Association between socioeconomic status and oral health behaviors: The 2008-2010 Korea national health and nutrition examination survey

Park,Jun‑Beom; Han,Kyungdo; Park,Yong‑Gyu; Ko,Youngkyung

doi:10.3892/etm.2016.3679

Association between socioeconomic status and oral health behaviors: The 2008-2010 Korea national health and nutrition examination survey

Authors:
- Jun‑Beom Park
- Kyungdo Han
- Yong‑Gyu Park
- Youngkyung Ko
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Affiliations: Department of Periodontics, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea, Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Published online on: September 6, 2016 https://doi.org/10.3892/etm.2016.3679
Pages: 2657-2664

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Abstract

Socioeconomic status (SES) has been reported to be associated with oral health behavior. Therefore, the present study was conducted to assess the relationship between SES and oral health behaviors in a large sample of the Korean population. Data from the Korea National Health and Nutrition Examination Survey, which was conducted between 2008 and 2010 by the Division of Chronic Disease Surveillance under the Korea Centers for Disease Control and Prevention and the Korean Ministry of Health and Welfare, were used in the present study. Daily tooth brushing frequency and the use of secondary oral products according to demographic variables and anthropometric characteristics of the participants were assessed. Multivariate logistic regression analyses were used to analyze the associations between daily tooth brushing frequency and the use of secondary oral products, and SES, urban/rural residence, body mass index (BMI), alcohol intake and smoking. An association between SES and tooth brushing frequency and the use of secondary oral products was detected after adjustment. Following adjustment for age, gender, BMI, smoking, drinking, exercise, energy intake, fat intake, periodontal treatment needs and education or income, the adjusted odds ratios and 95% confidence intervals (CI) of tooth brushing ≥3 per day in the highest income group were 1.264 (95% CI, 1.094‑1.460) and 2.686 (95% CI, 2.286-3.155) for highest education level group. The adjusted odds ratios for the use of secondary oral products in the highest income and highest education groups were 1.835 (95% CI, 1.559‑2.161) and 5.736 (95% CI, 4.734-6.951), respectively, after adjustment for age, gender, smoking, BMI, exercise, calorie intake, periodontal treatment requirements or income. The present study demonstrated an association between SES and oral health behaviors in a large sample of the Korean population. Within the limits of the present study, income and education were suggested as potential risk indicators for oral health behaviors; therefore, patients with a low SES should be investigated further, in relation to oral health.

