Skip to main content
Top
Published in: International Journal for Equity in Health 1/2016

Open Access 01-12-2016 | Research

Disparities in the experience and treatment of dental caries among children aged 9–18 years: the cross-sectional study of Korean National Health and Nutrition Examination Survey (2012–2013)

Authors: Juyeong Kim, Young Choi, Sohee Park, Jeong Lim Kim, Tae-Hoon Lee, Kyoung Hee Cho, Eun-Cheol Park

Published in: International Journal for Equity in Health | Issue 1/2016

Login to get access

Abstract

Background

The aim of this study is to examine the association between parental socioeconomic status (SES) and the experience as well as treatment of dental caries among children aged 9 to 18 years.

Methods

Data from 1253 children aged 9–18 years from the Korean National Health and Nutrition Examination Survey (2012–2013) were analyzed. Parental socioeconomic status was measured using household income level and maternal educational level. The decayed, missing, and filled teeth (DMFT) index was used to measure experience of dental caries (DMFT ≥ 1). Non-treatment of dental caries was measured according to whether the participants who experienced dental caries used a dental service at a dental clinic to treat caries during the previous year. Logistic regression was used to investigate the association between parental socioeconomic status and the experience of dental caries as well as the association between parental socioeconomic status and the non-treatment of dental caries among children that have experienced caries.

Results

A total of 808 subjects (64.5 %) experienced dental caries among 1253 participants, and 582 of these 808 subjects (72.0 %) did not receive treatment among those having experience of dental caries. Parental socioeconomic status was not associated with experience of dental caries. However, those from low- and middle-income households were less likely to receive treatment than those from high-income households (odds ratio [OR] 2.11 [95 % confidence interval (CI) 1.16–3.86], OR 2.14 [95 % CI 1.27–3.62]). In particular, those from low- and middle-income households who had regular dental checkups were more likely to have untreated caries than those from high-income households (OR 3.58 [95 % CI 1.25–10.24]).

