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성인의 부정구강진료 경험 관련 요인: 국민건강영양조사제4기(2007-2009년) 자료를 중심으로
김지은 ( Ji Eun Kim ),정지인 ( Ji In Jung ),김한나 ( Han Na Kim ),김세연 ( Se Yeon Kim ),전은주 ( Eun Joo Jun ),김민지 ( Min Ji Kim ),정승화 ( Seung Hwa Joeng ),김진범 ( Jin Bom Kim ) 대한예방치과·구강보건학회 2014 大韓口腔保健學會誌 Vol.38 No.4
Objectives: The aim of the study was to analyze the factors related to the illegal dental treatment experience(IDTX) among Korean adults. Methods: The raw data for the analysis of IDTX among Korean adults were obtained from the datasetof the Fourth Korea National Health and Nutrition Examination Survey conducted in 2007-2009. Stratifiedweighted subjects aged ≥45 years were selected according to region by using clustered samplingmethods. In total, the data of 9,254 subjects, who participated in the interview and dental examinationsrelated to the experience of illegal dental treatments, were analyzed using chi-square test, general linearmodel, and logistic regression analysis with complex sampling design by considering demographicand socioeconomic variables (age, gender, region, educational level, household income, and medicaland dental delivery system) as well as oral status variables (prosthesis and number of natural remainingteeth). Results: IDTX rate was <10% among adults aged 35-44 years or below. However, it increased to 15%among adults aged 45-54 years and was >30% among adults aged ≥65 years. The age group with ahigh IDTX rate coincided with the age group with a high number of lost teeth. Most of the IDTX caseswere presumed to be prosthetic treatments. The model comprising demographic, socioeconomic, andoral status variables had the highest explanation power. Significant variables were educational level,household income, prosthesis status, and number of remaining teeth. Women and persons under themedicaid system were more likely to undergo illegal dental treatments. Conclusions: Comprehensive prosthetic treatments are suggested to be included in the care servicesof the national health insurance and medicaid system to reduce the number of illegal dental treatments.
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