Changes in factors on unmet dental scaling rate according to the National Health Insurance coverage

Han-Nah Kim   Chun-Bae Kim1   Nam-Hee Kim2,*   

Graduate School of Dental Hygiene, Yonsei University
1Department of Preventive Medicine, Wonju College of Medicine, Yonsei University
2Department of Dental Hygiene, Wonju College of Medicine, Yonsei University

Abstract

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 2nd data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was 51± 17 in 2011 and 52 ± 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.

Acknowledgements

본 연구는 질병관리본부KCDC (The Korea Centers for Disease Control and Prevention)에서 주관하는 지역사회건강조사KCHS (The Korea Community Health Survey) 연구비를 지원받아 수행하였습니다(Grant No: 평창군 2016-51-0033, 원주시 2016-51-0034, 태백시 2016-51-0035 홍천군 2016-51-0022 횡성군 2016-51-0037, 영월군 2016-51-0036, 정선군 2016-51-0023).

Figures & Tables

Table 1. Descriptive characteristics of subjects in the 2011 and 2013 Community Health Survey Unit: N, (Weighted %)