Department of Dental Hygiene, The Graduate School, Yonsei University1
Department of Dental Hygiene, Wonju College of Medicine, Yonsei University2
Objectives: The purpose of this study is to evaluate the relationship between socioeconomic characteristics and prevalence of periodontal disease in a representative sample of Korean adults older than age 20. Methods: Data of 3,837 adults were collected by the six Korean National Health and Nutrition Examination Survey, which was conducted in 2015. Socioeconomic, demographic, and oral health-related behavior data were collected as independent variables. We determined frequencies, percentage, and determining statistical significance using multiple regression analysis. Results: Prevalence of periodontal diseases showed statistically significant difference in accordance with sex, age, socioeconomic and demographical characteristics and oral health-related behavior. It was confirmed that the prevalence of periodontal diseases was increased in the lower educational level and income (OR, 1.478 and 1.520) after adjusting for conditions such as age, sex, recent dental check-ups, visiting dental clinic, tooth brushing frequency, use of self-care devices. Conclusions: The prevalence of periodontal disease was related with socioeconomic factors in Korean adults. Therefore, differentiated oral health service policies and dental health education among adults with lower education and income is required in order to reduce the prevalence of periodontal disease.
1. Han GS, Kim YS, Kang JK, Hwang YS, Han DH, Bae KH. Relation of smoking and periodontal status among 30s-50s adults in Metropolitan Area. J Korean Acad Dent Heallth 2008;32(2):250-60.
2. Williams RC, Barnett AH, Claffey N, Davis M, Gadsby R, Kellett M, et al. The potential impact of periodontal disease on general health: a consensus view. Curr Med Res Opin 2008;24:1635-43. https://doi.org/10.1185/03007990802131215
3. Nagasawa T, Noda M, Katagiri S, Takaichi M, Takahashi Y, Wara-Aswapati N, et al. Relationship between periodontitis and diabetes - importance of a clinical study to prove the vicious cycle. intern med 2010;49:881-5. https://doi.org/10.2169/internalmedicine.49.3351
4. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005;366(9499): 1809-20. https://doi.org/10.1016/S0140-6736(05)67728-8
5. DeStefano F, Anda RF, Kahn HS, Williamson DF. Russell CM. Dental disease and risk of coronary heart disease and mortality. BMJ 1993;306:688-91.
6. Kim YM, Kim MH. Health Inequalities in Korea: current conditions and implications. J PMPH 2007;40(6):431-8. https://doi.org/10.3961/jpmph.2007.40.6.431
7. The Korean Society for Equity in Health. Methods in health inequalities measurement. 1st ed. Hanul Academy; 2008: 19-206.
8. Song KB, Choi YH, Hong SJ, Kim JB. Dental caries prevalence in relation to socioeconomic factors and dental health behaviors among Korean adults. J Korean Acad Dent Heallth 2003;27(2):319-28.
9. Ministry of Health & Welfare, Korea centers for disease control and prevention. Korea health statistics : Korea national health and nutrition examination survey (KNHANES VI-1). 2013. Division of Health Policy; 2014: 688-9.
10. Lee WY. The role of selected health-related behaviors in the socioeconomic disparities in oral health among adults. J KSHEP 2009;26(1):129-40.
11. Park HJ. Oral health related inequality of Koeran adults: The effect of socio-demographical characteristics, oral health perception and oral health related behavior [Master’s thesis]. Seoul: Univ. of Korea, 2010.
12. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2) 2014: 63-216.
13. Lee HO, Kim J. Effects of elders’ oral health beliefs and oral health behaviors on their quality of life. J Dnet Hyg Sci 2008;8(1):57-63.
14. Lee SM. A study on health status by social class and the influence of social support among Korean elderly. J KGS 2002;23(3):274-89.
15. Won YS, Choi CH, Oh HN. Risk factors of periodontal disease in Korean adults. 2014; 38(3):176-83. https://doi.org/10.11149/jkaoh.2014.38.3.176
16. Ji MG. Relationship between adults’ smoking realities and periodontal disease - 2009 Korea national health and nutrition examination survey data. KIECS 2012;7(4):917-24.
17. Kim BO, Cho MS, Kim SA, Sim HS, Han YK, Go EK, et al. Periodontology. 3rd ed. Seoul: Daehannarae; 2012: 45-68.
18. Jung JO, Chun JY, Lee KH. The relationship between smoking and periodontal diseases in Korean adults: based on the data from the Korea national health and nutrition examination survey. J Dent Hyg Sci 2010;13(3):481-9. https://doi.org/10.13065/jksdh.2013.13.3.481
19. Park HJ, Lee JH. The effect of socioeconomic status, oral health consciousness and behaviors on the periodontal-health disparities among Korean adults. Korean J HEP 2010;27(1):61-9.
20. 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. J ECH 2006;60(1):1027-33. https://doi.org/10.1136/jech.2006.046896
21. Bok HJ, Ahn BS, Lee HS. The effect of health behavior and oral health behavior on community periodontal index in Korean adult. The Korean Journal HSM 2013;7(2):93-100. https://doi.org/10.12811/kshsm.2013.7.2.093
22. Sanders AE, Spencer AJ, Slade GD. Evaluating the role of dental behaviourin oralhealth inequalities. Community Dent Oral Epidemiol 2006;34:71-9. https://doi.org/10.1111/j.1600- 0528.2006.00261
23. Lee WY. The role of selected health-related behaviors in the socioeconomic disparities in oral health among adults. J KSHEP 2009;26(1):129-40.