Department of Health Administration, Graduate School, Yonsei University, 1 Yonseidae-gil, Wonju 26493, Gangwon-do, Korea.
Department of Dental Hygiene, Graduate School, Yonsei University, 1 Yonseidae-gil, Wonju 26493, Gangwon-do, Korea.
Int J Environ Res Public Health. 2022 Mar 18;19(6):3618. doi: 10.3390/ijerph19063618.
This study aims to identify the differences in the determinants that influence self-rated oral health (SROH) among Korean and American adults aged 20 years or older and the differences in objective oral health status between Korea and the United States. It included 13,068 Koreans and 5569 Americans who participated in the seventh Korea National Health and Nutrition Examination Survey and the 2017-2018 National Health and Nutrition Examination Survey. All analyses were conducted using the SPSS 25 program. The 39% of Koreans and 27.7% of Americans rated their oral health as "poor". The mean SROH score was lower in Korea (2.66) than in the US (3.15). Conversely, objective oral health was better among Koreans. Further, an analysis of the differences in the predictors of SROH between the two countries confirmed that there were significant differences in age, household income, education level, insurance type (none), type of smoking, self-rated health, and decayed teeth index. Government-led projects or policy-based changes that can improve objective oral health status are needed to boost SROH in Korea, and subsequent studies should examine other objective oral health indices (e.g., periodontal disease) as well as differences in sociocultural backgrounds between countries.
本研究旨在识别影响韩国和美国 20 岁及以上成年人自评口腔健康（SROH）的决定因素的差异，以及韩国和美国之间客观口腔健康状况的差异。它包括了参加第七届韩国国家健康和营养检查调查和 2017-2018 年国家健康和营养检查调查的 13068 名韩国人和 5569 名美国人。所有分析均使用 SPSS 25 程序进行。39%的韩国人和 27.7%的美国人将他们的口腔健康评为“差”。韩国人的平均 SROH 得分为 2.66，低于美国的 3.15。相反，韩国人的客观口腔健康状况较好。此外，对两国 SROH 预测因素差异的分析证实，年龄、家庭收入、教育水平、保险类型（无）、吸烟类型、自我评估健康状况和龋齿指数存在显著差异。需要政府主导的项目或基于政策的改变，以提高韩国的客观口腔健康状况，从而提高 SROH，随后的研究还应检查其他客观口腔健康指标（如牙周病）以及国家之间的社会文化背景差异。
