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Association of oral health behaviors and status with depression: results from the Korean National Health and Nutrition Examination Survey, 2010

Identifieur interne : 000034 ( Istex/Corpus ); précédent : 000033; suivant : 000035

Association of oral health behaviors and status with depression: results from the Korean National Health and Nutrition Examination Survey, 2010

Auteurs : Se Jin Park ; Ki Dong Ko ; Seung-Il Shin ; Yu Jeong Ha ; Gy Young Kim ; Hyoung Ah Kim

Source :

RBID : ISTEX:0BBB11265779F50B972DC5DE9A116D8BFF2C0DAB

Abstract

To examine the association of depression with oral health behaviors and oral health status in a large nationwide sample of Korean adults.

Url:
DOI: 10.1111/jphd.12036

Links to Exploration step

ISTEX:0BBB11265779F50B972DC5DE9A116D8BFF2C0DAB

Le document en format XML

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<title level="a" type="main">Association of oral health behaviors and status with depression: results from the
<hi rend="fc">K</hi>
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<address>
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<country key="KR">Korea</country>
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<affiliation>Correspondence Dr. Hyoung Ah Kim, Department of Preventive Medicine, Catholic University of Korea, 222 Banpodero, Secho‐gu, Seoul 137‐701, Korea. Tel.: 82‐2‐2258‐7364; Fax: 82‐2‐532‐3820; e‐mail: kimha@catholic.ac.kr. Se Jin Park is with the Department of Public Health, Graduate School, Catholic University of Korea, and the Department of Mental Health Research, Seoul National Hospital. Ki Dong Ko is with the Department of Family Medicine, Seoul National University Hospital. Seung‐Il Shin is with the Department of Periodontology, School of Dentistry, Kyung Hee University. Yu Jeong Ha is with the Department of Mental Health Research, Seoul National Hospital. Gy Young Kim is with the Department of Dentistry, Ajou University Hospital. Hyoung Ah Kim is with the Department of Preventive Medicine, Catholic University of Korea.</affiliation>
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<head>Abstract</head>
Objective
<p>To examine the association of depression with oral health behaviors and oral health status in a large nationwide sample of
<hi rend="fc">K</hi>
orean adults.</p>
Methods
<p>This study included 6,139 participants aged 19 years or older who participated in the fifth
<hi rend="fc">K</hi>
orean National Health and Nutrition Examination Survey. Binary and polychotomous logistic regression analyses were used to estimate adjusted odds ratios (
<hi rend="fc">AORs</hi>
) and 95 percent confidence intervals (
<hi rend="fc">CIs</hi>
).</p>
Results
<p>Participants with lifetime depression (self‐report of past or present depression) brushed their teeth less frequently (
<hi rend="fc">AOR</hi>
 = 1.30, 95 percent
<hi rend="fc">CI</hi>
1.03‐1.65) and were more likely not to receive treatment when experiencing dental problems (
<hi rend="fc">AOR</hi>
 = 1.43, 95 percent
<hi rend="fc">CI</hi>
1.23‐1.66) than those without lifetime depression after adjusting for sociodemographic factors, gender, and age. After adjusting for significant oral health behaviors, current smoking status, and sociodemographic factors, participants with lifetime depression had poorer oral health status than those without this disorder: uncomfortable mastication (
<hi rend="fc">AOR</hi>
 = 1.25, 95 percent
<hi rend="fc">CI</hi>
1.05‐1.50), toothache (
<hi rend="fc">AOR</hi>
 = 1.18, 95 percent
<hi rend="fc">CI</hi>
1.01‐1.39), temporomandibular joint symptoms (
<hi rend="fc">AOR</hi>
 = 1.41, 95 percent
<hi rend="fc">CI</hi>
1.08‐1.85), and maxillary periodontal bleeding (
<hi rend="fc">AOR</hi>
 = 1.29, 95 percent
<hi rend="fc">CI</hi>
1.03‐1.61 for the right side;
<hi rend="fc">AOR</hi>
 = 1.40, 95 percent
<hi rend="fc">CI</hi>
1.13‐1.74 for the left side).</p>
Conclusion
<p>Depression was significantly associated with oral health status, even after adjusting for the impact of oral health behaviors in
<hi rend="fc">K</hi>
orean adults. Thus, our findings suggest the necessity of further investigation to detect underlying mechanisms in the relationship between depression and oral health that are not mediated by oral health behavior.</p>
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<title type="tocHeading1">ORIGINAL ARTICLES</title>
<title type="articleCategory">ORIGINAL ARTICLE</title>
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<copyright ownership="thirdParty">© 2013 American Association of Public Health Dentistry</copyright>
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<numbering type="pageFirst">127</numbering>
<numbering type="pageLast">138</numbering>
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<correspondenceTo>
