• Journal of dental hygiene science
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• v.15 no.2
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• pp.91-97
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• 2015

The purpose of this study was to examine any possible differences among adolescents in unmet dental care needs according to their demographic and socioeconomic characteristics and oral health status and influential factors on the basis of the fifth national health and nutrition examination survey data. The findings of the study were as follows: Unmet dental care needs were accounted for 19.84 percent. As for the reason, many replied that they couldn't afford to leave school during school hours, and economic factors. As a result of analyzing what affected their unmet dental care needs, this experience was more common in the older age groups than in the 6~12 years age group, and the experience was less common in the respondents with a larger income. As for the subjective oral health status, the experience was 0.61-fold and 0.72-fold less in the respondents who perceived their health as fair or good than who thought their health was poor respectively. And there was a tendency that getting regular dental checkups led to 0.22-fold less experience. Given the above-mentioned findings, the kind of policy that makes dental care services more accessible to youth in consideration of socioeconomic circumstances should be carried out. As many of the adolescents couldn't leave school during school hours, schools should be equipped with dental clinics to improve accessibility to dental care services.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.11
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• pp.7501-7507
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• 2015

This study analyzed the rate of unmet dental care service for the disabled who were judged to require the dentistry due to oral health-related problems and those reasons, and also examined the oral health status according to the unmet dentistry. 375 subjects, who were 19 years or older and completed oral health examination and a survey, among 444 responded positive of disability registration after participation in National Health and Nutrition Examination Survey(NHANES), were analyzed. Disability type was classified into 6 kinds(physical disability, brain lesions, sensory defect, developmental disability, mental disorder, endocrine disorder). Participants had 128 of their dental care needs unmet when it was required. 'Financial burden' was the main reason, with the subject of 49.2%, followed by 'lower on the priority scale' were 18.0%. The high frequency and progression permanent teeth caries experiencs and periodontal status of their dental disease were confirmed. In availability aspect of dentistry resources, it is required for using dentistry service smoothly through providing sufficient proper dental care service comparing with the number of the disabled.

• Journal of Technologic Dentistry
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• v.33 no.4
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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.

• Journal of Korean society of Dental Hygiene
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• v.9 no.4
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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.

• Journal of Family Resource Management and Policy Review
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• v.26 no.3
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• pp.49-64
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• 2022

This study aims to investigate unmet healthcare needs due to economic or non-economic difficulties among the elderly aged 65 or older. Using Korea Health Panel Survey (KHPS) data from 2018, the elderly are classified into one of four groups (health insurance subscribers, non-take-up, lower income relief, and medical aid recipients) based on their level of medical vulnerability. For hospital or dental care, the prevalence rates of unmet healthcare needs due to economic and non-economic difficulties are 12.6% and 10.6%, respectively. The prevalence rate of unmet healthcare needs due to economic difficulty in the medically vulnerable group was much higher than that of the non-vulnerable group-that is, health insurance subscribers. After controlling for other influential factors, medical vulnerability has a great impact on the prevalence rates of unmet healthcare needs due to economic difficulties. Compared to health insurance subscribers, the non-take-up, the lower relief, and the medical aid recipients are 1.4 times, 3.3 times, and 2.4 times more likely to experience unmet healthcare needs due to economic difficulty, respectively. The results of this study can provide important policy implications for securing essential healthcare resources for the elderly.

• Journal of Korean society of Dental Hygiene
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• v.17 no.3
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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.

• Women's Health Nursing
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• v.27 no.2
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• pp.113-127
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• 2021

Purpose: This study examined health behaviors, use of health services, and depression among women who perform daytime and shift work in Korea, as well as factors related to depression. Methods: We conducted a secondary analysis using data from the 2018 data of the 7th Korea National Health and Nutrition Examination Survey. Data on women, 1,493 regular daytime workers and 322 shift workers, were analyzed. Results: Women shift workers (χ²=43.97, p<.001), had a lower education level (χ²=45.56, p<.001), and lower personal income (χ²=16.85, p=.030) than their daytime counterparts. A higher proportion of shift workers were unmarried (χ²=37.47, p<.001) and they typically worked fewer than 40 hours per week (χ²=69.94, p<.001). The depression score of shift workers was higher than that of daytime workers (t=2.85, p=.005). A higher proportion of shift workers also drank alcohol (χ²=6.49, p=.032) and smoked (χ²=30.79, p<.001). Over 8% of shift workers typically slept fewer than 5 hours per night (χ²=14.17, p=.024). It was confirmed that depression in women shift workers was affected by age, personal income, marital status, health status, and smoking status, in addition to cancer screening participation, unmet medical care needs, and unmet dental care needs. Conclusion: More attention should be given to the health needs of women working shifts. Health promotion programs specific for women shift workers are needed to improve their physical and mental health, encourage use of medical care services, and improve public health policies and systems.

• The Journal of the Korea Contents Association
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• v.18 no.10
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• pp.175-182
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• 2018

The purpose of this study was to examine the influence of factors related to whether or not to take oral examinations for 104,811 economically active population aged 25 to 54 years using the 2016 community health survey data. Multiple logistic regression analysis was performed to oral examination rate the effect general characteristics, socioeconomic and geographical characteristics, and oral health management behavior. The higher who age, the higher who education, have experience scaling, and the better who subjective oral health status, unmet dental needs rate of oral examination was higher. The higher the income level, the lower the oral examination rate. Age of economically active population, marital status, education level, area, income quartile, empolyment, scaling experience, unmet dental needs, there was a significant effect whether oral examination. The purpose of this study is to establish an positive basis for an effective oral examination program to improve accessibility to oral examinations.

• Journal of the Korean Data and Information Science Society
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• v.28 no.1
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• pp.195-206
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• 2017

The purpose of this study was to identify factors affecting quality of health care. Methods: The data were derived from the 2011-2013 Korea health panel survey (beta version 1.0). The data were analyzed using SPSS 21.0 with descriptive statistics, ${\chi}^2$-test, and multiple logistic regression analysis. In general characteristics, common factors influencing the quality of health care were age, marital status, education level, and subjective health status. In variables related to health care utilization, unmet healthcare needs, and limitation of dental care utilization were the significant factors affecting quality of health care. The results of this study show that various factors influence quality of health care. These findings can be used to develop strategies to improve health care.

• Journal of Korean society of Dental Hygiene
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• v.19 no.4
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• pp.565-575
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• 2019

Objectives: In this study, both subjective and objective levels of oral health were used to identify the relationship between oral health inequalities. Methods: Korean National Health and Nutritional Examination Survey data from 2013 to 2015 were combined to create an analysis plan. Oral health questions categorized as subjective oral health conditions and oral health-related diseases used dental tissue disease status as data measured by the Community Periodical Index(CPI) and decayed, missing, filled teeth(DMFT) experience. Other data on oral health behaviors such as toothache experience, the frequency of toothbrush use, chewing problems, oral examination status, and unmet dental care needs were classified and analyzed according to the socioeconomic level. Data were analyzed using frequency and cross analyses, and the statistical significance level was set at 0.05. Results: It was found that higher the economic and educational level, better was the subjective oral health, lower the CPI, lower the experience of toothache, higher the frequency of toothbrush use, lower the number of people having chewing problems, and higher the frequency of oral checkups. Conclusions: Oral health inequality exists among social classes. It is suggested that continuous research and efforts be carried out to promote oral health while considering socioeconomic and educational levels. Further, active government efforts will be needed to address polarization by social class.