A population-based study of edentulism in the US: does depression and rural residency matter after controlling for potential confounders?
Identifieur interne : 001D40 ( Main/Exploration ); précédent : 001D39; suivant : 001D41A population-based study of edentulism in the US: does depression and rural residency matter after controlling for potential confounders?
Auteurs : Daniel M. Saman [États-Unis] ; Andrine Lemieux [États-Unis] ; Oscar Arevalo [États-Unis] ; May Nawal Lutfiyya [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bouche édentée (psychologie), Bouche édentée (épidémiologie), Bouche édentée (étiologie), Dépression (), Dépression (épidémiologie), Facteurs de risque, Femelle, Humains, Modèles logistiques, Mâle, Pauvreté (), Population rurale (), Sujet âgé, Système de surveillance des facteurs de risques comportementaux, Tabagisme (effets indésirables), États-Unis d'Amérique (épidémiologie).
- MESH :
- effets indésirables : Tabagisme.
- psychologie : Bouche édentée.
- épidémiologie : Bouche édentée, Dépression, États-Unis d'Amérique.
- étiologie : Bouche édentée.
- Adulte d'âge moyen, Dépression, Facteurs de risque, Femelle, Humains, Modèles logistiques, Mâle, Pauvreté, Population rurale, Sujet âgé, Système de surveillance des facteurs de risques comportementaux.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Aged, Behavioral Risk Factor Surveillance System, Depression (complications), Depression (epidemiology), Female, Humans, Logistic Models, Male, Middle Aged, Mouth, Edentulous (epidemiology), Mouth, Edentulous (etiology), Mouth, Edentulous (psychology), Poverty (statistics & numerical data), Risk Factors, Rural Population (statistics & numerical data), Smoking (adverse effects), United States (epidemiology).
- MESH :
- geographic , epidemiology : United States.
- adverse effects : Smoking.
- complications : Depression.
- epidemiology : Depression, Mouth, Edentulous.
- etiology : Mouth, Edentulous.
- psychology : Mouth, Edentulous.
- statistics & numerical data : Poverty, Rural Population.
- Aged, Behavioral Risk Factor Surveillance System, Female, Humans, Logistic Models, Male, Middle Aged, Risk Factors.
Abstract
Oral health is an integral component of general health and well-being. While edentulism has been examined in relation to socioeconomic status, rural residency, chronic disease and mental health, no study that we know of has examined edentulism and these factors together. The objective of this study was to determine whether depression and rural residency were significantly associated with partial and full edentulism in US adults after controlling for potential confounders.
2006 Behavioral Risk Factor Surveillance Survey (BRFSS) data were analyzed to identify factors associated with increased odds of partial or full edentulism. This year of BRFSS data was chosen for analysis because in this year the standardized and validated Personal Health Questionnaire-8 (PHQ-8) was used to measure current depression. This measure was part of the optional questions BRFSS asks, and in 2006 33 states and/or territories included them in their annual surveillance data collection. Bivariate and logistic regression analyses were performed on weighted BRFSS data.
Logistic regression analysis using either full or partial edentulism as the dependent variable yielded that rural residency or living in a rural locale, low and/or middle socioeconomic status (SES), depression as measured by the PHQ-8, and African American race/ethnicity were all independent risk factors when controlling for these and a number of additional covariates.
This study adds to the epidemiological literature by assessing partial and full edentulism in the US utilizing data from the CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Examining data collected through a large national surveillance system such as BRFSS allows for an analysis that incorporates an array of covariates not available from clinically-based data alone. This study demonstrated that current depression and rural residency are important factors related to partial and full edentulism after controlling for potential confounders.
