The Utilization of Oral Health Services in Community Health Centers in Korea: A Study Using Data from the 2011-2012 Community Health Survey

Su-Kyung Park; Chun-Bae Kim; Won-Gyun Chung; Yang-Hee Ahn; Nam-Hee Kim

doi:10.11149/jkaoh.2014.38.3.154

Journal List > J Korean Acad Oral Health > v.38(3) > 1057603

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Park, Kim, Chung, Ahn, and Kim: The Utilization of Oral Health Services in Community Health Centers in Korea: A Study Using Data from the 2011-2012 Community Health Survey

Original Article

J Korean Acad Oral Health 2014;38(3):154-164.

Published online: 12 September 2014

DOI: https://doi.org/10.11149/jkaoh.2014.38.3.154

The Utilization of Oral Health Services in Community Health Centers in Korea: A Study Using Data from the 2011-2012 Community Health Survey

Su-Kyung Park¹, Chun-Bae Kim², Won-Gyun Chung³, Yang-Hee Ahn⁴, Nam-Hee Kim³

¹Department of Dental Hygiene, The Graduate school, Yonsei University, Seoul, Korea

²Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea

³Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, Wonju, Korea

⁴Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea

Corresponding Author: Nam-Hee Kim Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, 20 Ilsan-ro, Wonju 220-701, Korea Tel: +82-33-741-0391 Fax: +82-33-735-0391 E-mail: nami71@yonsei.ac.kr

Received 18 June 2014 Revised 31 July 2014 Accepted 14 August 2014

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

To determine the utilization of oral health services in community health centers in Korea.

Methods

This cross-sectional study involved secondary analysis of data obtained from the 2011-2012 Community Health Survey. The data were analyzed to determine the utilization of community oral health services. A total of 458,417 people (weighted sample was 80,268,227) were included. A multistage probability proportional systematic sampling method was used. The dependent variable was the utilization of community oral health services. The independent variables were region (city, town, and district), demographic characteristics (gender, age, education, income, occupation, and basic livelihood security), oral health status, and overall health status. The differences in the utilization of community oral health services related to independent variables were analyzed using an independent t-test and ANOVA. Additionally, a Scheffe post-hoc test was performed. Statistical analysis was performed using PASW statistics 20.0 (SPSS Inc., Chicago, IL, USA), at the 5% significance level.

Results

The average utilization rate was 26.3% for community health care services and 4.3% for oral health services during the study period in Korea. Utilization was associated with old age and lower education and income levels (P<0.01). Furthermore, residents having poor oral health, chewing discomfort, and unmet dental needs most frequently used the community oral health services.

Conclusions

The utilization of community oral health services was low in Korea. The needs and circumstances of communities should be considered and unique regional structural characteristics should be identified to plan and execute oral health programs and incorporate them with community health care services for overall community health.

Keywords: Community health care service, Community health center, Community health survey, Oral health service, Region, Utilization

References

1. Jung SH. New Dental Public Health. Seoul: Komoonsa;2012. p. 4–37.

2. Kang AG. An Analysis of the equity in health service utilization with the regional distribution of health care resources. Korean Social Security Studies. 2007; 23:189–219.

3. Lee JH. Strategies to strengthen primary care for the efficiency and equity of health care in Korea. J Korean Med Assoc. 2013; 56:853–855.

4. Shin HJ, Kim ES, Yoo BW, Lee HK. Development of a community-based participatory global health project model for primary health care capacity development : A case study from a rural community In Ecuador. J Korean Acad Community Health Nurs. 2010; 21:31–42.

5. Jo HS. Strategies for improvement of primary care in Korea. J Korean Med Assoc. 2012; 55:959–968.

6. Lee SJ. Development of an application and expansion plan of manpower for effective activities of public health organizations. Cheongwon: Korean Health Industry Development Institute;2007. p. 23–25.

7. Park WS. Development of performance management system for health promotion block grant program in community health centers. Seoul: Korea health promotion foundation;2012. p. 25–40.

8. Statistics Korea. Korea Statistical Information System (KOSIS), Statistics DB, Farm Health [Internet]. [cited 2014 Jun 3]. Available from:. http://kostat.go.kr.

9. Bae GH. Evaluation of oral health program in health center. Seoul: Korea health promotion foundation;2010. p. 10–13.

10. Ministry of Health and Social Welfare. The national health plan 2020. Seoul: Ministry of health and welfare;2011. p. 320–350.

