Gender differences in the association between transitions in depressive symptoms and oral health among older adults with chronic conditions.

ABSTRACT

BACKGROUND: Oral health influences the quality of life of older adults. Further, depression is negatively associated with oral health. However, little is known about this relationship among older adults with chronic health conditions. Additionally, since oral health and depression differ between genders, this study aimed to investigate the effect of transitions in depressive symptoms on oral health among older adults with chronic health conditions by gender. METHODS: We used data from the Korean Longitudinal Study of Aging (2020-2022). The study sample comprised 2836 older adults (1104 men; 1732 women). We adopted multiple linear regression to examine the association between depressive symptom transitions and oral health by gender. RESULTS: The new onset depression symptoms were significantly associated with the deterioration of oral health in men (ß = -5.4308) and women (ß = -4.8328). Our study showed a gender-specific association between new onset depressive symptoms and particular domains of oral health. For men, the association was slightly more negative in psychosocial function (ß = -2.1177) while women presented lower GOHAI scores in both the physical function domain (ß = -1.8800) and the psychosocial function domain (ß = -1.8801). LIMITATIONS: The data used in this study were self-reported via a survey; thus, self-report bias may be a relevant concern. CONCLUSION: To prevent deterioration in oral health, depressive symptoms must be detected and addressed early among older adults with chronic conditions. This study underscores the importance of interventions that consider gender differences in the association between depressive symptoms and psychosocial and physical functioning.