Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지
DOI QR코드

DOI QR Code

Differences in Oral Health Status between Rural and Urban Populations of Korean Elders: A Population-Based Study from the Korean National Health and Nutrition Examination Survey VI (2013~2015)

  • Choi, Yong-Keum (Department of Dental Hygiene, College of Health Science and Genome-based BioIT Convergence Institute, Sun Moon University) ;
  • Kim, Eun-Jeong (Dental Research Institution, School of Dentistry, Seoul National University)
  • Received : 2019.07.25
  • Accepted : 2019.08.26
  • Published : 2019.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey VI, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.

Keywords

References

  1. Jones JA, Adelson R, Niessen LC, Gilbert GH: Issues in financing dental care for the elderly. J Public Health Dent 50:268-275, 1990. https://doi.org/10.1111/j.1752-7325.1990.tb02134.x
  2. Kim HN, Kim KR, Kim JB: The association between number of present teeth and oral function in Korean adults aged 55-84 years. J Dent Hyg Sci 15: 340-347, 2015. https://doi.org/10.17135/jdhs.2015.15.3.340
  3. Slade GD, Spencer AJ: Social impact of oral conditions among older adults. Aust Dent J 39: 358-364, 1994. https://doi.org/10.1111/j.1834-7819.1994.tb03106.x
  4. Davis DM, Fiske J, Scott B, Radford DR: The emotional effects of tooth loss: a preliminary quantitative study. Br Dent J 188: 503-506, 2000. https://doi.org/10.1038/sj.bdj.4800522
  5. Al-Omiri MK, Karasneh JA, Lynch E, Lamey PJ, Clifford TJ: Impacts of missing upper anterior teeth on daily living. Int Dent J 59: 127-132, 2009. https://doi.org/10.1922/IDJ_1994ALOmiri06
  6. Carter KD: National dental telephone interview survey 1995. AIHW Dental Statistics and Research Unit, the University of Adelaide, Adelaide, 1995.
  7. Beltran-Aguilar ED, Barker LK, Canto MT, et al.: Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis - United States, 1988-1994 and 1999-2002. Morbidity and Mortality Weekly Report: Surveillance Summaries, pp.1-43, 2005.
  8. Centers for Disease Control and Prevention (CDC): Ten great public health achievements--United States, 1900-1999. Morbidity and Mortality Weekly Report, pp.241-243, 1999.
  9. Osterberg T, Carlsson GE, Sundh W, Fyhrlund A: Prognosis of and factors associated with dental status in the adult Swedish population, 1975-1989. Community Dent Oral Epidemiol 23: 232-236, 1995. https://doi.org/10.1111/j.1600-0528.1995.tb00237.x
  10. Pitts N, Amaechi B, Niederman R, et al.: Global oral health inequalities: dental caries task group--research agenda. Adv Dent Res 23: 211-220, 2011. https://doi.org/10.1177/0022034511402016
  11. Hugo G: Australia's changing non-metropolitan population. In: Wilkinson D, Blue I, eds. The new rural health. Oxford University Press, Melbourne, pp.12-43, 2002.
  12. Strong K. Trickett P, Titulaer I, Bhatia K: Health and family services in rural and remote Australia. Department of Health and Family Services, Canberra, 1998.
  13. Steele L, Pacza T, Tennant M: Rural and remote oral health, problems and models for improvement: a Western Australian perspective. Aust J Rural Health 8: 22-28, 2000. https://doi.org/10.1046/j.1440-1584.2000.81224.x
  14. Vargas CM, Dye BA, Hayes KL: Oral health status of rural adults in the United States. J Am Dent Assoc 133: 1672-1681, 2002. https://doi.org/10.14219/jada.archive.2002.0120
  15. Yoon YS, Kwon YO: The present state and prospect of geriatric denture prosthetic dentistry affairs among community dental hygienists. J Dent Hyg Sci 6: 255-261, 2006.
  16. Eustaquio-Raga MV, Montiel-Company JM, Almerich-Silla JM: Factors associated with edentulousness in an elderly population in Valencia (Spain). Gac Sanit 27: 123-127, 2013. https://doi.org/10.1016/j.gaceta.2012.02.009
  17. Lee JB, Yi HY, Bae KH: The association between periodontitis and dyslipidemia based on the Fourth Korea National Health and Nutrition Examination Survey. J Clin Periodontol 40: 437-442, 2013. https://doi.org/10.1111/jcpe.12095
  18. Kim DW, Park JC, Rim TT, et al.: Socioeconomic disparities of periodontitis in Koreans based on the KNHANES IV. Oral Dis 20: 551-559, 2014. https://doi.org/10.1111/odi.12168
