Dataset Information

Employment status and unmet dental care needs in South Korea: a population-based panel study.

ABSTRACT: OBJECTIVES:This study was designed to evaluate whether employment status is associated with the experience of unmet dental care needs. METHODS:A total of 4620 workers were retrieved from Korea Health Panel data (2010-2013), and potential relationships were explored among their income levels, changes in employment and unmet dental care needs. RESULTS:Among the 4620 workers, 17.3% said they had failed at least once to get dental treatment or check-up, despite their needs. Precarious workers and those not in employment were more likely to experience unmet dental care needs due to economic burden compared with permanent workers (OR 1.36, 1.40, respectively). In addition, people in low-income group were 4.46 times more likely to experience unmet dental care needs caused by economic burden, compared with those with the highest income. CONCLUSION:This disparity means that precarious workers and those not in employment are more likely to face barriers in obtaining needed health services. Given the insecure employment status of low income people, meeting their healthcare needs is an important consideration.

SUBMITTER: Choi JW

PROVIDER: S-EPMC6475345 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Employment status and unmet dental care needs in South Korea: a population-based panel study.

Choi Jae Woo JW Choi Young Y Lee Tae-Hoon TH Lee Hyo Jung HJ Ju Yeong Jun YJ Park Eun-Cheol EC

BMJ open 20190330 3

<h4>Objectives</h4>This study was designed to evaluate whether employment status is associated with the experience of unmet dental care needs.<h4>Methods</h4>A total of 4620 workers were retrieved from Korea Health Panel data (2010-2013), and potential relationships were explored among their income levels, changes in employment and unmet dental care needs.<h4>Results</h4>Among the 4620 workers, 17.3% said they had failed at least once to get dental treatment or check-up, despite their needs. Pre ...[more]

PMID: 30928921

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Project description:BackgroundChildren and adolescents with special health care needs (SHCN) have higher unmet dental needs, but the potential mechanisms by which parental factors can influence dental care use have not been determined. Parenting a child with SHCN can present special demands that affect parents' well-being and, in turn, their caregiving. Hence, the study's overall aim was to apply the stress process model to examine the role of parental psychosocial factors in the association between child SHCN and dental care. Specifically, the study tested hypotheses regarding how (a) children's SHCN status is associated with child dental care (unmet dental needs and lack of preventive dental visits), both directly and indirectly via parental psychosocial factors (parenting stress, instrumental, and emotional social support) and (b) parental social support buffers the association between parenting stress and child dental care.MethodsA secondary data analysis of the 2011-2012 US National Survey of Children's Health was performed for 6- to 11-year-old children (n = 27,874) and 12- to 17-year-old adolescents (n = 31,328). Our age-stratified models estimated associations between child SHCN status and parental psychosocial factors with two child dental care outcomes: parent-reported unmet child dental needs and lack of preventive dental care.ResultsParents of children with (vs without) SHCN reported higher unmet child dental needs, higher parenting stress, and lower social support (instrumental and emotional). Instrumental, but not emotional, parental support was associated with lower odds of their child unmet dental needs in both age groups. The association between parenting stress and child dental care outcomes was modified by parental social support.ConclusionDifferences existed in child unmet dental needs based on SHCN status, even after adjusting for parental psychosocial factors. SHCN status was indirectly associated with unmet dental needs via parental instrumental support among adolescents, and parental instrumental support buffered the negative association between parenting stress and both child dental care outcomes. Hence, parental social support was an important determinant of child dental care and partially explained the dental care disparities in adolescents with SHCN.

Dataset Information

Employment status and unmet dental care needs in South Korea: a population-based panel study.

Publications

Employment status and unmet dental care needs in South Korea: a population-based panel study.

Similar Datasets

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