<lineatedText>
<line>
<b>Correspondence</b>
</line>
<line>Dr. Hyoung Ah Kim, Department of Preventive Medicine, Catholic University of Korea, 222 Banpodero, Secho‐gu, Seoul 137‐701, Korea. Tel.: 82‐2‐2258‐7364; Fax: 82‐2‐532‐3820; e‐mail:
<email>kimha@catholic.ac.kr</email>
. Se Jin Park is with the Department of Public Health, Graduate School, Catholic University of Korea, and the Department of Mental Health Research, Seoul National Hospital. Ki Dong Ko is with the Department of Family Medicine, Seoul National University Hospital. Seung‐Il Shin is with the Department of Periodontology, School of Dentistry, Kyung Hee University. Yu Jeong Ha is with the Department of Mental Health Research, Seoul National Hospital. Gy Young Kim is with the Department of Dentistry, Ajou University Hospital. Hyoung Ah Kim is with the Department of Preventive Medicine, Catholic University of Korea.</line>
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<objectNameGroup>
<objectName elementName="appendix" displayTitle="no">Appendix</objectName>
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<link type="toTypesetVersion" href="file://JPHD.JPHD12036.pdf"></link>
</linkGroup>
</publicationMeta>
<contentMeta>
<titleGroup>
<title type="short">Association of oral health behaviors and status with depression</title>
<title type="shortAuthors">S.
<fc>J</fc>
.
<fc>P</fc>
ark
<i>et al</i>
.</title>
<title type="main">Association of oral health behaviors and status with depression: results from the
<fc>K</fc>
orean National Health and Nutrition Examination Survey, 2010</title>
</titleGroup>
<creators>
<creator affiliationRef="#jphd12036-aff-0001 #jphd12036-aff-0004" creatorRole="author" xml:id="jphd12036-cr-0001">
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<givenNames>Se Jin</givenNames>
<familyName>Park</familyName>
<degrees>MPH</degrees>
</personName>
</creator>
<creator affiliationRef="#jphd12036-aff-0002" creatorRole="author" xml:id="jphd12036-cr-0002">
<personName>
<givenNames>Ki Dong</givenNames>
<familyName>Ko</familyName>
<degrees>MD, MPH</degrees>
</personName>
</creator>
<creator affiliationRef="#jphd12036-aff-0003" creatorRole="author" xml:id="jphd12036-cr-0003">
<personName>
<givenNames>Seung‐Il</givenNames>
<familyName>Shin</familyName>
<degrees>DMD, MSD, PhD</degrees>
</personName>
</creator>
<creator affiliationRef="#jphd12036-aff-0004" creatorRole="author" xml:id="jphd12036-cr-0004">
<personName>
<givenNames>Yu Jeong</givenNames>
<familyName>Ha</familyName>
<degrees>MPH</degrees>
</personName>
</creator>
<creator affiliationRef="#jphd12036-aff-0005" creatorRole="author" xml:id="jphd12036-cr-0005">
<personName>
<givenNames>Gy Young</givenNames>
<familyName>Kim</familyName>
<degrees>DDS</degrees>
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<personName>
<givenNames>Hyoung Ah</givenNames>
<familyName>Kim</familyName>
<degrees>PhD</degrees>
</personName>
</creator>
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<orgDiv>Department of Public Health</orgDiv>
<orgName>Graduate School, Catholic University of Korea</orgName>
<address>
<city>Seoul</city>
<country>Korea</country>
</address>
</affiliation>
<affiliation countryCode="KR" xml:id="jphd12036-aff-0002">
<orgDiv>Department of Family Medicine</orgDiv>
<orgName>Seoul National University Hospital</orgName>
<address>
<city>Seoul</city>
<country>Korea</country>
</address>
</affiliation>
<affiliation countryCode="KR" xml:id="jphd12036-aff-0003">
<orgDiv>Department of Periodontology</orgDiv>
<orgName>School of Dentistry, Kyung Hee University</orgName>
<address>
<city>Seoul</city>
<country>Korea</country>
</address>
</affiliation>
<affiliation countryCode="KR" xml:id="jphd12036-aff-0004">
<orgDiv>Department of Mental Health Research</orgDiv>
<orgName>Seoul National Hospital</orgName>
<address>
<city>Seoul</city>
<country>Korea</country>
</address>
</affiliation>
<affiliation countryCode="KR" xml:id="jphd12036-aff-0005">
<orgDiv>Department of Dentistry</orgDiv>
<orgName>Ajou University Hospital</orgName>
<address>
<city>Suwon</city>
<countryPart>Gyeonggi‐do</countryPart>
<country>Korea</country>
</address>
</affiliation>
<affiliation countryCode="KR" xml:id="jphd12036-aff-0006">
<orgDiv>Department of Preventive Medicine</orgDiv>
<orgName>Catholic University of Korea</orgName>
<address>
<city>Seoul</city>
<country>Korea</country>
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<keyword xml:id="jphd12036-kwd-0001">oral health</keyword>
<keyword xml:id="jphd12036-kwd-0002">depression</keyword>
<keyword xml:id="jphd12036-kwd-0003">health survey</keyword>
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<title type="main">Abstract</title>
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<title type="main">Objective</title>
<p>To examine the association of depression with oral health behaviors and oral health status in a large nationwide sample of
