Department of Dental Hygiene, College of Dentistry, Gangneung Wonju National University, Gangneung-si 25457, Korea.
Research Institute of Oral Science, Gangneung Wonju National University, Gangneung-si 25457, Korea.
Int J Environ Res Public Health. 2020 Jul 9;17(14):4948. doi: 10.3390/ijerph17144948.
We conducted a multilevel analysis to identify factors affecting adolescents' preventive dental treatment experience in South Korea. We sampled 72,435 students who participated in the 9th Korea Youth Risk Behavior Web-based Survey. The individual-level variables were divided into demographic factors, socioeconomic factors, oral health behavioral factors, and oral symptom experience factors. The regional-level variables included oral health resources, rate of students receiving oral health education at school by region, social deprivation index, and the number of private educational institutions. A higher rate of receiving oral health education in school by region was associated with increased fluoride application (1.04 times, = 0.003). However, the number of private educational institutes per 1000 people was negatively associated with fluoride application experienced by students (0.64 times, = 0.039). Students underwent more scaling when there were more dentists per 10,000 individuals (1.14 times, = 0.008) and less scaling in areas with a higher social deprivation index (0.88 times, = 0.024). To increase the access to preventive care for oral diseases among adolescents, a preventive system should be established in schools, and a primary dental care system should be established through the cooperation of the government, private dental clinics, and schools.
我们进行了一项多层次分析，以确定影响韩国青少年预防牙科治疗体验的因素。我们抽取了 72435 名参加第 9 届韩国青少年风险行为网络调查的学生作为样本。个体层面的变量分为人口统计学因素、社会经济因素、口腔健康行为因素和口腔症状体验因素。区域层面的变量包括口腔卫生资源、按地区划分的学生接受口腔健康教育的比例、社会剥夺指数和私立教育机构的数量。地区内更高的学校口腔健康教育接受率与氟化物应用的增加有关（1.04 倍， = 0.003）。然而，每 1000 人拥有的私立教育机构数量与学生接受的氟化物应用呈负相关（0.64 倍， = 0.039）。每 10000 人中有更多牙医的地区，学生接受的洁牙治疗更多（1.14 倍， = 0.008），而社会剥夺指数较高的地区则较少（0.88 倍， = 0.024）。为了增加青少年获得口腔疾病预防保健的机会，应该在学校建立预防系统，并通过政府、私人牙科诊所和学校的合作建立初级牙科保健系统。
