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RESEARCH PRODUCT
Associations between mental and oral health in Spain: a cross-sectional study of more than 23,000 people aged 15 years and over.
Lee SmithAndré F. CarvalhoNicola VeroneseJae Il ShinHans OhLouis JacobAi KoyanagiLin YangGuillermo F. López-sánchezPinar SoysalIgor Grabovacsubject
MaleMental health oral health marital status cross-sectional study SpainAdolescentCross-sectional studyPopulationmacromolecular substancesDental CariesRate ratio03 medical and health sciencessymbols.namesake0302 clinical medicineHumansMedicinecross-sectional studyMental health Spain cross-sectional study marital status oral health030212 general & internal medicinePoisson regressiona cross-sectional study of more than 23000 people aged 15 years and over- JOURNAL OF AFFECTIVE DISORDERS cilt.274 ss.67-72 2020 [Jacob L. Lopez-Sanchez G. F. Carvalho A. F. Shin J. I. Oh H. Yang L. Veronese N. SOYSAL P. Grabovac I. Koyanagi A. et al. -Paper Associations between mental and oral health in Spain]educationDepression (differential diagnoses)education.field_of_studybusiness.industry030206 dentistryMiddle AgedMental healthConfidence interval3. Good healthPsychiatry and Mental healthClinical Psychologystomatognathic diseasesCross-Sectional StudiesSpain[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental healthsymbolsMarital statusoral healthFemaleMental healthbusinessDemographymarital statusdescription
Background:\ud \ud This study aimed to investigate associations between mental health and several parameters of oral health, controlling for a variety of important covariates, in a large representative sample of Spanish people.\ud \ud Methods:\ud \ud Data from the Spanish National Health Survey 2017 were analysed. Mental (i.e., depression, chronic anxiety, other psychiatric disorders) and oral health (i.e., dental caries, dental extraction, dental filling, gingival bleeding, tooth movement, dental material, missing tooth) were evaluated. Control variables included sex, age, marital status, education, smoking, alcohol consumption, and physical multimorbidity. Associations between psychiatric conditions (independent variables) and the number of poor oral health outcomes (dependent variable) were assessed using Poisson regression models. The associations were investigated in the overall population, in married participants and in those who were single/widowed/divorced/separated.\ud \ud Results:\ud \ud There were 23,089 participants [54.1% women; mean (standard deviation) age 53.4 (18.9) years]. The prevalence of at least one psychiatric condition was 15.4% in the overall sample, while the mean (standard deviation) number of poor oral health outcomes was 2.9 (1.4). There was a positive association between any psychiatric condition and the number of poor oral health outcomes [incidence rate ratio (IRR)=1.10; 95% confidence interval: 1.07-1.12], and there was a significant interaction between any psychiatric condition and marital status. The association was stronger in those participants who were single/widowed/divorced/separated.\ud \ud Limitations:\ud \ud Cross-sectional study. Oral and mental health were assessed with Yes/No questions. Exposure, outcome and covariates were self-reported.\ud \ud Conclusions:\ud \ud Those with poor mental health have worse oral health but being married has some protective benefits.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-09-01 |