Unmet Dental Care Needs of The Low-Income Elderly in South Korea: Applying the Andersen behavioural model.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2024-10-25 DOI:10.1922/CDH_00145Park04

E-J Park, J-W Han, Y Choi

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Abstract

Objective: Retirement reduces income and increases dental care needs for the elderly, but there are few studies on unmet dental care needs among the low-income elderly. This study aimed to identify actors associated with unmet dental care needs of low-income elderly people in South Korea.

Method: Secondary analysis of 2020 KNHANES data relating to 1,016 elderly individuals (65+) below median income.

Results: Unmet dental care needs were higher for women at 28.9% (p ⟨0.001), those with a middle school education at 28.5% (p ⟨ 0.05), individuals who rated their health as "poor" at 31.3%, those reporting feelings of depression at 44.8% (p ⟨ 0.001), individuals who rated their oral health as "poor" at 36.2% (p ⟨ 0.001), and those who experienced toothache at 37.2% (p ⟨ 0.001). In regression analysis women (Risk Ratio = 1.59, 95% CI 1.09-2.32), people with depression (RR = 2.29, 95% CI 1.01-5.15), those who perceived their oral health as "poor" (3.20, 95% CI 1.90-5.32) and those toothache (1.88, 95% CI 1.27-2.76) had higher unmet dental needs.

Conclusion: Substantial unmet dental care needs exist among the low-income retired elderly. Comprehensive public oral health policies and community programs are needed for this population group.

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韩国低收入老年人未得到满足的牙科保健需求：应用安徒生行为模型。

目的：退休减少了老年人的收入，增加了他们的牙科保健需求，但有关低收入老年人未得到满足的牙科保健需求的研究却很少。本研究旨在确定与韩国低收入老年人未得到满足的牙科保健需求相关的行为者：对2020年韩国国民健康调查（KNHANES）中收入低于中位数的1,016名老年人（65岁以上）的相关数据进行二次分析：结果：未满足牙科保健需求的老年人中，女性占 28.9%（P ⟨0.001），初中文化程度的占 28.5%（P ⟨0.05），健康状况被评为 "差 "的占 31.3%，有抑郁情绪的占 31.3%。3%，报告有抑郁情绪的人占 44.8%（P ⟨0.001），将自己的口腔健康评为 "差 "的人占 36.2%（P ⟨0.001），有牙痛经历的人占 37.2%（P ⟨0.001）。在回归分析中，女性（风险比 = 1.59，95% CI 1.09-2.32）、抑郁症患者（风险比 = 2.29，95% CI 1.01-5.15）、认为自己口腔健康 "差 "的人（3.20，95% CI 1.90-5.32）和牙痛患者（1.88，95% CI 1.27-2.76）的牙科需求未得到满足的比例较高：结论：低收入退休老人中存在大量未满足的牙科保健需求。结论：低收入退休老人存在大量未满足的牙科保健需求，需要针对这一人群制定全面的公共口腔健康政策和社区计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.