11. Community Health Survey. 2011-2012. Korea Centers for Disease Control and Prevention.

12. Moon HS, Paik DI, Kim JB. A study on status of oral health programs in public health centers. J Korean Acad Dent Health. 2000; 24:59–67.

13. Jeon MY, Choe MA, Lee IS, Kim TS, Kim ES, Park SH. The relationship between health behavior and health related physical fitness in community people. J Korean Public Health Assoc. 2002; 28:239–246.

14. Kim HS, Park YH. Related factors on health service utilization and satisfaction of health center clients -using ‘2010 community health survey’. The Korean journal of health service management. 2013; 7:95–109.

15. Choi SJ. A study on the relative efficiency measurement of health service and th determinants of efficiency in public health center [master’s]. Seoul: Yonsei university;2013. [Korean].

16. Lee MA. Differences in factors affecting health center use of older persons by area of residence. The Korean gerontological society. 2001; 21:119–129.

17. Choi YH, Lee JH, Lee SG. Geographical disparities for oral health status in Korean. J Korean Acad Oral Health. 2009; 33:243–253.

18. Kim NH, Jeon JE, Chung WG, Kim DK. Social determinants related to the regional difference of unmet dental need in Korea. J Korean Acad Oral Health. 2012; 36:62–72.

Table 1.

Distribution of study subjects by region Unit : person

	Total			2011 yr			2012 yr
	N	(Weighted)	(%)*	N	(Weighted)	(%)*	N	(Weighted)	(%)*
Total	458,147	(80,268,227)	100.0	229,226	(39,904,832)	100.0	228,921	(40,363,395)	100.0
City	144,054	(26,844,999)	31.4	71,632	(13,269,759)	31.2	72,422	(13,575,240)	31.6
Town	150,469	(7,665,455)	32.9	75,789	(3,854,799)	33.1	74,680	(3,810,656)	32.6
District	163,624	(45,757,773)	35.7	81,805	(22,780,274)	35.7	81,819	(22,977,499)	35.8

*Unweighted percent.

Table 2.

Regional distribution of community health care services andoral health services utilization Unit: %

		Communityhealth care serviceutilization*	Oral health serviceutilization*
		Mean±SE	Mean±SE
	Total	26.02±.005	4.33±.004
254 Localgovernments	City	29.30±.009^a	3.75±.007^a
	Town	46.78±.018^b	7.22±.014^b
	District	20.62±.006^c	3.71±.006^c
17 Metropolitancities	Seoul	20.72±.010^a	4.05±.011^a
	Busan	24.86±.018^b	1.68±.011^b
	Daegu	20.21±.020^c	3.73±.021^c
	Incheon	20.77±.019^a	5.15±.023^d,e
	Gwangju	23.95±.029^d	4.74±.029^f
	Daejeon	19.07±.026^e	3.65±.028^c,g
	Ulsan	23.31±.032^f	2.29±.023^h
	Gyeonggi	21.27±.010^g	4.22±.010ⁱ
	Gangwon	38.21±.031^h	3.70±.019^c
	Chungbuk	32.67±.030ⁱ	4.96±.024^d,f
	Chungnam	37.26±.027^j	9.51±.027^j
	Jeonbuk	35.30±.028^k	3.29±.017^k
	Jeonnam	42.51±.028^l	5.32±.020^e
	Gyeongbuk	34.68±.023^m	4.75±.017^f
	Gyeongnam	35.50±.021^k	3.42±.013^g,k
	Jeju	32.93±.050ⁱ	5.91±.044^j
	Sejong^†	39.53±.170ⁿ	7.01±.141^l

Values are mean±standard error (%).*P<0.05 by one-way ANOVA, ^a-ndenoted by Scheffe’s test post-hocanalysis.^†Sejong City was added in 2012.

Table 3.

Community oral health services utilization according to demographic characteristics Unit : %

