JKAOH Journal of Korean Academy of Oral Health

ISSN(Print) 1225-388X ISSN(Online) 2093-7784

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Original Article

Journal of Korean Academy of Oral Health 2018; 42(4): 145-151

Published online December 30, 2018 https://doi.org/10.11149/jkaoh.2018.42.4.145

Copyright © Journal of Korean Academy of Oral Health.

Factors affecting regional disparities in the number of teeth sealed with pit and fissure sealants: information for the National Health Insurance

Jin Sun Choi, Se Hwan Jung

Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University, Research Institute of Oral Science, Gangneung, Korea

Received: August 17, 2018; Revised: October 15, 2018; Accepted: October 15, 2018

Abstract

Objectives: The purpose of this study was to interpret regional disparities in the number of teeth sealed with pit and fissure sealants, identify the factors that affect these disparities and find solutions for the same.Methods: Data were collected from the National Health Insurance Service and Korean statistical information service using metropolis-city-rural area dental health infrastructure variables, regional health behavior variables, and local finance-related variables.Results: In 2015, the number of teeth sealed with pit and fissure sealants per 100 people was higher in the metropolis or city than in the rural area. There was a positive correlation between the number of teeth sealed with pit and fissure sealants and the number of dentists, dental hygienists, dental institutions, standardization rate of subjective awareness of well-being, standardization rate of brushing after lunch, and the proportion of welfare budget in the general budget. There was a negative correlation with the annual standardization rate of health institution use, the standardization rate of unused medical services, and the local government’s financial independence. According to the final model of the multiple regression analysis, while the impact of infrastructure on dentistry was not statistically significant, the statistical significance of standardization rate of brushing after lunch, the local government’s financial independence, and the proportion of welfare budget in the general budget were maintained.Conclusions: To reduce regional disparities in the volume of use of pit and fissure sealants, it was concluded that it may be effective to select regions with a consideration of the level of regional economic power, implement separate and appropriate policies and projects, and improve the awareness in residents.

Keywords: Factors affecting regional disparities, Pit and fissure sealants, Regional disparities