Louis Jacob1, Guillermo F López-Sánchez2, Andre F Carvalho3, Jae Il Shin4, Hans Oh5, Lin Yang6, Nicola Veronese7, Pinar Soysal8, Igor Grabovac9, Ai Koyanagi10, Lee Smith11. 1. Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux 78180, France; Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain. 2. Faculty of Sport Sciences, University of Murcia, Spain. Electronic address: gfls@um.es. 3. Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada. 4. Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea. 5. University of Southern California, Suzanne Dworak Peck School of Social Work, 1149 Hill St Suite 1422, Los Angeles, CA 90015, United States. 6. Department of Cancer Epidemiology and Prevention Research, Cancer Control Alberta, Alberta Health Services, Calgary, Canada; Department of Oncology and Community Health Sciences, University of Calgary, Calgary, Canada. 7. National Research Council, Neuroscience Institute, Aging Branch, Padua, Italy. 8. Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. 9. Department of Social and Preventive Medicine, Centre of Public Health, Medical University of Vienna, Vienna, Austria. 10. Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain; ICREA, Pg. Lluis Companys 23, Barcelona, Spain. 11. The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK, CB1 1PT.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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. LIMITATIONS: Cross-sectional study. Oral and mental health were assessed with Yes/No questions. Exposure, outcome and covariates were self-reported. CONCLUSIONS: Those with poor mental health have worse oral health but being married has some protective benefits.
BACKGROUND: 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. METHODS: 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. RESULTS: 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. LIMITATIONS: Cross-sectional study. Oral and mental health were assessed with Yes/No questions. Exposure, outcome and covariates were self-reported. CONCLUSIONS: Those with poor mental health have worse oral health but being married has some protective benefits.
Authors: Shahina Pardhan; Lee Smith; Rupert Bourne; Adrian Davis; Nicolas Leveziel; Louis Jacob; Ai Koyanagi; Guillermo F López-Sánchez Journal: Front Psychol Date: 2021-01-18
Authors: Srikanta Kanungo; Shishirendu Ghosal; Sushmita Kerketta; Abhinav Sinha; Stewart W Mercer; John Tayu Lee; Sanghamitra Pati Journal: Int J Environ Res Public Health Date: 2021-12-06 Impact factor: 3.390
Authors: Guillermo F López-Sánchez; Lee Smith; Rubén López-Bueno; Shahina Pardhan Journal: Int J Environ Res Public Health Date: 2022-03-11 Impact factor: 3.390