목적 : 우리나라 일부 성인 장애인의 미충족 치과의료 현황과 관련 요인을 분석하여 장애인의 구강 건강 증진과 치과 의료 접근성 강화를 위한 기초자료를 제공하고자 한다.
방법 : 2014년 장애인실태조사 자료를 이용하였으며 만 19세 이상 성인 장애인 4,992명을 최종 연구 대상자로 선정하였다. Andersen 모형에 기초하여 독립변수로 설정한 소인 요인, 가능 요인, 필요 요인과 종속변수인 미충족 치과의료 경험의 연관성을 분석하기 위해 ...
목적 : 우리나라 일부 성인 장애인의 미충족 치과의료 현황과 관련 요인을 분석하여 장애인의 구강 건강 증진과 치과 의료 접근성 강화를 위한 기초자료를 제공하고자 한다.
방법 : 2014년 장애인실태조사 자료를 이용하였으며 만 19세 이상 성인 장애인 4,992명을 최종 연구 대상자로 선정하였다. Andersen 모형에 기초하여 독립변수로 설정한 소인 요인, 가능 요인, 필요 요인과 종속변수인 미충족 치과의료 경험의 연관성을 분석하기 위해 교차분석을 시행하였고, 이분형 종속변수인 미충족 치과의료 경험 여부(있음, 없음)에 영향을 미치는 요인을 분석하기 위해 다중 로지스틱 회귀분석을 시행하였다. 최종 회귀 모형 구축 시 사회경제적 요인인 경제활동 참여상태, 월평균 가구 균등화 소득, 의료보장형태 간의 교호작용이 확인되어 최적의 회귀모형을 구축하기 위해 보정 효과를 Max-rescaled R square 값으로 비교하였고, 이 중 보정된 모형의 설명력(Max-rescaled R²)이 가장 높았던 월평균 가구 균등화 소득 변수를 최종 회귀식에 포함하였다. 최종 회귀모형의 구축은 모형의 보정 요인의 특성에 따라 3가지 모형으로 나누어 설계하였다. 자료구축과 통계분석은 IBM SPSS Statistics 24 version을 이용하였으며, 유의수준 5%에서 양측검정이 이루어졌다.
결과 : 성인 장애인의 미충족 치과의료 경험률은 24.8% 였다. 다중 로지스틱 회귀분석 결과, 미충족 치과의료 경험의 주된 관련 요인은 월평균 가구 균등화 소득, 본인인지 장애 차별 정도, 저작 시 불편감, 양치질한 횟수로 나타났다. 월평균 가구 균등화 소득 분위가 낮은 군에서 1.86배(CI:1.50-2.29), 장애 차별을 항상 느끼는 군에서 2.24배(CI: 1.50-2.10), 저작 시 불편감이 있는 군에서 6.72배(CI: 5.62-8.05), 양치질을 하지 않은 군에서 9.66배(CI: 5.61-16.63) 미충족 치과의료 경험률을 보였다. 그 밖에 성별, 연령, 교육수준, 혼자 외출 어려움 여부, 만성질환, 흡연 여부에서도 유의한 관련성이 있었다.
결론 : 본 연구를 통해 장애인은 치과 의료이용에 있어 경제적 장벽이 존재하며, 구강 건강이 취약한 장애인이 미충족 치과의료 필요도가 높은 것을 확인하였다. 장애인의 치과 의료이용과 구강건강 향상을 위한 구강보건교육 및 구강검진 서비스 확대와 의료비 지원 등의 정책 방안이 필요하다고 하겠다.
주제어 : 장애인, 미충족 치과의료, Andersen 모형, 장애인 실태조사.
Objectives: The purposes of this study were to analyze the current state of unmet dental care needs and their related factors among some adults with disabilities in the nation and provide basic data to promote their oral health and reinforce their access to dental care.
Methods: Based on the data of 2014 National Survey of the Disabled Persons, the study selected total 4,992 adults with disabilities aged 19 or older as final subjects. Based on the Andersen model, independent variables were predisposing factor, enabling factor and need factor and dependent variable was unmet dental care needs.. Multiple logistic regression analysis was performed to examine factors related to unmet dental care needs. Data collection and statistical analysis were based on the IBM SPSS Statistics 24 version with two-tail testing done at the significance level of 5%.
