■与没有精神健康状况的人相比,患有精神疾病的人口腔健康状况较差。然而,关于这种关系的细节,文献仍然缺乏。
■本研究旨在探讨抑郁症与口腔疾病等口腔健康问题之间的关系。获得牙科护理,口腔卫生措施。
■一项横断面研究,对2017年至2020年3月的全国健康和营养调查(NHANES)的9,693名参与者进行了二次数据分析。独立变量是抑郁症状的严重程度,如通过患者健康问卷-9(PHQ-9)测量的。使用比例赔率和二元逻辑回归计算抑郁症与8种口腔健康结果和口腔卫生相关行为之间的粗略和调整赔率比(AOR)。
■调整社会人口统计学后,健康状况,和行为,抑郁症患者在过去一年中更有可能出现牙痛(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),与没有抑郁症的人相比,由于口腔问题而难以工作(AOR=1.63;95%CI,1.07-2.49)。
■患有抑郁症状的人往往忽视口腔卫生和自我保健习惯,较不可能因口腔健康问题而寻求医疗护理,使他们口腔健康不良的风险增加。这些发现可以应用于牙医,心理学家,和治疗师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性护理。
卫生保健专业人员可以站在第一线,让公众了解抑郁症与口腔健康和卫生之间的联系。应用这项研究的发现可以帮助沟通抑郁症与口腔健康状况不佳之间的关系,减轻美国医疗保健部门的一些负担,它经常努力为患有抑郁症和口腔健康问题的患者提供医疗护理。
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.