우리나라 대도시, 중소도시, 군 지역 간 성인 구강건강 수준의 차이 = Geographical disparities for oral health status in Korean adults우리나라 대도시, 중소도시, 군 지역 간 성인 구강건강 수준의 차이

다국어 초록 (Multilingual Abstract)

Objectives: To examine the difference in oral health status of Korean adults according to geographic location. Methods: Using raw data of National Oral Health Survey 2000, the 112 administrative districts were categorized into metropolis(gu: ward of large city), urban(si: city except metropolis), and rural(gun: county) areas. The averages of decayed surfaces/teeth (DS/DT), missing surfaces/teeth (MS/MT), filled surfaces/teeth (FS/FT), DMFS/T, and Community Periodontal Index (CPI), and the proportion of prosthetic treatment need were calculated in each administrative district. Mean age, the number of population in 2000, the proportion of elderly people, the number of privately owned cars, per capita production from manufacturing industry, and the number of medical facilities per 1,000 were obtained as contextual factors. Regression analysis was done to test the regional difference of oral health status including geographic location, mean age, per capita production from manufacturing industries, and the numbert of medical facilities per 1000. Results: The crude averages of oral health indices (DMFS/T, CPI) reflecting the experience of dental caries and periodontal health was significantly higher in urban and rural area than those in metropolis region. The proportion of prosthetic treatment need in urban and rural area was also higher than that in metropolis. In the final regression model adjusted after socio-environmental factors, DS, DT, CPI, and the proportion of prosthetic treatment need in rural region were higher than in metropolis (p<0.05). FS and FT of rural area were lower than those of metropolis. Conclusions: Regional difference in oral health status existed in Korea. This regional difference may be attributable to dissimilar age distribution of each district but socio-environmental factors are still prone to affect this disparity.

참고문헌 (Reference)

1 송근배, "한국성인들의 사회경제적 요인 및 구강보건의식행태에 따른 치아우식증 실태분석" 대한구강보건학회 27 (27): 319-328, 2003

2 신선정, "한국 청소년의 구강보건행태와 사회경제적지위의 연관성" 대한구강보건학회 32 (32): 223-230, 2008

3 정혜경, "지역사회의 구조적 특성이 사망수준에 미치는 영향에 관한 연구" 1 (1): 17-50, 1991

4 장창곡, "우리나라의 지역별 사망원인 구조변화에 관한 연구" 서울대학교 대학원 1991

5 한소현, "우리나라 지역별 사망구조의 차이에 관한 연구" 서울대학교 보건대학원 2001

6 김명희, "서울시 노인의 구강통증 여부 및 치과서비스이용의 사회적 결정요인에 대한 다수준분석" 대한구강보건학회 31 (31): 103-115, 2007

7 김혜영, "사회경제적 수준과 구강진료필요도의 연관성에 대한 건강행위, 구강진료이용도의 영향 평가" 대한구강보건학회 30 (30): 85-94, 2006

8 World Health Organization, "World Health Report 2000.Health Systems: Improving Performance"

9 Blakely TA, "What is the lag time between income inequality and health status?" 54 : 318-319, 2000

10 Senior M, "Urban-rural mortality differentials: controlling for material deprivation" 51 (51): 289-305, 2000

11 Fox A, "The longitudinal stydy: sociodemographic mortality differentials" HMSO 5-10, 1982

12 Britton M, "The influences of socio-economic and environmental factors on geographic variation in mortality;In Britton M. Mortality and geography: a review in the mnid-1980s England and Wales" Office of Population Censuses and Surveys 57-78, 1990

13 Bentham G, "Mortality rates in the more rural areas of England and Wales" 16 : 219-226, 1984

14 Britton M, "Mortality and geography: a review in the mid-1980s England and Wales OPCS Series DS no 9" Office of Population Censuses and Surveys 2-3, 1990

15 Shouls S, "Modelling inequality in reported long term illness in the UK: combining individual and area characteristics" 50 (50): 366-376, 1996

16 Sang Gyu Lee, "Korean regional mortality differences according to geographic location" 20 (20): 51-65, 2003

17 Curtis S, "Is there a place for geography in the analysis of health inequality?" 20 (20): 645-672, 1998

18 Acheson D, "Independent inquiry into inequalities in health" The Stationary Office 15-30, 1998

19 McIntyre S, "Ecological approaches: rediscovering the role of the physical and social environment; In Berkman LF, Kawachi I,in Social Epidemiology" Oxford Univ. Press 32-48, 2000

20 Carstairs V, "Deprivation and health in Scotland" Aberdeen:Aberdeen Univ. Press 87-98, 1991

21 "Department of Health and Human Services. Healthy People 2010"

22 Robert SA, "Community-level socioeconomic status effects on adult health" 39 : 18-37, 1998

23 McIntyre S, "Area, class and health: should we be focusing on places or people?" 22 (22): 213-234, 1993

24 보건복지부, "2006년도 국민구강건강실태조사; 요약본 III" 132-256, 2007

25 보건복지부, "2000년도 국민구강건강실태조사" 보건복지부 169-281, 2001