Results: The experience rate of unmet dental care needs among the adult individuals with disabilities was 24.8%. The multiple logistic regression analysis results show that major factors related to unmet dental care needs were the average monthly equivalence household income, degree of discrimination due to disabilities perceived by oneself, discomfort during chewing, and number of tooth brushing. These findings show that experiences with unmet dental care needs had strong relations with the number of tooth brushing along with discomfort during chewing.
Conclusion: These findings imply a need to expand oral health education and oral checkup service and improve the system to reduce medical expenses so that people with disabilities can improve their use of dental care and oral health. Follow-up study will need to observe the progress of unmet dental care needs and investigate their causes and outcomes among people with disabilities.
Key words: Disabled people, unmet dental care needs, Andersen model, National Survey of the Disabled Person.
목적 : 우리나라 일부 성인 장애인의 미충족 치과의료 현황과 관련 요인을 분석하여 장애인의 구강 건강 증진과 치과 의료 접근성 강화를 위한 기초자료를 제공하고자 한다.
방법 : 2014년 장애인실태조사 자료를 이용하였으며 만 19세 이상 성인 장애인 4,992명을 최종 연구 대상자로 선정하였다. Andersen 모형에 기초하여 독립변수로 설정한 소인 요인, 가능 요인, 필요 요인과 종속변수인 미충족 치과의료 경험의 연관성을 분석하기 위해 교차분석을 시행하였고, 이분형 종속변수인 미충족 치과의료 경험 여부(있음, 없음)에 영향을 미치는 요인을 분석하기 위해 다중 로지스틱 회귀분석을 시행하였다. 최종 회귀 모형 구축 시 사회경제적 요인인 경제활동 참여상태, 월평균 가구 균등화 소득, 의료보장형태 간의 교호작용이 확인되어 최적의 회귀모형을 구축하기 위해 보정 효과를 Max-rescaled R square 값으로 비교하였고, 이 중 보정된 모형의 설명력(Max-rescaled R²)이 가장 높았던 월평균 가구 균등화 소득 변수를 최종 회귀식에 포함하였다. 최종 회귀모형의 구축은 모형의 보정 요인의 특성에 따라 3가지 모형으로 나누어 설계하였다. 자료구축과 통계분석은 IBM SPSS Statistics 24 version을 이용하였으며, 유의수준 5%에서 양측검정이 이루어졌다.
결과 : 성인 장애인의 미충족 치과의료 경험률은 24.8% 였다. 다중 로지스틱 회귀분석 결과, 미충족 치과의료 경험의 주된 관련 요인은 월평균 가구 균등화 소득, 본인인지 장애 차별 정도, 저작 시 불편감, 양치질한 횟수로 나타났다. 월평균 가구 균등화 소득 분위가 낮은 군에서 1.86배(CI:1.50-2.29), 장애 차별을 항상 느끼는 군에서 2.24배(CI: 1.50-2.10), 저작 시 불편감이 있는 군에서 6.72배(CI: 5.62-8.05), 양치질을 하지 않은 군에서 9.66배(CI: 5.61-16.63) 미충족 치과의료 경험률을 보였다. 그 밖에 성별, 연령, 교육수준, 혼자 외출 어려움 여부, 만성질환, 흡연 여부에서도 유의한 관련성이 있었다.
결론 : 본 연구를 통해 장애인은 치과 의료이용에 있어 경제적 장벽이 존재하며, 구강 건강이 취약한 장애인이 미충족 치과의료 필요도가 높은 것을 확인하였다. 장애인의 치과 의료이용과 구강건강 향상을 위한 구강보건교육 및 구강검진 서비스 확대와 의료비 지원 등의 정책 방안이 필요하다고 하겠다.
주제어 : 장애인, 미충족 치과의료, Andersen 모형, 장애인 실태조사.
Objectives: The purposes of this study were to analyze the current state of unmet dental care needs and their related factors among some adults with disabilities in the nation and provide basic data to promote their oral health and reinforce their access to dental care.
Methods: Based on the data of 2014 National Survey of the Disabled Persons, the study selected total 4,992 adults with disabilities aged 19 or older as final subjects. Based on the Andersen model, independent variables were predisposing factor, enabling factor and need factor and dependent variable was unmet dental care needs.. Multiple logistic regression analysis was performed to examine factors related to unmet dental care needs. Data collection and statistical analysis were based on the IBM SPSS Statistics 24 version with two-tail testing done at the significance level of 5%.