Url:
DOI: 10.1186/1471-2458-14-65
PubMed: 24450754
PubMed Central: 3905917
Affiliations:
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first="Oscar" last="Arevalo">Oscar Arevalo</name><affiliation wicri:level="2"><nlm:aff id="I3">Miami Children’s Hospital, Pediatric Dentistry, Doral, FL 33178, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Miami Children’s Hospital, Pediatric Dentistry, Doral, FL 33178</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Lutfiyya, May Nawal" sort="Lutfiyya, May Nawal" uniqKey="Lutfiyya M" first="May Nawal" last="Lutfiyya">May Nawal Lutfiyya</name><affiliation wicri:level="2"><nlm:aff id="I4">University of Minnesota, National Center for Interprofessional Practice and Education, Academic Health Center, Minneapolis, MN 55845, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Minnesota, National Center for Interprofessional Practice and Education, Academic Health Center, Minneapolis, MN 55845</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Behavioral Risk Factor Surveillance System</term><term>Depression (complications)</term><term>Depression (epidemiology)</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Mouth, Edentulous (epidemiology)</term><term>Mouth, Edentulous (etiology)</term><term>Mouth, Edentulous (psychology)</term><term>Poverty (statistics & numerical data)</term><term>Risk Factors</term><term>Rural Population (statistics & numerical data)</term><term>Smoking (adverse effects)</term><term>United States (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge 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xml:lang="fr"><term>Tabagisme</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Poverty</term><term>Rural Population</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Dépression</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Behavioral Risk Factor Surveillance System</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Dépression</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Modèles logistiques</term><term>Mâle</term><term>Pauvreté</term><term>Population rurale</term><term>Sujet âgé</term><term>Système de surveillance des facteurs de risques comportementaux</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Oral health is an integral component of general health and well-being. While edentulism has been examined in relation to socioeconomic status, rural residency, chronic disease and mental health, no study that we know of has examined edentulism and these factors together. The objective of this study was to determine whether depression and rural residency were significantly associated with partial and full edentulism in US adults after controlling for potential confounders.</p></sec><sec><title>Methods</title><p>2006 Behavioral Risk Factor Surveillance Survey (BRFSS) data were analyzed to identify factors associated with increased odds of partial or full edentulism. This year of BRFSS data was chosen for analysis because in this year the standardized and validated Personal Health Questionnaire-8 (PHQ-8) was used to measure current depression. This measure was part of the optional questions BRFSS asks, and in 2006 33 states and/or territories included them in their annual surveillance data collection. Bivariate and logistic regression analyses were performed on weighted BRFSS data.</p></sec><sec><title>Results</title><p>Logistic regression analysis using either full or partial edentulism as the dependent variable yielded that rural residency or living in a rural locale, low and/or middle socioeconomic status (SES), depression as measured by the PHQ-8, and African American race/ethnicity were all independent risk factors when controlling for these and a number of additional covariates.</p></sec><sec><title>Conclusions</title><p>This study adds to the epidemiological literature by assessing partial and full edentulism in the US utilizing data from the CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Examining data collected through a large national surveillance system such as BRFSS allows for an analysis that incorporates an array of covariates not available from clinically-based data alone. This study demonstrated that current depression and rural residency are important factors related to partial and full edentulism after controlling for potential confounders.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Elter, Jr" uniqKey="Elter J">JR Elter</name></author><author><name sortKey="Offenbacher, S" uniqKey="Offenbacher S">S Offenbacher</name></author><author><name sortKey="Toole, Jf" uniqKey="Toole J">JF Toole</name></author><author><name sortKey="Beck, Jd" uniqKey="Beck J">JD Beck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hung, H C" uniqKey="Hung H">H-C Hung</name></author><author><name sortKey="Joshipura, Kj" uniqKey="Joshipura K">KJ Joshipura</name></author><author><name sortKey="Colditz, G" uniqKey="Colditz G">G Colditz</name></author><author><name sortKey="Manson, Je" uniqKey="Manson J">JE Manson</name></author><author><name sortKey="Rimm, 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Moeller</name></author><author><name sortKey="Chen, H" uniqKey="Chen H">H Chen</name></author><author><name sortKey="St Clair, Pa" uniqKey="St Clair P">PA St Clair</name></author><author><name sortKey="Schimmel, J" uniqKey="Schimmel J">J Schimmel</name></author><author><name sortKey="Pepper, Jv" uniqKey="Pepper J">JV Pepper</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Minnesota</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Saman, Daniel M" sort="Saman, Daniel M" uniqKey="Saman D" first="Daniel M" last="Saman">Daniel M. Saman</name></region><name sortKey="Arevalo, Oscar" sort="Arevalo, Oscar" uniqKey="Arevalo O" first="Oscar" last="Arevalo">Oscar Arevalo</name><name sortKey="Lemieux, Andrine" sort="Lemieux, Andrine" uniqKey="Lemieux A" first="Andrine" last="Lemieux">Andrine Lemieux</name><name sortKey="Lutfiyya, May Nawal" sort="Lutfiyya, May Nawal" uniqKey="Lutfiyya M" first="May Nawal" last="Lutfiyya">May Nawal Lutfiyya</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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