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1	Jin LJ, Lamster IB, Greenspan JS, Pitts NB, Scully C and Warnakulasuriya S: Global burden of oral diseases: Emerging concepts, management and interplay with systemic health. Oral Dis. 2015.
2	Linden GJ, Lyons A and Scannapieco FA: Periodontal systemic associations: Review of the evidence. J Clin Periodontol. 40(Suppl)14:S8–19. 2013. View Article : Google Scholar : PubMed/NCBI
3	Singh A, Rouxel P, Watt RG and Tsakos G: Social inequalities in clustering of oral health related behaviors in a national sample of British adults. Prev Med. 57:102–106. 2013. View Article : Google Scholar : PubMed/NCBI
4	Espinoza I, Thomson WM, Gamonal J and Arteaga O: Disparities in aspects of oral-health-related quality of life among Chilean adults. Community Dent Oral Epidemiol. 41:242–250. 2013. View Article : Google Scholar : PubMed/NCBI
5	Astrom AN, Haugejorden O, Skaret E, Trovik TA and Klock KS: Oral Impacts on daily performance in norwegian adults: The influence of age, number of missing teeth, and socio-demographic factors. Eur J Oral Sci. 114:115–121. 2006. View Article : Google Scholar : PubMed/NCBI
6	Thomson WM: Social inequality in oral health. Community Dent Oral Epidemiol. 40 Suppl 2:S28–S32. 2012. View Article : Google Scholar
7	Paula JS, Ambrosano GM and Mialhe FL: The impact of social determinants on schoolchildren';s oral health in Brazil. Braz Oral Res. 29:1–9. 2015. View Article : Google Scholar : PubMed/NCBI
8	Wennstrom A, Ahlqwist M, Stenman U, Bjorkelund C and Hakeberg M: Trends in tooth loss in relation to socio-economic status among Swedish women, aged 38 and 50 years: Repeated cross-sectional surveys 1968-2004. BMC Oral Health. 13:632013. View Article : Google Scholar : PubMed/NCBI
9	Paganini-Hill A, White SC and Atchison KA: Dental health behaviors, dentition, and mortality in the elderly: the leisure world cohort study. J Aging Res. 2011:1560612011. View Article : Google Scholar : PubMed/NCBI
10	Hayasaka K, Tomata Y, Aida J, Watanabe T, Kakizaki M and Tsuji I: Tooth loss and mortality in elderly Japanese adults: Effect of oral care. J Am Geriatr Soc. 61:815–820. 2013. View Article : Google Scholar : PubMed/NCBI
11	Kim DW, Park JC, Rim TT, Jung UW, Kim CS, Donos N, Cha IH and Choi SH: Socioeconomic disparities of periodontitis in Koreans based on the KNHANES IV. Oral Dis. 20:551–559. 2014. View Article : Google Scholar : PubMed/NCBI
12	Kim YH, Cho KH, Choi YS, Kim SM, Nam GE, Lee SH, Ko BJ, Park YG, Han KD, Lee KS and Kim DH: Low bone mineral density is associated with metabolic syndrome in South Korean men but not in women: The 2008-2010 Korean national health and nutrition examination survey. Arch Osteoporos. 8:1422013. View Article : Google Scholar : PubMed/NCBI
13	Korea Center for Disease Control and Prevention, . Korea National Health and Nutrition Examination Survey. 2008, http://knhanes.cdc.go.kr
14	Nam GE, Cho KH, Park YG, Han KD, Choi YS, Kim SM, Lee KS, Ko BJ, Kim YH, Han BD and Kim do H: Socioeconomic status and dyslipidemia in Korean adults: The 2008-2010 Korea national health and nutrition examination survey. Prev Med. 57:304–309. 2013. View Article : Google Scholar : PubMed/NCBI
15	Kim YH, Kim DH, Lim KS, Ko BJ, Han BD, Nam GE, Park YG, Han KD, Kim JH and Cho KH: Oral health behaviors and metabolic syndrome: The 2008-2010 Korean national health and nutrition examination survey. Clin Oral Investig. 18:1517–1524. 2014. View Article : Google Scholar : PubMed/NCBI
16	Oh JY, Yang YJ, Kim BS and Kang JH: Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine. 28:532–541. 2007.
17	Lee K: Body composition and vitamin D status: The Korea national health and nutrition examination survey IV (KNHANES IV). J Hum Nutr Diet. 26 Suppl 1:S105–S113. 2013. View Article : Google Scholar
18	Kim DW, Song S, Lee JE, Oh K, Shim J, Kweon S, Paik HY and Joung H: Reproducibility and validity of an FFQ developed for the Korea National Health and Nutrition Examination Survey (KNHANES). Public Health Nutr. 18:1369–1377. 2015. View Article : Google Scholar : PubMed/NCBI
19	Nam GE, Kim do H, Cho KH, Park YG, Han KD, Choi YS, Kim SM, Ko BJ, Kim YH and Lee KS: Estimate of a predictive cut-off value for serum 25-hydroxyvitamin D reflecting abdominal obesity in Korean adolescents. Nutr Res. 32:395–402. 2012. View Article : Google Scholar : PubMed/NCBI
20	Susin C, Kingman A and Albandar JM: Effect of partial recording protocols on estimates of prevalence of periodontal disease. J Periodontol. 76:262–267. 2005. View Article : Google Scholar : PubMed/NCBI
21	Kingman A, Susin C and Albandar JM: Effect of partial recording protocols on severity estimates of periodontal disease. J Clin Periodontol. 35:659–667. 2008. View Article : Google Scholar : PubMed/NCBI
22	Kim EJ, Jin BH and Bae KH: Periodontitis and obesity: A study of the fourth Korean national health and nutrition examination survey. J Periodontol. 82:533–542. 2011. View Article : Google Scholar : PubMed/NCBI
23	Lee JB, Yi HY and Bae KH: The association between periodontitis and dyslipidemia based on the fourth Korea national health and nutrition examination survey. J Clin Periodontol. 40:437–442. 2013. View Article : Google Scholar : PubMed/NCBI
24	Kim HY, Kim Y, Hwang JM and Park YD: Oral health behaviours according to demographic characteristics in Korean adolescents: A national representative sample. Int Dent J. 61:168–173. 2011. View Article : Google Scholar : PubMed/NCBI
25	Hill KB, Chadwick B, Freeman R, O'Sullivan I and Murray JJ: Adult dental health survey 2009: Relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care. Br Dent J. 214:25–32. 2013. View Article : Google Scholar : PubMed/NCBI
26	Gibson S and Williams S: Dental caries in pre-school children: Associations with social class, toothbrushing habit and consumption of sugars and sugar-containing foods. Further analysis of data from the national diet and nutrition survey of children aged 1.5-4.5 years. Caries Res. 33:101–113. 1999.
27	Freire MC, Sheiham A and Hardy R: Adolescents' sense of coherence, oral health status, and oral health-related behaviours. Community Dent Oral Epidemiol. 29:204–212. 2001. View Article : Google Scholar : PubMed/NCBI
28	Armfield JM, Mejia GC and Jamieson LM: Socioeconomic and psychosocial correlates of oral health. Int Dent J. 63:202–209. 2013. View Article : Google Scholar : PubMed/NCBI
29	Jiang Y, Okoro CA, Oh J and Fuller DL: Sociodemographic and health-related risk factors associated with tooth loss among adults in Rhode Island. Prev Chronic Dis. 10:E452013. View Article : Google Scholar : PubMed/NCBI
30	Bayat F, Vehkalahti MM, Zafarmand AH and Tala H: Impact of insurance scheme on adults' dental check-ups in a developing oral health care system. Eur J Dent. 2:3–10. 2008.PubMed/NCBI
31	Kiyak HA and Reichmuth M: Barriers to and enablers of older adults' use of dental services. J Dent Educ. 69:975–986. 2005.PubMed/NCBI
32	Casanova-Rosado AJ, Medina-Solis CE, Casanova-Rosado JF, Vallejos-Sánchez AA, Maupomé G and Avila-Burgos L: Dental caries and associated factors in Mexican schoolchildren aged 6-13 years. Acta Odontol Scand. 63:245–251. 2005. View Article : Google Scholar : PubMed/NCBI
33	Geyer S, Schneller T and Micheelis W: Social gradients and cumulative effects of income and education on dental health in the fourth german oral health study. Community Dent Oral Epidemiol. 38:120–128. 2010. View Article : Google Scholar : PubMed/NCBI