Results: The experience rate of unmet dental care needs among the adult individuals with disabilities was 24.8%. The multiple logistic regression analysis results show that major factors related to unmet dental care needs were the average monthly equivalence household income, degree of discrimination due to disabilities perceived by oneself, discomfort during chewing, and number of tooth brushing. These findings show that experiences with unmet dental care needs had strong relations with the number of tooth brushing along with discomfort during chewing.
Conclusion: These findings imply a need to expand oral health education and oral checkup service and improve the system to reduce medical expenses so that people with disabilities can improve their use of dental care and oral health. Follow-up study will need to observe the progress of unmet dental care needs and investigate their causes and outcomes among people with disabilities.
Key words: Disabled people, unmet dental care needs, Andersen model, National Survey of the Disabled Person.
Factors Associated with Unmet Dental Care Needs of the Disabled Adults
Min-Ji Mun Department of Health Policy and Hospital Management Graduate School of Public Health, Korea University (Supervising Professor: Seok Jun Yoon, MD., PhD. )
Objectives: The purposes of this s...
Factors Associated with Unmet Dental Care Needs of the Disabled Adults
Min-Ji Mun Department of Health Policy and Hospital Management Graduate School of Public Health, Korea University (Supervising Professor: Seok Jun Yoon, MD., PhD. )
Objectives: The purposes of this study were to analyze the current state of unmet dental care needs and their related factors among some adults with disabilities in the nation and provide basic data to promote their oral health and reinforce their access to dental care.
Methods: Based on the data of 2014 National Survey of the Disabled Persons, the study selected total 4,992 adults with disabilities aged 19 or older as final subjects. Based on the Andersen model, independent variables were predisposing factor, enabling factor and need factor and dependent variable was unmet dental care needs. Multiple logistic regression analysis was performed to examine factors related to unmet dental care needs. Data collection and statistical analysis were based on the IBM SPSS Statistics 24 version with two-tail testing done at the significance level of 5%.
Results: The experience rate of unmet dental care needs among the adult individuals with disabilities was 24.8%. The multiple logistic regression analysis results show that major factors related to unmet dental care needs were the average monthly equivalence household income, degree of discrimination due to disabilities perceived by oneself, discomfort during chewing, and number of tooth brushing. These findings show that experiences with unmet dental care needs had strong relations with the number of tooth brushing along with discomfort during chewing.
Conclusion: These findings imply a need to expand oral health education and oral checkup service and improve the system to reduce medical expenses so that people with disabilities can improve their use of dental care and oral health. Follow-up study will need to observe the progress of unmet dental care needs and investigate their causes and outcomes among people with disabilities.
Key words: Disabled people, unmet dental care needs, Andersen model, National Survey of the Disabled Person.
Factors Associated with Unmet Dental Care Needs of the Disabled Adults
Min-Ji Mun Department of Health Policy and Hospital Management Graduate School of Public Health, Korea University (Supervising Professor: Seok Jun Yoon, MD., PhD. )
Objectives: The purposes of this study were to analyze the current state of unmet dental care needs and their related factors among some adults with disabilities in the nation and provide basic data to promote their oral health and reinforce their access to dental care.
Methods: Based on the data of 2014 National Survey of the Disabled Persons, the study selected total 4,992 adults with disabilities aged 19 or older as final subjects. Based on the Andersen model, independent variables were predisposing factor, enabling factor and need factor and dependent variable was unmet dental care needs. Multiple logistic regression analysis was performed to examine factors related to unmet dental care needs. Data collection and statistical analysis were based on the IBM SPSS Statistics 24 version with two-tail testing done at the significance level of 5%.
Results: The experience rate of unmet dental care needs among the adult individuals with disabilities was 24.8%. The multiple logistic regression analysis results show that major factors related to unmet dental care needs were the average monthly equivalence household income, degree of discrimination due to disabilities perceived by oneself, discomfort during chewing, and number of tooth brushing. These findings show that experiences with unmet dental care needs had strong relations with the number of tooth brushing along with discomfort during chewing.
Conclusion: These findings imply a need to expand oral health education and oral checkup service and improve the system to reduce medical expenses so that people with disabilities can improve their use of dental care and oral health. Follow-up study will need to observe the progress of unmet dental care needs and investigate their causes and outcomes among people with disabilities.
Key words: Disabled people, unmet dental care needs, Andersen model, National Survey of the Disabled Person.
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