Conclusions

This study demonstrates the parental household income–related disparities in children’s dental health treatment. Efforts should be made to lower financial barriers to dental health services, particularly among those from low-income households, in order to reduce dental health disparities in the treatment of caries in children.
Literature
2.
go back to reference Geyer S, Schneller T, 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. 2010;38(2):120–8.CrossRefPubMed Geyer S, Schneller T, 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. 2010;38(2):120–8.CrossRefPubMed
3.
go back to reference Choi Y, Lee S. Does regional socioeconomic context affect the dental caries experience? A multilevel study of Korean adults. Eur J Oral Sci. 2011;119(4):294–300.CrossRefPubMed Choi Y, Lee S. Does regional socioeconomic context affect the dental caries experience? A multilevel study of Korean adults. Eur J Oral Sci. 2011;119(4):294–300.CrossRefPubMed
4.
go back to reference Statistics. FIFoCaF: America’s children: key national indicators of well-being, 2009. In: 2009: Federal Interagency Forum on Child and Family Statistics; 2009. Statistics. FIFoCaF: America’s children: key national indicators of well-being, 2009. In: 2009: Federal Interagency Forum on Child and Family Statistics; 2009.
5.
go back to reference Edelstein BL. Disparities in oral health and access to care: findings of national surveys. Ambul Pediatr. 2002;2(2):141–7.CrossRefPubMed Edelstein BL. Disparities in oral health and access to care: findings of national surveys. Ambul Pediatr. 2002;2(2):141–7.CrossRefPubMed
6.
go back to reference Sabbah W, Tsakos G, Chandola T, Sheiham A, Watt R. Social gradients in oral and general health. J Dent Res. 2007;86(10):992–6.CrossRefPubMed Sabbah W, Tsakos G, Chandola T, Sheiham A, Watt R. Social gradients in oral and general health. J Dent Res. 2007;86(10):992–6.CrossRefPubMed
7.
go back to reference Wamala S, Merlo J, Boström G. Inequity in access to dental care services explains current socioeconomic disparities in oral health: the Swedish National Surveys of Public Health 2004–2005. J Epidemiol Community Health. 2006;60(12):1027–33.CrossRefPubMedPubMedCentral Wamala S, Merlo J, Boström G. Inequity in access to dental care services explains current socioeconomic disparities in oral health: the Swedish National Surveys of Public Health 2004–2005. J Epidemiol Community Health. 2006;60(12):1027–33.CrossRefPubMedPubMedCentral
8.
go back to reference Iecovich E, Carmel S. Differences in accessibility, affordability, and availability (AAA) of medical specialists among three age-groups of elderly people in Israel. J Aging Health. 2009;21(5):776–97.CrossRefPubMed Iecovich E, Carmel S. Differences in accessibility, affordability, and availability (AAA) of medical specialists among three age-groups of elderly people in Israel. J Aging Health. 2009;21(5):776–97.CrossRefPubMed
9.
go back to reference Centers for Disease Control and Prevention (CDC). Untreated dental caries (cavities) in children ages 2–19, United States. 2011. p. 9. Centers for Disease Control and Prevention (CDC). Untreated dental caries (cavities) in children ages 2–19, United States. 2011. p. 9.
10.
go back to reference Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America’s children. Acad Pediatr. 2009;9(6):415–9.CrossRefPubMed Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America’s children. Acad Pediatr. 2009;9(6):415–9.CrossRefPubMed
11.
go back to reference Reisine ST, Psoter W. Socioeconomic status and selected behavioral determinants as risk factors for dental caries. J Dent Educ. 2001;65(10):1009–16.PubMed Reisine ST, Psoter W. Socioeconomic status and selected behavioral determinants as risk factors for dental caries. J Dent Educ. 2001;65(10):1009–16.PubMed
12.
go back to reference Peres MA, Peres KG, de Barros AJD, Victora CG. The relation between family socioeconomic trajectories from childhood to adolescence and dental caries and associated oral behaviours. J Epidemiol Community Health. 2007;61(2):141–5.CrossRefPubMedPubMedCentral Peres MA, Peres KG, de Barros AJD, Victora CG. The relation between family socioeconomic trajectories from childhood to adolescence and dental caries and associated oral behaviours. J Epidemiol Community Health. 2007;61(2):141–5.CrossRefPubMedPubMedCentral
13.
go back to reference Sheiham A, Alexander D, Cohen L, Marinho V, Moyses S, Petersen PE, Spencer J, Watt RG, Weyant R. Global oral health inequalities: task group--implementation and delivery of oral health strategies. Adv Dent Res. 2011;23(2):259–67.CrossRefPubMed Sheiham A, Alexander D, Cohen L, Marinho V, Moyses S, Petersen PE, Spencer J, Watt RG, Weyant R. Global oral health inequalities: task group--implementation and delivery of oral health strategies. Adv Dent Res. 2011;23(2):259–67.CrossRefPubMed
