J Korean Acad Oral Health.  2019 Mar;43(1):26-32. 10.11149/jkaoh.2019.43.1.26.

Comparison of scaling rate data of Community Health Survey and National Health Insurance Service

Affiliations
  • 1Department of Dental Hygiene, Graduate School, Yonsei University, Seoul, Korea.
  • 2Korean Medical Association Research Institute for Healthcare Policy, Seoul, Korea.
  • 3Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
  • 4Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, Wonju, Korea. nami71@yonsei.ac.kr

Abstract


OBJECTIVES
The purpose of this study was to compare scaling rates in 16 cities and provinces using data from the Community Health Survey (CHS) and National Health Insurance Service (NHIS).
METHODS
This study involved cross-sectional secondary data analysis. A total of 16,646,190 subjects who participated in the CHS and 218,184 subjects in the NHIS were included in the final analysis. The dependent variable was the scaling rate, and the independent variables were sex, age, and 16 regions. The study included individuals aged 19 years or older who received scaling between August 2014 and August 2015 in the past year in the CHS and codes U2232 (scaling) and U2233 (scaling before periodontal treatment) in the NHIS. The total scaling rates were compared between the CHS and NHIS. The differences in scaling rates according to sex, age, and 16 regions were analyzed.
RESULTS
The CHS (42.6%) scaling rates were 17.5% higher than the NHIS (25.1%) scaling rates in 16 regions in 2015. The median in the CHS data was in Busan (41.5%), while that in the NHIS data was in Jeonbuk (23.5%). There was no significant difference between scaling rates above and below the median region in the CHS and NHIS.
CONCLUSIONS
The results suggested that CHS data, which show a higher rate, should be used to assess and monitor the dental needs of community residents. NHIS data should be used to evaluate community oral health projects. It is necessary to develop health indicators for the community oral health project of input, process, and outcome evaluation.

Keyword

Community health Survey; Community oral health project; Dental scaling; National health insurance service

MeSH Terms

Busan
Dental Scaling
Health Surveys*
Jeollabuk-do
National Health Programs*
Oral Health
Statistics as Topic

Figure

  • Fig. 1 CHS and NHIS DB.

  • Fig. 2 Mean scaling rate of CHS (2015) and NHIS (2014-2015). X=city, Y=mean scaling rate-mean scaling rate of middle region. 0.0: mean scaling rate of middle region. Black: Lower than median in both data, White: Higher than median in both data, Grey: Not matched in both data. P<0.05 by Z-test.