	Total		City		Town		District
	Communityhealth careserviceutilization	Oral health serviceutilization	Communityhealth careserviceutilization	Oral health serviceutilization	Communityhealth careserviceutilization	Oral health serviceutilization	Communityhealth careserviceutilization	Oral health serviceutilization
Sex^†§
Male	19.86±.006	4.37±.007	22.28±.011	3.75±.011	39.32±.025	7.42±.021	15.14±.008	3.57±.010
Female	32.05±.007	4.30±.005	36.30±.013	3.75±.009	54.17±.025	7.07±.018	25.93±.009	3.79±.008
Age (yrs)^‡
19-44	20.54±.006^a	3.89±.007^a	22.51±.011^a	3.56±.011^a	30.14±.027^a	6.90±.027^a	18.26±.008^a	3.52±.009^a
45-64	21.02±.008^b	3.93±.008^b	24.29±.014^b	3.47±.012^b	42.83±.030^b	6.88±.023^a	15.47±.009^b	2.97±.011^b
65-74	55.53±.018^c	5.26±.011^c	63.27±.031^c	4.09±.016^c	74.93±.040^c	7.75±.028^b	44.26±.026^c	5.03±.017^c
75≤	61.12±.024^d	5.19±.014^d	67.62±.039^d	4.48±.021^d	76.10±.046^d	7.50±.033^c	48.86±.037^d	4.27±.022^d
Education^‡
<Elementary	60.23±.028^a	5.28±.017^a	64.62±.044^a	4.29±.023^a	74.13±.048^a	7.27±.033^a	44.21±.049^a	4.30±.030^a
Elementary	47.25±.017^b	4.89±.011^b	51.23±.029^b	4.19±.016^b	66.16±.037^b	7.36±.025^a	35.55±.025^b	3.69±.016^b
Middle	32.49±.017^c	4.05±.013^c	35.54±.030^c	3.01±.018^c	51.73±.052^c	7.35±.038^a	26.04±.022^c	3.42±.018^c
High	22.61±.008^d	3.96±.008^d	24.53±.014^d	3.54±.012^d	36.10±.032^d	6.84±.028^b	19.16±.011^d	3.45±.011^c
College≤	19.31±.007^e	4.15±.008^e	21.94±.012^e	3.78±.012^e	29.74±.032^e	7.31±.033^a	17.15±.008^e	3.90±.010^d
Occupation^‡
Professional administrative	15.65±.011^a	4.39±.015^a	18.19±.021^a	4.13±.026^a	29.59±.061^a	8.68±.069^a	13.47±.012^a	3.83±.019^a
Office work	14.19±.012^b	5.09±.020^b	16.21±.022^b	5.18±.033^b	29.26±.063^b	7.81±.069^b	11.78±.014^b	4.39±.025^b
Sales and service	26.72±.013^c	2.55±.009^c	29.62±.024^c	2.57±.015^c	41.25±.054^c	6.31±.042^c	23.31±.016^c	1.72±.010^c
Agriculture, forestry, and fishery	56.84±.026^d	6.08±.017^d	53.12±.041^d	4.60±.024^d	62.51±.036^d	7.18±.024^d	34.61±.101^d	4.77±.077^d
Technical, labor, and unemployed	18.71±.010^e	3.67±.011^e	20.13±.017^e	3.17±.016^e	32.60±.040^e	6.88±.038^e	15.50±.012^e	3.02±.015^e
Others	33.61±.009^f	4.60±.007^f	38.64±.016^f	3.88±.010^f	52.40±.031^f	7.33±.023^d	27.96±.011^f	4.42±.009^b
Monthly income^‡
≥100	45.79±.015^a	5.43±.010^a	49.98±.025^a	4.24±.014^a	62.98±.032^a	7.67±.022^a	35.18±.021^a	4.98±.016^a
101-200	28.50±.012^b	4.10±.010^b	31.77±.021^b	3.61±.015^b	44.51±.039^b	6.56±.029^b	23.20±.015^b	3.54±.014^b
201-300	24.01±.011^c	3.63±.009^c	26.52±.018^c	3.41±.015^c	38.33±.041^c	6.29±.033^c	20.23±.013^c	3.02±.013^c
301-400	21.27±.013^d	3.80±.013^d	24.08±.022^d	3.18±.019^d	35.60±.059^d	6.55±.051^b	18.13±.015^d	3.72±.018^b
401≤	18.20±.008^e	4.26±.010^e	21.34±.016^e	4.05±.017^e	35.29±.044^e	8.50±.044^d	15.25±.010^e	3.56±.013^d
National basic livelihood security^‡
Yes	42.92±.030	9.32±.027	45.31±.052	8.03±.042	58.88±.080	10.96±.066	36.87±.041	9.64±.042
No	25.44±.005	4.04±.004	28.74±.009	3.52±.007	46.15±.018	6.97±.014	20.12±.006	3.38±.006

*Values are mean±standard error (%).†P<0.05 by Independent t-test.‡P<0.05 by one-way ANOVA, ^a-ndenoted by Scheffe’s test post-hoc analysis. ^§Oral health service utilization rate in cities by sex, P=0.544.

Table 4.