14.
go back to reference US Department of Health Human Services. Oral health in America: a report of the Surgeon General. J Calif Dent Assoc. 2000;63:74–94. US Department of Health Human Services. Oral health in America: a report of the Surgeon General. J Calif Dent Assoc. 2000;63:74–94.
15.
go back to reference Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116(1):37–43.CrossRefPubMed Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116(1):37–43.CrossRefPubMed
16.
go back to reference Moore KA, Redd Z, Burkhauser M, Mbwana K, Collins A. Children in poverty: Trends, consequences and policy options: Child Trends. 2002. Moore KA, Redd Z, Burkhauser M, Mbwana K, Collins A. Children in poverty: Trends, consequences and policy options: Child Trends. 2002.
17.
go back to reference Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661–9.PubMedPubMedCentral Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661–9.PubMedPubMedCentral
18.
go back to reference Dye BA, Tan S, Smith V, Lewis B, Barker L, Thornton-Evans G, Eke P, Beltrán-Aguilar E, Horowitz A, Li C. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat. 2007;11(248):1–92. Dye BA, Tan S, Smith V, Lewis B, Barker L, Thornton-Evans G, Eke P, Beltrán-Aguilar E, Horowitz A, Li C. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat. 2007;11(248):1–92.
19.
go back to reference Shin B, Jung S. Socio-economic inequalities in dental caries in Korea. J Korean Acad Oral Health. 2012;36(2):144–52. Shin B, Jung S. Socio-economic inequalities in dental caries in Korea. J Korean Acad Oral Health. 2012;36(2):144–52.
20.
go back to reference Sufia S, Khan AA, Chaudhry S. Maternal factors and Child’s dental health. J Oral Health Comm Dent. 2009;3(3):45–8. Sufia S, Khan AA, Chaudhry S. Maternal factors and Child’s dental health. J Oral Health Comm Dent. 2009;3(3):45–8.
21.
22.
go back to reference Kinirons M, McCabe M. Familial and maternal factors affecting the dental health and dental attendance of preschool children. Community Dent Health. 1995;12(4):226–9.PubMed Kinirons M, McCabe M. Familial and maternal factors affecting the dental health and dental attendance of preschool children. Community Dent Health. 1995;12(4):226–9.PubMed
23.
go back to reference Oh K, Lee J, Lee B, Kweon S, Lee Y, Kim Y. Plan and operation of the 4th Korea national health and nutrition examination survey (KNHANES IV). Korean J Epidemiol. 2007;29(2):139–45. Oh K, Lee J, Lee B, Kweon S, Lee Y, Kim Y. Plan and operation of the 4th Korea national health and nutrition examination survey (KNHANES IV). Korean J Epidemiol. 2007;29(2):139–45.
24.
go back to reference World Health Organization: Oral Health Survey: Basic Method. In.; 1992. World Health Organization: Oral Health Survey: Basic Method. In.; 1992.
25.
go back to reference Böhning D, Dietz E, Schlattmann P, Mendonca L, Kirchner U. The zero‐inflated Poisson model and the decayed, missing and filled teeth index in dental epidemiology. J R Stat Soc Ser A Stat Soc. 1999;162(2):195–209.CrossRef Böhning D, Dietz E, Schlattmann P, Mendonca L, Kirchner U. The zero‐inflated Poisson model and the decayed, missing and filled teeth index in dental epidemiology. J R Stat Soc Ser A Stat Soc. 1999;162(2):195–209.CrossRef
26.
go back to reference Han DH, Kim DH, Kim MJ, Kim JB, Jung‐Choi K, Bae KH. Regular dental checkup and snack–soda drink consumption of preschool children are associated with early childhood caries in Korean caregiver/preschool children dyads. Community Dent Oral Epidemiol. 2014;42(1):70–8.CrossRefPubMed Han DH, Kim DH, Kim MJ, Kim JB, Jung‐Choi K, Bae KH. Regular dental checkup and snack–soda drink consumption of preschool children are associated with early childhood caries in Korean caregiver/preschool children dyads. Community Dent Oral Epidemiol. 2014;42(1):70–8.CrossRefPubMed
27.
go back to reference Correa MB, Peres MA, Peres KG, Horta BL, Barros AJ, Demarco FF. Do socioeconomic determinants affect the quality of posterior dental restorations? A multilevel approach. J Dent. 2013;41(11):960–7.CrossRefPubMed Correa MB, Peres MA, Peres KG, Horta BL, Barros AJ, Demarco FF. Do socioeconomic determinants affect the quality of posterior dental restorations? A multilevel approach. J Dent. 2013;41(11):960–7.CrossRefPubMed
28.
go back to reference Engelmann J, Tomazoni F, Oliveira M, Ardenghi T. Association between Dental Caries and Socioeconomic Factors in Schoolchildren-A Multilevel Analysis. Braz Dent J. 2016;27(1):72–8.CrossRefPubMed Engelmann J, Tomazoni F, Oliveira M, Ardenghi T. Association between Dental Caries and Socioeconomic Factors in Schoolchildren-A Multilevel Analysis. Braz Dent J. 2016;27(1):72–8.CrossRefPubMed
29.
