Inequality in unmet dental care needs among South Korean adults

Kim, Nayoung; Kim, Chang-Yup; Shin, Hosung

doi:10.1186/s12903-017-0370-9

Cited by 39 publications

(69 citation statements)

References 34 publications

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“…Unmet dental care needs are problematic and are a global public health concern. Previous research on unmet dental care needs has suggested that age, race, and socioeconomic factors are barriers of dental care [ 4 , 5 ]. In particular, social determinants of health are thought to be the root cause of unmet dental care needs and medical problems [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, many places that do not offer dental coverage for adults with Medicaid force patients to rely on emergency departments for dental treatments which are not equipped to provide preventive and specialized dental care [ 7 ]. Provider discontinuity [ 9 ], income level, normative treatment needs, and self-reported oral health status [ 5 ] are other characteristics that have been found to be associated with people with unmet dental needs as well.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Intersection between Social Determinants of Health and Unmet Dental Care Needs Using Deep Learning

Hung

Hon

Ruiz‐Negrón

et al. 2020

IJERPH

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The goals of this study were to develop a risk prediction model in unmet dental care needs and to explore the intersection between social determinants of health and unmet dental care needs in the United States. Data from the 2016 Medical Expenditure Panel Survey were used for this study. A chi-squared test was used to examine the difference in social determinants of health between those with and without unmet dental needs. Machine learning was used to determine top predictors of unmet dental care needs and to build a risk prediction model to identify those with unmet dental care needs. Age was the most important predictor of unmet dental care needs. Other important predictors included income, family size, educational level, unmet medical needs, and emergency room visit charges. The risk prediction model of unmet dental care needs attained an accuracy of 82.6%, sensitivity of 77.8%, specificity of 87.4%, precision of 82.9%, and area under the curve of 0.918. Social determinants of health have a strong relationship with unmet dental care needs. The application of deep learning in artificial intelligence represents a significant innovation in dentistry and enables a major advancement in our understanding of unmet dental care needs on an individual level that has never been done before. This study presents promising findings and the results are expected to be useful in risk assessment of unmet dental care needs and can guide targeted intervention in the general population of the United States.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring the Intersection between Social Determinants of Health and Unmet Dental Care Needs Using Deep Learning

Hung

Hon

Ruiz‐Negrón

et al. 2020

IJERPH

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“…First, households with a female head have lower income levels and consequently, are less likely to pay for health services, especially expensive dental services. As shown in a study performed in Indonesia and a study by Kim et al in South Korea, due to economic difficulties, the chance of having unmet dental care needs is higher in women (40,41). Second, women are more interested in their health than men and they use preventive services more than dental care services (39).…”

Section: Discussionmentioning

confidence: 97%

Factors Affecting Demand and Utilization of Dental Services: Evidence from a Developing Country

et al. 2019

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Background: To achieve evidence-based policymaking to improve access to dental services and reduce inequality in the utilization of these services, the identification of effective factors on the use of dental services is essential. Objectives: Therefore, the present study was conducted to investigate the most important socioeconomic factors affecting the demand and utilization of dental services among households in Khorramabad, Iran. Methods: This cross-sectional study was performed among 500 households in Khorramabad city in 2017. The participants were selected using a randomized stratified sampling method. Logistic regression was used to determine the most important factors affecting the utilization of dental services and linear regression to examine income elasticity. To measure inequality among income groups, the concentration index was employed. Data analysis was performed using STATA-14 software and the inequality measurement was carried out using DASP-2.3 in STATA software. Results: The mean number of visits by the respondents was 2.78 ± 1.8. Income elasticity and concentration index for these services were estimated to be 0.31 and 0.207, respectively. Increasing household income, advancing age, higher education level of the head of the household, and having complementary insurance coverage (OR = 1.72) had positive relationships with the increased utilization of dental services. Also, a female head of the household (OR = 0.39) and increased household size (OR = 0.9) led to a reduction in the utilization of these services. Conclusions: Inequality is observed in the use of dental services between different socioeconomic groups. Therefore, health policymakers should implement interventions such as dental health insurance to reduce this inequality in such a way that inequalities between socioeconomic groups are reduced.