Community oral health services utilization according to oral and overall health status Unit : %

	Total		City		Town		District
	Communityhealth careserviceutilization	Oral health serviceutilization	Communityhealth careserviceutilization	Oral health serviceutilization	Communityhealth careserviceutilization	Oral health serviceutilization	Communityhealth careserviceutilization	Oral health serviceutilization
Subjective oral health status
Good	22.72±.006	4.08±.006	25.59±.010	3.58±.009	40.64±.023	7.15±.019	18.51±.007	3.49±.008
Poor	32.31±.009	4.67±.007	36.15±.016	3.97±.011	55.32±.028	7.28±.020	24.96±.011	4.05±.010
Chewing discomfort
Discomfort	37.56±.013	5.27±.010	41.41±.022	4.60±.015	60.79±.034	8.23±.025	28.64±.017	4.18±.014
No Discomfort	23.53±.005	4.01±.005	26.61±.009	3.46±.008	41.76±.021	6.69±.016	19.08±.006	3.58±.007
Brushing after lunch
Yes	24.41±.006	4.37±.006	27.59±.011	3.80±.009	42.74±.025	7.49±.020	20.13±.007	3.90±.008
No	28.54±.008	4.27±.007	31.87±.014	3.68±.010	51.01±.026	6.96±.018	21.45±.010	3.41±.010
Experience with oral examination
Yes	22.69±.008	5.90±.010	26.09±.015	5.50±.016	42.15±.040	10.87±.039	19.34±.010	5.21±.012
No	27.70±.006	3.68±.005	30.73±.011	3.09±.007	47.91±.020	6.43±.014	21.39±.008	2.90±.007
Experience with scaling
Yes	22.30±.008	6.05±.010	26.04±.016	5.60±.016	40.29±.039	10.86±.039	18.69±.010	5.33±.013
No	27.66±.006	3.71±.005	30.55±.010	3.14±.007	48.39±.020	6.44±.014	21.60±.007	2.99±.007
Unmet necessary dental needs
Yes	27.84±.010	4.71±.009	31.13±.018	4.22±.014	48.43±.038	8.58±.031	22.90±.013	3.84±.012
No	25.44±.006	4.20±.005	28.74±.010	3.60±.008	46.30±.020	6.81±.015	19.87±.007	3.67±.007
Subjective health status
Good	23.41±.005	4.07±.005	26.33±.009	3.53±.008	41.49±.020	6.90±.016	19.06±.006	3.57±.007
Poor	40.83±.014	5.19±.010	45.08±.024	4.42±.015	64.38±.036	7.90±.025	30.90±.019	4.31±.015
Suffers from hypertension
Yes	39.22±.013	4.73±.009	44.57±.023	3.86±.013	65.36±.036	7.27±.024	29.70±.017	4.24±.014
No	23.26±.005	4.19±.005	26.10±.009	3.71±.008	41.23±.020	7.19±.017	18.85±.006	3.55±.007
Suffers from diabetes
Yes	38.64±.021	4.83±.015	43.50±.037	3.74±.022	61.72±.060	7.77±.042	30.10±.027	4.41±.022
No	25.14±.005	4.27±.005	28.29±.009	3.75±.007	45.36±.019	7.14±.014	20.00±.006	3.64±.006
Smoking
Yes	21.51±.007	4.22±.008	24.14±.013	3.77±.012	41.46±.028	7.32±.023	16.58±.009	3.33±.010
No	28.96±.007	4.38±.005	32.79±.012	3.74±.008	50.18±.023	7.16±.017	23.20±.008	3.89±.008
Drinking
Yes	22.48±.005	4.12±.005	25.17±.010	3.65±.008	41.01±.023	7.31±.019	18.47±.007	3.51±.007
No	35.49±.016	4.65±.012	40.55±.028	3.56±.017	55.59±.052	7.89±.038	28.61±.020	4.39±.017
Influenza vaccinations
Yes	41.52±.009	4.56±.006	48.38±.016	3.74±.009	68.22±.025	7.26±.017	31.21±.012	4.00±.009
No	17.82±.005	4.05±.006	19.18±.009	3.76±.010	29.56±.022	7.13±.023	15.43±.007	3.43±.008
Unmet medical needs
Yes	29.80±.014	5.29±.013	34.20±.026	4.87±.020	52.92±.050	9.70±.040	23.37±.017	3.95±.017
No	25.46±.005	4.16±.005	28.60±.009	3.56±.007	45.84±.019	6.78±.014	20.20±.006	3.67±.007

*Values are mean±standard error (%).†P<0.05 by Independent t-test.

TOOLS

Similar articles