Unmet dental care needs of homeless adults in South Korea: Findings from a national survey

Che, Xianhua; Sohn, Minsung; Moon, Sungje; Park, Hee Jung

doi:10.1111/hsc.13521

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…These results are inconsistent with previous studies that reported economic hardship to be the primary concern among adults, particularly MA recipients. 24 , 25 MA is a government-funded system for providing healthcare benefits for low-income families who cannot pay the premium to NHI but desperately need medical care. Consequently, the UMNs of certain economically vulnerable groups are significantly more affected by finances such as income; therefore, there is a high probability of high rates of UMN before the pandemic but not during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 and Unmet Medical Needs for People With Chronic Diseases: A Cross-Sectional Study

Jung

Che²,

Park

2022

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Gaps between medical needs and health services accessibility are defined as unmet medical needs (UMN). Previous studies assessing UMNs during the coronavirus disease 2019 (COVID-19) pandemic did not account for factors such as the type of medical insurance or chronic disease. Therefore, this study investigated various factors, including medical insurance and chronic diseases, affecting self-reported UMN during the pandemic in Daejeon Metropolitan City, South Korea. This cross-sectional study was conducted using Daejeon Metropolitan City Health Surveys data from 2020. The weighted prevalence of UMN was estimated among participants (n = 1494) aged ≥18 years, while chi-squared and logistic models were used to assess the association between UMN and participant characteristics. The prevalence of UMN was 6.4% (n = 97). Female sex and low education levels were significantly associated with reporting UMN. Medical aid beneficiaries were less likely to report UMN than adults with National Health Programs coverage. Participants with chronic diseases, such as hypertension and arthritis, and those with depression, were more likely to report UMN than adults without these conditions. The findings highlight the need for targeted efforts to decrease UMN in the COVID-19 pandemic, especially for women and individuals with low education levels. The results also indicate that high-risk disease groups should be targeted with additional enabling services to support the management of chronic conditions.

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Section: Discussionmentioning

confidence: 99%

COVID-19 and Unmet Medical Needs for People With Chronic Diseases: A Cross-Sectional Study

Jung

Che²,

Park

2022

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“…미충족 치과의료를 경험하는 집단의 규모와 그 원인을 파악하는 것은 치과의료 접근성을 강화하는 데 도움이 될 뿐만 아니라 10) 실효성 있는 보건의료정책을 수립하는 데 매우 유용하다 11) . 기존 선행연구에 서 밝혀진 미충족 치과의료에 영향을 미치는 관련 요인은 인구학적 특 성(성별, 연령), 사회경제적 특성(고용상태, 교육수준, 혼인상태, 소득 수준), 건강 관련 특성(주관적 구강건강상태, 저작불편 유무, 주관적 스 트레스) 등이었다 8,[10][11][12][13][14][15][16] . 보건의료 취약계층과 관련하여 Che 등 15) 12,15,16) , 임신부를 대상으로 한 관련 국외 연구는 활발히 진행되었 음을 확인하였다 13,21) .…”

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“…기존 선행연구에 서 밝혀진 미충족 치과의료에 영향을 미치는 관련 요인은 인구학적 특 성(성별, 연령), 사회경제적 특성(고용상태, 교육수준, 혼인상태, 소득 수준), 건강 관련 특성(주관적 구강건강상태, 저작불편 유무, 주관적 스 트레스) 등이었다 8,[10][11][12][13][14][15][16] . 보건의료 취약계층과 관련하여 Che 등 15) 12,15,16) , 임신부를 대상으로 한 관련 국외 연구는 활발히 진행되었 음을 확인하였다 13,21) . 국내의 경우 임산부의 구강건강에 대한 인지도 및 실천도를 파악하기 위해 임신 중 치과 치료와 구강보건교육 경험 현황을 살펴본 연구는 다수 존재하였으나 6,7)…”

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Unmet dental care needs and related factors among pregnant women: analysis based on data from 2019 Korean Community Health Survey

Sun,

Park,

Lee

2023

J Korean Acad Oral Health

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Objectives: This study aims to identify the factors affecting unmet dental care needs in pregnant women in Korea, and analyze the results. Methods:The study used original data from the 2019 Community Health Survey. A total of 1,146 women who were pregnant at the time were selected as the final subjects for analysis. Complex sample logistic regression analysis was conducted to understand the factors contributing to unmet dental care needs. Results: Among the subjects, 16.3% reported experiencing unmet dental care needs. The main reasons were a lack of time, other reason (pregnancy, bother to go) and minor symptoms. This study found that age and marital status as predisposing factors, number of household members as enabling factors, and subjective oral health status, chewing difficulties, tooth brushing frequency, and subjective stress levels as need factors significantly impacted the experience of unmet dental care needs. Conclusions: Customized oral health education for pregnant women is crucial to raise awareness about its significance. Considering that pregnant women may be single-person households or face challenges in visiting the dentist alone, it is necessary to establish a medical delivery system that facilitates access to medical treatment. Furthermore, policy efforts should be directed toward reducing unmet dental care needs among pregnant women.

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Oral Health Epidemiological Investigation in an Urban Homeless Population

Lione,

Ralli,

De Razza

et al. 2024

Dentistry Journal

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The purpose of this clinical epidemiological investigation was to examine the oral health conditions of homeless people in the city of Rome, Italy. A total of 157 homeless subjects were subjected to a first dental visit, during which anamnestic information was recorded in a digital medical record. A diagnosis of dental disorders was performed by assessing oral hygiene conditions, periodontal health, the presence of caries and/or root residues, and the presence of partial and/or total edentulousness. Caries and missing teeth were evaluated by the DMFT index. The first major criticality was represented by poor or absent oral hygiene. The examined sample showed a major percentage of high DMFT (63.0%); the most common clinical condition was the presence of numerous root residues. Regarding periodontal health, 73.2% of patients had gingivitis, 21.6% periodontitis, while 11 patients had periodontal pathologies with tooth mobility (7%). Finally, 8.9% of patients had one or two missing elements, 22.9% had partial edentulousness, and 8.9% of the sample had total edentulism. This analysis provides an important basis for strengthening health promotion and the importance of accessible and effective care for this population. It will therefore be necessary to continue to adopt a patient-centered approach geared towards addressing the demands that this population faces in maintaining their oral health.

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Unmet dental care needs of homeless adults in South Korea: Findings from a national survey

Cited by 3 publications

References 34 publications

COVID-19 and Unmet Medical Needs for People With Chronic Diseases: A Cross-Sectional Study

COVID-19 and Unmet Medical Needs for People With Chronic Diseases: A Cross-Sectional Study

Unmet dental care needs and related factors among pregnant women: analysis based on data from 2019 Korean Community Health Survey

Oral Health Epidemiological Investigation in an Urban Homeless Population

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