Depressive symptoms and untreated coronal dental caries among adults ages 21-64 years, NHANES 2013-2014.
Community Dent Health
; 35(3): 179-185, 2018 Aug 30.
Article
em En
| MEDLINE
| ID: mdl-30106522
ABSTRACT
BACKGROUND:
Depression has been linked to poor oral health among patients seeking dental care. However, systematic research on the relationship between depressive symptoms and oral health is limited.OBJECTIVE:
To examine the association of depressive symptoms with untreated dental caries among adults aged 21-64 years. BASIC RESEARCHDESIGN:
Cross-sectional secondary analysis.SETTING:
The data were extracted national data collected in the United States (2013-2014 National Health Nutrition and Examination Survey).PARTICIPANTS:
The sample consisted of 3,127 non-institutionalized civilians. MAIN OUTCOMEMEASURE:
Untreated coronal dental caries (yes, no) was the key outcome variable. Depressive symptom categories (none, moderate, and severe) were derived from the Patient Health Questionnaire-9 Depression Scale.RESULTS:
In the study sample, 33.4% of adults had untreated coronal dental caries. Most participants (77.9%) did not report depressive symptoms; 13.9% had mild and 8.2% had moderate or severe depressive symptoms. In unadjusted analyses, individuals with mild (Odds Ratio = 1.62 [95% CI 1.26, 2.08] and moderate/severe depressive symptoms (Odds Ratio = 2.70 [95% CI 1.81, 4.02]) were more likely to have untreated coronal caries as compared with individuals without depressive symptoms. When sex, race, age, education, family income-to-poverty ratio, dental visits, history of previous dental restorations, health insurance, and smoking were included into the model, the associations were no longer statistically significant (1.27 [95% CI 0.96, 1.69] and 1.61 [95% CI 0.95, 2.73], respectively).CONCLUSION:
The relationship between depressive symptoms and untreated coronal dental caries failed to remain significant after the addition of tobacco usage in the analysis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cárie Dentária
/
Depressão
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article