed according to the needs were divided into dental hygiene care and oral health education. The dental hygiene evaluation was classified into 'Met of Goal', 'Partially Met of Goal', and 'Unmet of Goal' according to the dental hygiene diagnosis. Data analysis was performed for the Frequency statistics and a Fisher's exact test using SPSS 12.0K for Windows. Results : 1. The clients were mostly aged in their 20's(307 clients). 2. The dental hygiene care usually performed was 'Scaling' and 'Recommendation to visit a dental clinic', and the education performed was 'How to brush teeth'. The implementation result from the need to Freedom of Stress was as simple as 'Be careful when treating' and 'Explanation of medical treatment and tools'. 3. The dental hygiene evaluation showed a higher met rate in the field of education than in that of the dental hygiene care. The reason for unmet the goal was 'Lack of the client's efforts and they didn't visit dental clinic'. Conclusions : The search for a range of clients for dental hygiene process should be made through effective connections between the local community institutions and schools. It was suggested that they should be strength the practical exercises for clients suffering dental anxiety and stress in dental treatments. In addition, education and attempts to motivate the clients should be performed according to their characteristics.

• 한국치위생학회지
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• 제13권2호
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• pp.211-220
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• 2013

Objectives : This study intended to figure out illegal treatment by unlicensed person in dental area and factors, which were considered as user's position on the basis of the local community investigation of health conditions in chungbuk provinces in 2008. Methods : This study used chi-square test and complex sample design of multi-variate logistic regression analysis to question 12,443 peoples who have experience on illegal dental treatment. Results : Multi-variate logistic regression analysis results showed that factors having related to illegal dental treatment are sex, age, education standards, subjective awareness of oral health condition, drinking experience of lifetime, unmet need of dental treatment, chewing difficulty, use of dentures, experience of scaling and the use of interdental care instrument. Conclusions : As a result of this study, in order to root out illegal dental treatment, we need to expand the breadth of health insurance coverage so that it can reduce the burden of dental expenses. Moreover, we need to set out health service of public oral health to inform the importances of maintaining good oral health and the problems of illegal dental treatment by unlicensed person.

• 가족자원경영과 정책
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• 제26권3호
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• pp.49-64
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• 2022

이 연구는 우리나라 노인들을 의료취약성 정도에 따라 네 집단으로 세분화하여 경제적, 비경제적 사유로 인한 미충족의료 경험 차이를 분석하고, 이에 따른 정책적 시사점을 도출하였다. 2018년 한국의료패널 자료를 사용하였으며, 65세 이상 노인 4,147명에 대해 분석을 실시하였다. 노인들을 세분화한 결과, 일반건강보험가입자가 79.6%, 비수급빈곤층이 13.6%, 차상위경감대상자가 1.1%, 의료급여수급자가 5.7%의 비율을 차지하였다. 분석결과에 따르면, 병의원 또는 치과진료에 대해 노인들의 12.6%는 경제적 사유로, 10.6%는 비경제적 사유로 미충족의료를 경험한 것으로 나타났다. 의료취약계층 노인의 미충족의료 경험률은 비취약계층인 일반건강보험가입자에 비해 전반적으로 높았는데, 이는 대부분 경제적 사유에 따른 경험률 차이에서 비롯된 것이었다. 경제적인 사유로 인한 미충족의료 경험률은 일반건강보험가입자가 9.8%였던 반면, 비수급빈곤층은 18.9%, 차상위경감대상자는 40.0%, 의료급여수급자는 31.5%로 큰 차이가 있었다. 다른 영향요인을 통제한 로지스틱 분석 결과, 모든 의료취약계층이 일반건강보험가입자에 비해 경제적 사유로 미충족의료를 경험할 확률이 유의하게 높았는데, 비수급빈곤층은 약 1.4배, 차상위경감대상자는 3.3배, 의료급여수급자는 2.4배 높아졌다. 반면, 비경제적 사유로 인한 경험은 일반건강보험가입자 대비 의료급여수급자의 경우에만 1.7배 증가하였고, 다른 집단에서는 유의한 차이가 없었다. 이를 바탕으로 본 연구는 의료취약계층 노인들의 필수적 의료자원 보장을 위한 정책적 시사점을 제시하였다.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.175-182
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• 2018

본 연구는 2016년 지역사회건강조사 원시자료를 이용하여 만 25~54세 연령의 104,811명의 경제활동 인구를 대상으로 구강검진수검 여부와 관련된 요인들의 영향 정도를 확인하고자 하였다. Multiple logistic regression analysis를 시행하여 구강검진 수검률에 영향을 미치는 일반적 특성, 사회경제적 지리적 특성, 구강건강관리행태 요인을 파악하였다. 연령 및 교육수준이 높을수록, 치석제거를 경험한 경우, 주관적 구강건강수준이 매우 좋은 경우, 필요치과진료 수진자에서 구강검진 수검률이 높게 나타났다. 소득분위가 높을수록 구강검진 수검률이 낮게 확인되었다. 경제활동 인구의 연령, 결혼여부, 교육수준, 지역, 소득수준, 직업, 치석제거 경험 여부, 필요치과진료 미수진 여부 등이 구강검진 수검 여부에 있어 유의한 영향이 있음이 나타났다. 구강검진에 대한 접근성 향상을 위한 효율적인 구강검진사업에 실증적 근거를 마련하고자 한다.