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“…The "Oral Health Questionnaire for Adults" has been used in national surveys in many countries 17,18 . We used the Serbian version of the questionnaire "Oral Health Questionnaire for Adults" in our study according to recommendations of WHO 4 .…”

Section: Discussionmentioning

confidence: 99%

The Serbian version of the „Oral Health Questionnaire for Adults“

et al. 2021

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Introduction/Aim: Oral health impact on the quality of life presents the increasing need in testing the individual's oral health and one of the entire population. The goal of the paper was to translate the index of "Oral Health Questionnaire for Adults" of the World Health Organization into the Serbian language and to check its reliability. Methods:This study has been designed as an observational, epidemiological study. Index of the "Oral Health Questionnaire for Adults" has been translated into the Serbian language. The classical theory of tests was used in data analysis. The characteristics assessed included internal consistency and construct validity. Results:A total of 1741 participants were included in this analysis. The mean age of the study group was 32.4 ± 9.7 years. In the last 12 months, problems which occurred frequently or very often regarding teeth and mouth were the following: difficult biting of food (6.2%), difficulty chewing (5.1%), difficult speech or difficult pronunciation of certain words (1.9%), dryness of the mouth (2.9%), the feeling of discomfort due to esthetic appearance of teeth (6.8%). The reliability of the "Oral Health Questionnaire for Adults" (items considering Oral health self-assessment) had high internal consistency (the Cronbach's  coefficient was 0.879). The Principal component analysis and Promax rotation revealed 1 factor with Eigenvalue exceeding 1, accounting for 54.3% of the total variance. Conclusion: A Serbian version of the "Oral Health Questionnaire for Adults", provides very useful and reliable information on the condition of oral health of the Serbian Armed Forces. Apstrakt Uvod/Cilj: Procena uticaja stanja oralnog zdravlja na kvalitet života, predstavlja sve veću potrebu u ispitivanju oralnog stanja pojedinaca, ali i cele populacije. Cilj rada bio je da se indeks "Upitnik za oralno zdravlje odraslih" Svetske Zdravstvene Organizacije prevede na srpski jezik uz proveru njegove pouzdanosti. Metode: U radu je primenjena opservaciona, epidemiološka studija. Indeks "Oral Health Questionnaire for Adults" preveden je na srpski jezik. Pri analizi podataka korišćena je 4 klasična teorija testova. Procenjene karakteristike uključuju unutrašnju konzistentnost i valjanost konstrukcije.Rezultati: U ovu analizu je uključeno ukupno 1741 ispitanika. Prosečna starost ispitivane grupe iznosila je 32,4 ± 9,7 god. U poslednjih 12 meseci od problema koji su se javljali često ili veoma često u vezi zuba i usta bili su: otežano odrgrizanje hrane (6,2%), otežano žvakanje (5,1%), otežan govor ili otežano izgovaranje pojedinih reči (1,9%), suvoća usta (2,9%), osećaj neprijatnosti usled estetskog izgleda zuba (6,8%). Pouzdanost "Upitnika za oralno zdravlje za odrasle" (stavke koje uzimaju u obzir samoocenjivanje oralnog zdravlja) imala je visoku unutrašnju konzistentnost (Cronbahov koeficijent je 0,879). Analiza glavnih komponenti i rotacija Promaks otkrili su 1 faktor sa Eigenvalueom većim od 1, što čini 54,3% ukupne varijanse.Zaključak: Srpska verzija upitnika "Upitnik za oralno zdravlje ...

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Inequality in unmet dental care needs among South Korean adults

Cited by 39 publications

References 34 publications

Exploring the Intersection between Social Determinants of Health and Unmet Dental Care Needs Using Deep Learning

Exploring the Intersection between Social Determinants of Health and Unmet Dental Care Needs Using Deep Learning

Factors Affecting Demand and Utilization of Dental Services: Evidence from a Developing Country

The Serbian version of the „Oral Health Questionnaire for Adults“

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