Depression Symptoms Linked to Multiple Oral Health Outcomes in US Adults.

IF 2.2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

JDR Clinical & Translational Research Pub Date : 2024-05-10 DOI:10.1177/23800844241246225

F Bafageeh, T Loux

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引用次数: 0

Abstract

Background: Individuals with mental illness have poor oral health compared to those without mental health conditions. However, the literature is still lacking regarding the specifics of this relationship.

Objective: This study aims at examining the relationship between depression and oral health problems such as oral conditions, access to dental care, and oral hygiene measures.

Methods: A cross-sectional study using a secondary data analysis of 9,693 participants from the 2017 to March 2020 prepandemic National Health and Nutrition Examination Survey (NHANES). The independent variable was severity of depressive symptoms as measured by the Patient Health Questionnaire-9 (PHQ-9). Proportional odds and binary logistic regression were used to calculate crude and adjusted odds ratios (AORs) between depression and 8 oral health outcomes and oral hygiene-related behaviors.

Results: After adjusting for sociodemographics, health conditions, and behaviors, individuals with depression were significantly more likely to have dental aches in the past year (AOR = 1.70; 95% confidence interval [CI], 1.13-2.56), difficulty getting dental care when needed (AOR = 1.93; 95% CI, 1.45-2.58), and difficulty at their jobs due to a problem in their mouth (AOR = 1.63; 95% CI, 1.07-2.49) compared to individuals without depression.

Conclusion: Individuals with depressive symptoms often neglect oral hygiene and self-care practices and are less likely to seek medical care for oral health problems, making them at increased risk of poor oral health outcomes. These findings can be applied by dentists, psychologists, and therapists to increase awareness of links between depression and oral health and to encourage patients with depression to seek oral hygiene preventative care.

Knowledge transfer statement: Health care professionals can be on the frontline in creating awareness in the general public about the links between depression and oral health and hygiene. Applying the findings from this study can help communicate about the relationship between depression and poor oral health and relieve some burden on the American health care sector, which often struggles to provide medical care to patients with depression and oral health issues.

查看原文本刊更多论文

抑郁症状与美国成年人的多种口腔健康结果有关。

背景：与没有精神疾病的人相比，患有精神疾病的人口腔健康状况较差。然而，关于这种关系的具体细节的文献仍然缺乏：本研究旨在探讨抑郁症与口腔健康问题（如口腔状况、获得牙科护理的机会以及口腔卫生措施）之间的关系：这是一项横断面研究，对 2017 年至 2020 年 3 月流行前全国健康与营养调查（NHANES）中的 9693 名参与者进行了二次数据分析。自变量是由患者健康问卷-9（PHQ-9）测量的抑郁症状严重程度。采用比例几率和二元逻辑回归计算抑郁症与 8 项口腔健康结果和口腔卫生相关行为之间的粗略和调整几率比（AORs）：在对社会人口统计学、健康状况和行为进行调整后，与非抑郁症患者相比，抑郁症患者在过去一年中出现牙痛（AOR = 1.70；95% 置信区间 [CI]，1.13-2.56）、在需要时难以获得牙科护理（AOR = 1.93；95% CI，1.45-2.58）以及因口腔问题而难以工作（AOR = 1.63；95% CI，1.07-2.49）的可能性明显更高：结论：有抑郁症状的人往往忽视口腔卫生和自我护理，不太可能因口腔健康问题而就医，从而增加了口腔健康不良后果的风险。牙医、心理学家和治疗师可以利用这些发现，提高对抑郁症与口腔健康之间联系的认识，并鼓励抑郁症患者寻求口腔卫生预防护理：医疗保健专业人员可以站在第一线，提高公众对抑郁症与口腔健康和卫生之间联系的认识。应用本研究的结果有助于宣传抑郁症与口腔卫生不良之间的关系，并减轻美国医疗保健部门的一些负担，因为该部门在为抑郁症和口腔卫生问题患者提供医疗保健服务方面往往举步维艰。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JDR Clinical & Translational Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： JDR Clinical & Translational Research seeks to publish the highest quality research articles on clinical and translational research including all of the dental specialties and implantology. Examples include behavioral sciences, cariology, oral & pharyngeal cancer, disease diagnostics, evidence based health care delivery, human genetics, health services research, periodontal diseases, oral medicine, radiology, and pathology. The JDR Clinical & Translational Research expands on its research content by including high-impact health care and global oral health policy statements and systematic reviews of clinical concepts affecting clinical practice. Unique to the JDR Clinical & Translational Research are advances in clinical and translational medicine articles created to focus on research with an immediate potential to affect clinical therapy outcomes.