Journal of Korean Academy of Oral Health

  • 제42권4호
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  • Pages.136-144
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  • 2018
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  • 1225-388X(pISSN)
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  • 2093-7784(eISSN)
대한예방치과·구강보건학회 (The Korean Academy of Preventive Dentistry and Oral Health)
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수돗물불소농도조정사업 지역과 비사업지역 아동 간의 치아우식 발생 격차 관련요인

Factors related to the difference in the incidence of caries between children in fluoridated and non-fluoridated areas

  • 한상준 (부산대학교 치의학전문대학원 예방과사회치의학교실) ;
  • 권용봉 (부산대학교 치의학전문대학원 예방과사회치의학교실) ;
  • 김세연 (부산대학교 치의학전문대학원 예방과사회치의학교실) ;
  • 김지수 (부산대학교 치의학전문대학원 예방과사회치의학교실) ;
  • 이정하 (부산대학교 치의학전문대학원 예방과사회치의학교실) ;
  • 김진범 (부산대학교 치의학전문대학원 예방과사회치의학교실)
  • Han, Sang-Jun (Department of Preventive & Community Dentistry, Pusan National University) ;
  • Kwon, Yong-Bong (Department of Preventive & Community Dentistry, Pusan National University) ;
  • Kim, Se-Yeon (Department of Preventive & Community Dentistry, Pusan National University) ;
  • Kim, Ji-Soo (Department of Preventive & Community Dentistry, Pusan National University) ;
  • Lee, Jung-Ha (Department of Preventive & Community Dentistry, Pusan National University) ;
  • Kim, Jin-Bom (Department of Preventive & Community Dentistry, Pusan National University)
  • 투고 : 2018.08.17
  • 심사 : 2018.11.27
  • 발행 : 2018.12.30
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The aim of this study is to analyze the differences in factors related to the incidence of dental caries between children in fluoridated and non-fluoridated areas and compared the DMFT and DMFS scores to confirm the effect of water fluoridation program (WFP) in Geoje and Changwon. Methods: The oral health examination and questionnaire survey were conducted in fluoridated and non-fluoridated areas. The number of surveyed children aged 8, 10, and 12 years in the fluoridated and non-fluoridated area of two cities was 1,524 and 1,383, respectively. Self-recorded questionnaires included self-perception of their own dental health, daily toothbrushing frequency, intake frequency of cariogenic sweet snacks and beverages, experience of gingival bleeding, experience of unmet dental treatment, and use of oral hygiene device except for toothbrush and toothpaste. The prevalence of caries and fissure-sealant status were surveyed. The logistic regression analysis was used to analyze the difference in children's self-rated oral health status between the fluoridated and non-fluoridated area. The mean number of sealed teeth and surfaces, marginal means of the DMFT and DMFS scores adjusted for the difference in the samples' sex distribution, and region were compared between the fluoridated and non-fluoridated areas. Results: In the fluoridated area, the experience rate of unmet dental treatments was higher among children aged 10 years, intake frequency of cariogenic sweet snacks and beverages were higher among the whole sample, and experience rate of professional fluoride application were lower than in the non-fluoridated area. The DMFT score for permanent dentition adjusted for differences in sex, region, and mean number of fissure-sealed teeth in the fluoridated area was significantly lower among whole samples and 8-, 10-, and 12-year-olds alone than in the non-fluoridated area. Conclusions: WFP can alleviate oral health inequality because it is effective in reducing the incidence of caries among children is disadvantaged demographic, socioeconomic, and cultural contexts.