<fc>K</fc>
orean adults.</p>
</section>
<section xml:id="jphd12036-sec-0002">
<title type="main">Methods</title>
<p>This study included 6,139 participants aged 19 years or older who participated in the fifth
<fc>K</fc>
orean National Health and Nutrition Examination Survey. Binary and polychotomous logistic regression analyses were used to estimate adjusted odds ratios (
<fc>AORs</fc>
) and 95 percent confidence intervals (
<fc>CIs</fc>
).</p>
</section>
<section xml:id="jphd12036-sec-0003">
<title type="main">Results</title>
<p>Participants with lifetime depression (self‐report of past or present depression) brushed their teeth less frequently (
<fc>AOR</fc>
 = 1.30, 95 percent
<fc>CI</fc>
1.03‐1.65) and were more likely not to receive treatment when experiencing dental problems (
<fc>AOR</fc>
 = 1.43, 95 percent
<fc>CI</fc>
1.23‐1.66) than those without lifetime depression after adjusting for sociodemographic factors, gender, and age. After adjusting for significant oral health behaviors, current smoking status, and sociodemographic factors, participants with lifetime depression had poorer oral health status than those without this disorder: uncomfortable mastication (
<fc>AOR</fc>
 = 1.25, 95 percent
<fc>CI</fc>
1.05‐1.50), toothache (
<fc>AOR</fc>
 = 1.18, 95 percent
<fc>CI</fc>
1.01‐1.39), temporomandibular joint symptoms (
<fc>AOR</fc>
 = 1.41, 95 percent
<fc>CI</fc>
1.08‐1.85), and maxillary periodontal bleeding (
<fc>AOR</fc>
 = 1.29, 95 percent
<fc>CI</fc>
1.03‐1.61 for the right side;
<fc>AOR</fc>
 = 1.40, 95 percent
<fc>CI</fc>
1.13‐1.74 for the left side).</p>
</section>
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<title type="main">Conclusion</title>
<p>Depression was significantly associated with oral health status, even after adjusting for the impact of oral health behaviors in
<fc>K</fc>
orean adults. Thus, our findings suggest the necessity of further investigation to detect underlying mechanisms in the relationship between depression and oral health that are not mediated by oral health behavior.</p>
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<affiliation>Dr. Hyoung Ah Kim, Department of Preventive Medicine, Catholic University of Korea, 222 Banpodero, Secho‐gu, Seoul 137‐701, Korea. Tel.: 82‐2‐2258‐7364; Fax: 82‐2‐532‐3820; e‐mail: . Se Jin Park is with the Department of Public Health, Graduate School, Catholic University of Korea, and the Department of Mental Health Research, Seoul National Hospital. Ki Dong Ko is with the Department of Family Medicine, Seoul National University Hospital. Seung‐Il Shin is with the Department of Periodontology, School of Dentistry, Kyung Hee University. Yu Jeong Ha is with the Department of Mental Health Research, Seoul National Hospital. Gy Young Kim is with the Department of Dentistry, Ajou University Hospital. Hyoung Ah Kim is with the Department of Preventive Medicine, Catholic University of Korea.</affiliation>
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<abstract>To examine the association of depression with oral health behaviors and oral health status in a large nationwide sample of Korean adults.</abstract>
<abstract>This study included 6,139 participants aged 19 years or older who participated in the fifth Korean National Health and Nutrition Examination Survey. Binary and polychotomous logistic regression analyses were used to estimate adjusted odds ratios (AORs) and 95 percent confidence intervals (CIs).</abstract>
<abstract>Participants with lifetime depression (self‐report of past or present depression) brushed their teeth less frequently (AOR = 1.30, 95 percent CI 1.03‐1.65) and were more likely not to receive treatment when experiencing dental problems (AOR = 1.43, 95 percent CI 1.23‐1.66) than those without lifetime depression after adjusting for sociodemographic factors, gender, and age. After adjusting for significant oral health behaviors, current smoking status, and sociodemographic factors, participants with lifetime depression had poorer oral health status than those without this disorder: uncomfortable mastication (AOR = 1.25, 95 percent CI 1.05‐1.50), toothache (AOR = 1.18, 95 percent CI 1.01‐1.39), temporomandibular joint symptoms (AOR = 1.41, 95 percent CI 1.08‐1.85), and maxillary periodontal bleeding (AOR = 1.29, 95 percent CI 1.03‐1.61 for the right side; AOR = 1.40, 95 percent CI 1.13‐1.74 for the left side).</abstract>
<abstract>Depression was significantly associated with oral health status, even after adjusting for the impact of oral health behaviors in Korean adults. Thus, our findings suggest the necessity of further investigation to detect underlying mechanisms in the relationship between depression and oral health that are not mediated by oral health behavior.</abstract>
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