The association of depression and anxiety with dental caries and periodontal disease among Finnish adults

被引:62
作者
Delgado-Angulo, Elsa K. [1 ]
Sabbah, Wael [2 ]
Suominen, Anna L. [3 ,4 ,5 ,6 ]
Vehkalahti, Miira M. [7 ,8 ]
Knuuttila, Matti [8 ]
Partonen, Timo [9 ]
Nordblad, Anne [10 ]
Sheiham, Aubrey [1 ]
Watt, Richard G. [1 ]
Tsakos, Georgios [1 ]
机构
[1] UCL, Dept Epidemiol & Publ Hlth, London, England
[2] Kings Coll London, Div Populat & Patient Hlth, London SE5 9RW, England
[3] Natl Inst Hlth & Welf THL, Dept Hlth Funct Capac & Welf, Helsinki, Finland
[4] Natl Inst Hlth & Welf THL, Dept Environm Hlth, Kuopio, Finland
[5] Univ Eastern Finland, Dept Oral Publ Hlth, Kuopio, Finland
[6] Kuopio Univ Hosp, Dept Oral & Maxillofacial Surg, SF-70210 Kuopio, Finland
[7] Univ Helsinki, Inst Dent, Dept Oral Publ Hlth, Helsinki, Finland
[8] Oulu Univ Hosp, Oulu, Finland
[9] Natl Inst Hlth & Welf THL, Dept Hlth, Helsinki, Finland
[10] Minist Social Affairs & Hlth, Dept Social & Hlth Serv, Helsinki, Finland
关键词
anxiety; dental caries; depression; mediators; oral health-related behaviours; periodontal disease; ORAL-HEALTH; AFFECTIVE DISPOSITIONS; GINGIVAL INFLAMMATION; PSYCHOSOCIAL FACTORS; ATTACHMENT LOSS; YOUNG-ADULTS; RISK-FACTOR; STRESS; SYMPTOMS; BEHAVIOR;
D O I
10.1111/cdoe.12179
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
ObjectiveTo explore the association of depression and anxiety with two oral health outcomes, dental caries and periodontal disease and assess possible mediators for any of the associations. MethodsSecondary analysis of the Finnish Health 2000 Survey. Depression was assessed with Beck's Depression Inventory and anxiety with Composite International Diagnostic Interview. Number of decayed teeth included carious lesions reaching dentine; periodontal disease was number of teeth with periodontal pockets of 4mm or deeper. Third molars were excluded. The association of mental disorders and oral health was tested in regression models adjusted for confounders and potential mediators. ResultsDepression was associated with number of decayed teeth only among 35- to 54-year-olds. The association between anxiety and the number of decayed teeth was not statistically significant. Depression and periodontal pocketing were not significantly associated. ConclusionDepression was significantly associated with number of decayed teeth only among participants aged 35-54 old and not with other age groups. Neither depression nor anxiety was significantly related to periodontal disease.
引用
收藏
页码:540 / 549
页数:10
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