Abstract

The aim of this study was to measure the magnitude and distribution of a Korean’s lifetime dental expenses depending on age and sex, by constructing a hypothetical lifetime and life table of survival. Additionally, we estimated the difference in life expectancy between men and women and its impact on dental expenses. We used the 2015 Korea Health Panel Survey to calculate the total dental expenditure, including expenses paid directly by patients and those paid by insurers. We generated survival profiles to simulate dental expenses during a typical lifetime (from birth to age 95) using the abridged life table (five-year intervals for age groups) in 2015 from the South Korean Statistical Information Service. We independently calculated the remaining dental expenses for survivors of all ages. The results showed that an estimate of average lifetime dental expenditure was $31,851 per capita: $31,587 for men and $32,318 for women. Nearly 33% of the average per capita lifetime dental expenditure was attributable to the longer life expectancy of women, with no statistically significant difference in lifetime dental expenditure between men and women. Many survivors incurred 70% of their lifetime dental expenses before age 65. The results highlighted the need for policymakers to address spending on age-specific dental care owing to extended life expectancy, given the disproportionate share of healthcare resources supporting the elderly.

Highlights

  • Countries worldwide face the challenge of a rapidly aging population and increasing life expectancy [1]

  • This was the first study to simultaneously evaluate the difference in lifetime dental expenditures for both sexes, at various ages for both the average life table person and survivors

  • The results showed that the average life table women would spend more lifetime expenditures than men throughout their life cycle

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Summary

Introduction

Countries worldwide face the challenge of a rapidly aging population and increasing life expectancy [1]. Kontis et al have projected that life expectancy will increase continuously in developed countries, including those in the Americas, Australasia, central Europe, western Europe, and the Asia-Pacific [3]. In accordance with the worldwide aging phenomenon, South Korea has become one of the most rapidly aging nations [4,5]. The proportion of the population aged 65 years and above increased from 7% in 1999 to 11.8% in 2012, and 14% in 2017; it is expected to increase to 20.8% by 2026 [4]. According to the South Korean Statistical Information

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