치면열구전색의 건강보험급여화에 따른 지역 간 전색보유격차의 변화 (A change in the regional disparity based on the national insurance coverage of dental sealant in Korea)

서지정보

· 발행기관 : 대한예방치과·구강보건학회
· 수록지 정보 : 대한구강보건학회지 / 38권 / 3호 / 165 ~ 169페이지
· 저자명 : 이효진, 배광학

초록

Objectives: In 2002, the Ministry of Health and Welfare initiated a national sealant program (NSP) inpublic health centers in order to promote oral health among children in rural areas as well as amongchildren with low socio-economic status in urban areas. However, this program was terminated in 2009and substituted with the national insurance coverage of sealants (NICS). The aim of this study is toevaluate the impact of the change from NSP to NICS on regional inequality.
Methods: Based on data obtained from the 2010 and 2012 Korea National Oral Health surveys conducted,we analyzed the average number of permanent teeth with sealants (mean sealant) on the firstmolars and the prevalence of active dental caries in permanent teeth (D rate), segregated by region, in8-year-old children. Analyses were performed using SPSS 21.0 (SPSS Inc., Chicago, IL, USA) after takinginto consideration the complex design of the samples.
Results: The D rate of rural children was higher than that of those in metropolitan and city areas. Comparedto the 2010 data on the mean sealants on the first molars, a 14.4% and 48.1% increase wasobserved in the mean sealants in children in the metropolis and in cities in 2012, respectively. However,this number decreased by 7.5% only in the rural areas.
Conclusions: Accessibility to dental services was limited in the rural areas as compared than in otherareas; this result is based on the fact that the D rate in rural areas was higher than that in other areas.
The NSP has decreased this regional inequality with regard to the accessibility to dental services. However,it was suggested that the mean sealant on the first molars was reversed due to a change fromNSP to NICS.

영어초록

Objectives: In 2002, the Ministry of Health and Welfare initiated a national sealant program (NSP) inpublic health centers in order to promote oral health among children in rural areas as well as amongchildren with low socio-economic status in urban areas. However, this program was terminated in 2009and substituted with the national insurance coverage of sealants (NICS). The aim of this study is toevaluate the impact of the change from NSP to NICS on regional inequality.
Methods: Based on data obtained from the 2010 and 2012 Korea National Oral Health surveys conducted,we analyzed the average number of permanent teeth with sealants (mean sealant) on the firstmolars and the prevalence of active dental caries in permanent teeth (D rate), segregated by region, in8-year-old children. Analyses were performed using SPSS 21.0 (SPSS Inc., Chicago, IL, USA) after takinginto consideration the complex design of the samples.
Results: The D rate of rural children was higher than that of those in metropolitan and city areas. Comparedto the 2010 data on the mean sealants on the first molars, a 14.4% and 48.1% increase wasobserved in the mean sealants in children in the metropolis and in cities in 2012, respectively. However,this number decreased by 7.5% only in the rural areas.
Conclusions: Accessibility to dental services was limited in the rural areas as compared than in otherareas; this result is based on the fact that the D rate in rural areas was higher than that in other areas.
The NSP has decreased this regional inequality with regard to the accessibility to dental services. However,it was suggested that the mean sealant on the first molars was reversed due to a change fromNSP to NICS.

참고자료

· 없음