  19. Korea Centers for Disease Control and Prevention: 2009 Korea National Health and Nutrition Examination Survey: the 4th survey. Korea Centers for Disease Control and Prevention, Seoul, 2010.
  20. Shin HS: The number of teeth is inversely associated with metabolic syndrome: a korean nationwide population-based study. J Periodontol 88: 830-838, 2017. https://doi/org/10.1902/jop.2017.170089
  21. World Health Organization. Regional Office for the Western Pacific. The Asia-Pacific perspective: redefining obesity and its treatment. Health Communications Australia, Sydney, 2000.
  22. Kweon S, Kim Y, Jang MJ, et al.: Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 43: 69-77, 2014. https://doi.org/10.1093/ije/dyt228
  23. Lee JY, Divaris K: The ethical imperative of addressing oral health disparities: a unifying framework. J Dent Res 93: 224-230, 2014. https://doi.org/10.1177/0022034513511821
  24. Sgan-Cohen HD, Evans RW, Whelton H, Villena RS, MacDougall M, Williams DM: IADR Global Oral Health Inequalities Research Agenda (IADR-$GOHIRA^{(R)}$): a call to action. J Dent Res 92: 209-211, 2013. https://doi.org/10.1177/0022034512475214
  25. Pitts N, Amaechi B, Niederman R, et al.: Global oral health inequalities: dental caries task group--research agenda. Adv Dent Res 23: 211-220, 2011. https://doi.org/10.1177/0022034511402016
  26. Beaglehole R, Benzian H, Crail J, Mackay J: The oral health atlas: mapping a neglected global health issue. FDI World Dental Federation, Geneva, pp.96-103, 2009.
  27. Bayne A, Knudson A, Garg A, Kassahun M: Promising practices to improve access to oral health care in rural communities. Retrieved February 6, 2015, from: http://www.norc.org/PDFs/Walsh%20Center/Oral_Rural%20Evaluation%20Issue%20Brief-6pg_mm.pdf(2013, February).
  28. Petersen PE: The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003:31 Suppl 1:3-23. https://doi.org/10.1046/j..2003.com122.x
  29. Ren C, McGrath C, Yang Y: Edentulism and associated factors among community-dwelling middle-aged and elderly adults in China. Gerodontology 34: 195-207, 2017. https://doi.org/10.1111/ger.12249
  30. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W: Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res 93(7 Suppl): 20S-28S, 2014. https://doi.org/10.1177/0022034514537828
  31. Adams C, Slack-Smith LM, Larson A, O'Grady MJ: Edentulism and associated factors in people 60 years and over from urban, rural and remote Western Australia. Aust Dent J 48: 10-14, 2003. https://doi.org/10.1111/j.1834-7819.2003.tb00002.x
  32. Medina-Solis CE, Perez-Nunez R, Maupome G, Casanova-Rosado JF: Edentulism among Mexican adults aged 35 years and older and associated factors. Am J Public Health 96:1578-1581, 2006. https://doi.org/10.2105/AJPH.2005.071209
  33. Lin HC, Corbet EF, Lo ECM, Zhang HG: Tooth loss, occluding pairs, and prosthetic status of Chinese adults. J Dent Res 80: 1491-1495, 2001. https://doi.org/10.1177/00220345010800052101
  34. Felton DA: Complete Edentulism and comorbid diseases: an update. J Prosthodont 25: 5-20, 2016. https://doi.org/10.1111/jopr.12350
  35. Torres LH, da Silva DD, Neri AL, Hilgert JB, Hugo FN, Sousa ML: Association between underweight and overweight/obesity with oral health among independently living Brazilian elderly. Nutrition 29: 152-157, 2013. https://doi.org/10.1016/j.nut.2012.05.011
  36. Kong YM, Han GS: Relationships between obesity types and periodontitis according to characteristics of subjects. J Dent Hyg Sci 12: 279-286, 2012.
  37. Tsakos G, Watt RG, Rouxel PL, de Oliveira C, Demakakos P: Tooth loss associated with physical and cognitive decline in older adults. J Am Geriatr Soc 63: 91-99, 2015. https://doi.org/10.1111/jgs.13190
  38. Holm-Pedersen P, Schultz-Larsen K, Christiansen N, Avlund K: Tooth loss and subsequent disability and mortality in old age. J Am Geriatr Soc 56: 429-435, 2008. https://doi.org/10.1111/j.1532-5415.2007.01602.x
  39. Kim EJ, Jin BH: Comparison of oral health status and daily nutrient intake between elders who live alone and elders who live with family: based on the Korean National Health and Nutrition Examination Survey (KNHANES VI) (2013-2015). Gerodontology 35: 129-138, 2018. https://doi.org/10.1111/ger.12334