go back to reference Tanaka K, Miyake Y, Sasaki S, Hirota Y. Socioeconomic status and risk of dental caries in Japanese preschool children: The Osaka Maternal and child health study. J Public Health Dent. 2013;73(3):217–23.CrossRefPubMed Tanaka K, Miyake Y, Sasaki S, Hirota Y. Socioeconomic status and risk of dental caries in Japanese preschool children: The Osaka Maternal and child health study. J Public Health Dent. 2013;73(3):217–23.CrossRefPubMed
30.
go back to reference Federal Interagency Forum on Child and Family Statistics. America's children: key national indicators of well-being 2000. Washington (DC): United States Government Printing Office; 2000. Federal Interagency Forum on Child and Family Statistics. America's children: key national indicators of well-being 2000. Washington (DC): United States Government Printing Office; 2000.
31.
go back to reference Ahn ES, Han JH. Measure of Unmet Dental Care Needs among Korean Adolescent. J Dent Hyg Sci. 2015;15(2):91–7.CrossRef Ahn ES, Han JH. Measure of Unmet Dental Care Needs among Korean Adolescent. J Dent Hyg Sci. 2015;15(2):91–7.CrossRef
32.
go back to reference Kim S, Huh S. Financial burden of health care expenditures and unmet needs by socioeconomic status. Korean Health Econ Rev. 2011;17(1):47–70. Kim S, Huh S. Financial burden of health care expenditures and unmet needs by socioeconomic status. Korean Health Econ Rev. 2011;17(1):47–70.
33.
go back to reference Jeong H. Korea’s National Health Insurance—lessons from the past three decades. Health Affairs. 2011;30(1):136–44.CrossRefPubMed Jeong H. Korea’s National Health Insurance—lessons from the past three decades. Health Affairs. 2011;30(1):136–44.CrossRefPubMed
34.
go back to reference Locker D, Quiñonez C, Maggirias J. Assessing income, dental insurance, and cost barriers to dental care. J Dent Res. 2009;88(Special Issue A):0650. Locker D, Quiñonez C, Maggirias J. Assessing income, dental insurance, and cost barriers to dental care. J Dent Res. 2009;88(Special Issue A):0650.
35.
go back to reference Jeon JE, Chung WG, Kim NH. The reason of unmet dental need related socioeconomic status in Korea: Using the 4th Korea National Health and Nutritional Examination Survey. J Korean Acad Oral Health. 2012;36(1):73–81. Jeon JE, Chung WG, Kim NH. The reason of unmet dental need related socioeconomic status in Korea: Using the 4th Korea National Health and Nutritional Examination Survey. J Korean Acad Oral Health. 2012;36(1):73–81.
36.
go back to reference Sabbah W, Tsakos G, Sheiham A, Watt RG. The role of health-related behaviors in the socioeconomic disparities in oral health. Soc Sci Med. 2009;68(2):298–303.CrossRefPubMed Sabbah W, Tsakos G, Sheiham A, Watt RG. The role of health-related behaviors in the socioeconomic disparities in oral health. Soc Sci Med. 2009;68(2):298–303.CrossRefPubMed
37.
go back to reference Bedos C, Levine A, Brodeur J-M. How people on social assistance perceive, experience, and improve oral health. J Dent Res. 2009;88(7):653–7.CrossRefPubMed Bedos C, Levine A, Brodeur J-M. How people on social assistance perceive, experience, and improve oral health. J Dent Res. 2009;88(7):653–7.CrossRefPubMed
38.
go back to reference Irigoyen ME, Maupome G, Mejia A. Caries experience and treatment needs in a 6-to 12-year-old urban population in relation to socio-economic status. Community Dent Health. 1999;16(4):245–9.PubMed Irigoyen ME, Maupome G, Mejia A. Caries experience and treatment needs in a 6-to 12-year-old urban population in relation to socio-economic status. Community Dent Health. 1999;16(4):245–9.PubMed
40.
go back to reference American Academy of Pediatric Dentistry. American Academy of Pediatric Dentistry Council on Clinical Affairs Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2006;27(7 Suppl):31–43. American Academy of Pediatric Dentistry. American Academy of Pediatric Dentistry Council on Clinical Affairs Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2006;27(7 Suppl):31–43.
41.
go back to reference Shin H, Kim HD. Income related inequality of dental care utilization in Korea. Health Soc Welf Rev. 2006;26(1):69–93. Shin H, Kim HD. Income related inequality of dental care utilization in Korea. Health Soc Welf Rev. 2006;26(1):69–93.
Metadata
Title
Disparities in the experience and treatment of dental caries among children aged 9–18 years: the cross-sectional study of Korean National Health and Nutrition Examination Survey (2012–2013)
Authors
Juyeong Kim
Young Choi
Sohee Park
Jeong Lim Kim
Tae-Hoon Lee
Kyoung Hee Cho
Eun-Cheol Park
Publication date
01-12-2016
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2016
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-016-0377-x

Other articles of this Issue 1/2016

International Journal for Equity in Health 1/2016 Go to the issue