치과의료소비자의 구강건강신념이 건강보험 급여화에 따른 스케일링 행위에 영향을 미치는 요인

• Published in: Han'guk Ch'iwisaeng Hakhoe chi Vol. 15; no. 1; pp. 31 - 38
• Main Authors: 이명선, Myung Sun Lee, 임희정, Hee Jung Lim
• Format: Journal Article
• Language: Korean
• Published: 한국치위생학회 28.02.2015
• Subjects: dental health consumer; dental hygiene; health belief model; national health insurance coverage; scaling; 건강보험 급여화; 건강신념모델; 스케일링; 치과위생사; 치과의료소비자; 치의학
• ISSN: 2287-1705; 2288-2294
• DOI: 10.13065/jksdh.2015.15.01.31

Objectives: The purpose of this study is to investigate the factors of oral health beliefs on scaling performance by national health insurance coverage in consumers. Methods: The subjects were 353 people living in Seoul, Incheon, and Gyeonggi-do from September 25 to October 20, 2013. They filled out the self-reported questionnaire after receiving informed consents. The questionnaire included 6 questions of general characteristics, 6 questions of oral health behavior, 6 questions of health insurance coverage, and 1 question of subjective oral health recognition. The oral health belief consisted of 6 questions of seriousness, 6 questions of susceptibility, 8 questions of barriers, 5 questions of benefit, and 3 questions of self-efficacy measure by Likert 5 scale. Cronbach’s alpha in the study was 0.759. Data were analyzed using SPSS version 20.0 for frequency analysis, t-test, ANOVA, post-hoc Scheffe test, Pearson’s correlation coefficient, and binary logistic regression. Results: The influencing factors of oral health belief model were Seriousness(В=0.091), Self efficacy(В=-0.471) and age(В =0.855)(p<0.05). Those who had highly perceived seriousness and younger age tended to have probability of scaling performance. Higher self-efficacy tended to take more chance to have scaling performance probability. Conclusions: In order to cover the scaling by national health insurance, it is very important to notice the benefit of health insurance coverage of scaling to the consumers. National health insurance coverage enables the scaling practice to be easily accessible to the people. Easy access to scaling by low cost strategy can improve the oral health behavior.