Reference

1. Kjellström B, Rydén L, Klinge B, Norhammar A. Periodontal disease-important to consider in cardiovascular disease prevention. Expert Rev Cardiovasc Ther. 2016; 14:987–989.
Article
2. Dye BA. Global periodontal disease epidemiology. Periodontol 2000. 2012; 58:10–25.
Article
3. Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000. 2012; 60:15–39.
Article
4. Healthy People. Healthy people 2020, Topics & objectives [Internet]. cited 2018 Nov 21. Available from: https://www.healthypeople.gov/2020/topics-objectives.
5. Ministry of health and welfare. Health Plan 2020 4th. Seoul: Ministry of health and welfare;2015. p. 1–566.
6. Lee JY. Future directions of the integrated health promotion programs in health center. Korean J Health Educ Promot. 2013; 30:1–7.
Article
7. Kim NH, Lee GY, Park SK, Kim YJ, Lee MY, Kim CB. Provision of oral hygiene services as a potential method for preventing periodontal disease and control hypertension and diabetes in a community health centre in Korea. Health Soc Care Community. 2018; 26:e378–e385.
Article
8. Harris MJ. Evaluating public and community health programs. 2nd ed. Canada: John Wiley & Sons;2017. p. 1–387.
9. Blizniuk A, Ueno M, Zaitsu T, Kawaguchi Y. Association between self-reported and clinical oral health status in Belarusian adults. J Investig Clin Dent. 2017; 8:e12206.
Article
10. Jang YE, Kim CB, Kim NH. Utilization of preventive dental services before and after health insurance covered dental scaling in Korea: 2009 to 2014 Community Health Survey. Asia Pac J Public Health. 2017; 29:70–80.
Article
11. Do SR, Kim JS, Kang SH, Ko HY, Shin ES. A study for improving the production of health care use statistics. Seoul: Korea institute for health and social affairs;2012. p. 1–160.
12. Fan D, Lee YH, Lee HK. The effect of oral hygiene care program in stroke patients. J Korean Soc Dent Hyg. 2014; 14:363–370.
Article
13. Kim YH. Comparative study of the students' oral health knowledge and behavior between the elementary schools with or without dental clinic. J Korea Contents Assoc. 2012; 12:361–368.
Article
14. Lee KS. Achievement of health promotion program in korea. Korean J Health Educ Promot. 2006; 23:143–171.
15. Park SK, Kim CB, Chung WG, Ahn YH, Kim NH. The utilization of oral health services in community health centers in Korea: A study using data from the 2011-2012 Community Health Survey. J Korean Acad Oral Health. 2014; 38:154–164.
Article
16. Park HJ, Lee JH, Park SJ, Kim TI. Trends in the utilization of dental outpatient services affected by the expansion of health care benefits in South Korea to include scaling: a 6-year interrupted time-series study. J Periodontal Implant Sci. 2018; 48:3–11.
Article
17. Kang YW, Ko YS, Kim YJ, Kim MS, Kim HY, Choi KY, et al. Korea community health survey data profiles. Osong Public Health Res Perspect. 2015; 6:211–217.
Article
18. Schoeller DA, Thomas D, Archer E, Heymsfield SB, Blair SN, Goran MI, et al. Self-report-based estimates of energy intake offer an inadequate basis for scientific conclusions. Am J Clin Nutr. 2013; 97:1413–1415.
Article
19. Kim HN, Jang YE, Kim CB, Kim NH. Socioeconomic status and self-reported periodontal symptoms in community-dwelling individuals: data from the Korea Community Health Surveys of 2011 and 2013. Int Dent J. 2018; 68:411–419.
Article
20. Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc. 2001; 101:28–34.
Article
21. Raina P, Torrance-Rynard V, Wong M, Woodward C. Agreement between self-reported and routinely collected health-care utilization data among seniors. Health Serv Res. 2002; 37:751–774.
Article
22. Statistics Korea. Korea Statistical Information System (KOSIS), Statistics DB, Dental examinations by sex and status [Internet]. cited 2018 Dec 03. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35007_N036&vw_cd=MT_ZTITLE&list_id=350_35007_A005&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
23. Korea Centers for Disease Control and Prevention. Community Health Survey, 2008-2016 Overview of CHS [Internet]. cited 2018 Dec 03. Available from: https://chs.cdc.go.kr/chs/index.do.
24. Ekström S, Kull I, Nilsson S, Bergström A. Web-based self-reported height, weight, and body mass index among Swedish adolescents: a validation study. J Med Internet Res. 2015; 17:e73.
Article
25. Foster Page LA, Thomson WM, Broadbent JM. Validity of self-reported periodontal questions in a New Zealand cohort. Clin Oral Investig. 2016; 20:563–569.
Article
26. Kim YJ, Kim CB, Ahn YH, Chung WG, Kim NH. Gender differences in chewing discomfort in older South Koreans. Int J Dent Hyg. 2015; 13:273–282.
Article
27. Lee JH, Lee HY, Moon SH, Lee YS. Influence of insurance benefit criteria on the administration rate of osteoporosis drugs in postmenopausal females. Clin Orthop Surg. 2014; 6:56–61.
Article
28. Lee SE, Jun JK, Suh MN, Park BY, Noh DK, Jung KW, et al. Gastric cancer screening uptake trends in Korea: results for the National Cancer Screening Program from 2002 to 2011: A prospective cross-sectional study. Medicine. 2015; 94:e533.
29. Kim IH, Bahk JW, Kim YY, Lee JH, Kang HY, Lee JY, et al. Comparison of district-level smoking prevalence and their income gaps from two national databases: the National Health Screening Database and the Community Health Survey in Korea, 2009-2014. J Korean Med Sci. 2018; 33:e44.
Article
30. Eke PI, Genco RJ. CDC periodontal disease surveillance project: background, objectives, and progress report. J Periodontol. 2007; 78:7 Suppl. 1366–1371.
Article
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