키워드

참고문헌

  1. Health Insurance Review & Assessment Service. 2016 Statistics of Healthcare expenses: 17. Healthcare service reimbursement by the ranking of multi-frequency occurring diseases according to the list of three-character categories of Korea Standard Classification of Diseases: out-patients. Seoul:Ministry of health &Wealfare;2016:59-62.
  2. Lee SK, Lee KW, Chang KW. Reasons for extracted permanent teeth in Korean population. J Korean Acad Oral Health 2001;25:139-163.
  3. Kim JB, Choi EG, Moon HS, Kim JB, Kim DK, Lee HS, et al. Prevention of dental caries. In: Kim JB, Choi EG, Moon HS, Kim JB, Kim DK, Lee HS, et al. Public health dentistry. 5th ed. Seoul:Komoonsa;2009:65-105.
  4. Ju HJ, Lee HS, Oh HW. Relationship of oral health literacy with oral health behaviors among adults. J Korean Acad Oral Health 2015;39:187-195.
  5. Harris NO. Introduction to primary preventive dentistry. In: Harris NO, Garcia-Godoy F. Primary preventive dentistry, 6th ed. New Jersey:Pearson Education Inc.;2004:1-22.
  6. Kim SC, Lee SM, Kim JY, Kim JB. Caries preventive effects of a fissure sealant program in Habchon-gun, Korea. J Korean Acad Oral Health 2003;27:471-486.
  7. Song GB, Choi YH, Hong SJ, Kim JB. Dental caries prevalence in relation to socioeconomic factors and dental health behaviors among Korean adults. J Korean Acad Oral Health 2003;27:319-328.
  8. Kim HY. Evaluation of effects of health behaviors and dental service use on the association between socioeconomic status and unmet dental treatment needs. J Korean Acad Oral Health 2006;30:85-94.
  9. Jung SH, Tsakos G, Sheiham A, Ryu JI, Watt RG. Socio-economic status and oral health-related behaviours in Korean adolescents. Soc Sci Med 2010;70:1780-1788. https://doi.org/10.1016/j.socscimed.2010.02.022
  10. Boyce W, Torsheim T, Currie C, Zambon A. The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Social Indicators Research 2006;78:473-487. https://doi.org/10.1007/s11205-005-1607-6
  11. Kim HN, Kim JH, Kim SY, Kim JB. Associations of Community Water Fluoridation with Caries Prevalence and Oral Health Inequality in Children. Int J Environ Res Public Health 2017;14:631. https://doi.org/10.3390/ijerph14060631
  12. Park YG, Kim BJ, Han DH, Bae KH, Lee KH, Kim JB. Evaluation of caries prevention effect from pit and fissure sealant program added by community water fluoridation program in Habchon-Up, Habcheon-Gun, Korea. J Korean Acad Oral Health 2008;32:517-527.
  13. Cho MS, Han KT, Park S, Moon KT, Park EC. The differences in healthcare utilization for dental caries based on the implementation of water fluoridation in South Korea. BMC Oral Health. 2016;16:119. https://doi.org/10.1186/s12903-016-0311-z
  14. Geoje-si Office of Ecology. Information for water quality. [cited 2015 March 08]. Available from: http://ec.geoje.go.kr/index.geoje.
  15. Ministry of Health and Welfare. 2016 Guide for comprehensive health promotion program (Oral health). Current status of water fluoridation program. Seoul:Ministry of Health and Welfare 2015:79.
  16. Geoje-si. Statistics of Geoje-si. [cited 2015 March 8]. Available from: http://stat.geoje.go.kr/index.geoje.
  17. Changwon-si Potal. Water works. [cited 2015 Mar 08]. Available from: https://www.changwon.go.kr/depart/contents.do? mId=1001070100
  18. Statistical Information System of Changwon-si. Resident registration demographics on September 2015. [cited 2015 Sep 8], Available from: http://stat.changwon.go.kr.
  19. Gyeongsangnamdo Office of Education. 2014 Annual educational statistics. Tables of school status [cited 2015 March 08]. Available from: http://stats.gne.go.kr.
  20. Bo-Mi Shin, Se-Hwan Jung. Socio-economic inequalities in the self-rated oral health status of South Koreans. J Korean Acad Oral Health 2012;36:219-227.
  21. World Health Organization. Oral Health Surveys. 4th ed. Geneva:World Health Organization;1997:21-52.
  22. Choi JS, Park DY, Jung SH. The relationship between pit and fissure sealant (PFS) experience and the socio-economic factors of adolescents before and after coverage by National Health Insurance (NHI). J Korean Acad Oral Health 2017;41:116-121. https://doi.org/10.11149/jkaoh.2017.41.2.116
  23. Yaacob M, Worthington HV, Deacon SA, Deery C, Walmsley AD, Robinson PG, et al. Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev 2014;17;(6):CD002281.
  24. Choi YS, Lee JS, Rhyu YJ. Comparative study aspects of oral health between rural and urban children with special reference dental caries. J Korean Soc School Health 1992;5:101-110.
  25. Clarkson J, McLoughlin J, O'Hickey S. Water fluoridation in Ireland: a success story. J Dent Res 2003;82:334-337. https://doi.org/10.1177/154405910308200502
  26. Do L, Ha D, Peres MA, Skinner J, Byun R, Spencer AJ. Effectiveness of water fluoridation in the prevention of dental caries across adult age groups. Community Dent Oral Epidemiol 2017;45:225-232. https://doi.org/10.1111/cdoe.12280
  27. Kim JB, Paik DI, Moon HS, Song Yeon H, Park DY, Jung SH. Effect of water fluoridation on dental caries prevention in 11-year-old Korean children. Korean Acad Oral Health 1997;21:583-592.
  28. Lee HS, Chang KW, Kim JB, Kim DK, Kim KS, Park DY. The effectiveness of community water fluoridation. Seoul:Korea Health Promotion Foundation 2011:100-104.
  29. Do LG, Ha DH, Spencer AJ. Factors attributable for the prevalence of dental caries in Queensland children. Community Dent Oral Epidemiol 2015;43:397-405. https://doi.org/10.1111/cdoe.12162
  30. Cho HJ, Lee HS, Paik DI, Bae KH. Association of dental caries with socioeconomic status in relation to different water fluoridation levels. Community Dent Oral Epidemiol 2014;42:536-542. https://doi.org/10.1111/cdoe.12110