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Disparities in the experience and treatment of dental caries among children aged 9-18 years: the cross-sectional study of Korean National Health and Nutrition Examination Survey (2012-2013).

Authors
 Juyeong Kim  ;  Young Choi  ;  Sohee Park  ;  Jeong Lim Kim  ;  Tae-Hoon Lee  ;  Kyoung Hee Cho  ;  Eun-Cheol Park 
Citation
 INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, Vol.15 : 88, 2016 
Journal Title
 INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 
Issue Date
2016
MeSH
Adolescent ; Child ; Cross-Sectional Studies ; Dental Caries/epidemiology ; Dental Caries/therapy* ; Female ; Health Services Accessibility/standards* ; Health Services Accessibility/statistics & numerical data ; Humans ; Logistic Models ; Male ; Public Health/methods ; Public Health/statistics & numerical data ; Republic of Korea/epidemiology ; Socioeconomic Factors* ; Surveys and Questionnaires
Keywords
Access to oral care ; DMFT ; Dental caries ; Dental public health ; Socioeconomic status
Abstract
BACKGROUND: The aim of this study is to examine the association between parental socioeconomic status (SES) and the experience as well as treatment of dental caries among children aged 9 to 18 years. METHODS: Data from 1253 children aged 9-18 years from the Korean National Health and Nutrition Examination Survey (2012-2013) were analyzed. Parental socioeconomic status was measured using household income level and maternal educational level. The decayed, missing, and filled teeth (DMFT) index was used to measure experience of dental caries (DMFT ≥ 1). Non-treatment of dental caries was measured according to whether the participants who experienced dental caries used a dental service at a dental clinic to treat caries during the previous year. Logistic regression was used to investigate the association between parental socioeconomic status and the experience of dental caries as well as the association between parental socioeconomic status and the non-treatment of dental caries among children that have experienced caries. RESULTS: A total of 808 subjects (64.5 %) experienced dental caries among 1253 participants, and 582 of these 808 subjects (72.0 %) did not receive treatment among those having experience of dental caries. Parental socioeconomic status was not associated with experience of dental caries. However, those from low- and middle-income households were less likely to receive treatment than those from high-income households (odds ratio [OR] 2.11 [95 % confidence interval (CI) 1.16-3.86], OR 2.14 [95 % CI 1.27-3.62]). In particular, those from low- and middle-income households who had regular dental checkups were more likely to have untreated caries than those from high-income households (OR 3.58 [95 % CI 1.25-10.24]). CONCLUSIONS: This study demonstrates the parental household income-related disparities in children's dental health treatment. Efforts should be made to lower financial barriers to dental health services, particularly among those from low-income households, in order to reduce dental health disparities in the treatment of caries in children.
Files in This Item:
T201601929.pdf Download
DOI
10.1186/s12939-016-0377-x
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147001
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