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

BMJ Open. 2019 Mar 30;9(3):e022436. doi: 10.1136/bmjopen-2018-022436.

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.

Keywords: employment status; income disparity; unmet dental care needs.

MeSH terms

  • Adult
  • Dental Care / economics
  • Dental Care / statistics & numerical data*
  • Employment / statistics & numerical data*
  • Female
  • Health Services Accessibility / economics
  • Health Services Needs and Demand / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Regression Analysis
  • Republic of Korea / epidemiology
  • Socioeconomic Factors
  • Young Adult