Does psychological stress mediate social deprivation in tooth loss?
Identifieur interne : 006747 ( Main/Exploration ); précédent : 006746; suivant : 006748Does psychological stress mediate social deprivation in tooth loss?
Auteurs : A E Sanders [Royaume-Uni] ; G D Slade ; G. Turrell ; A J Spencer ; W. MarcenesSource :
- Journal of dental research [ 0022-0345 ] ; 2007.
Descripteurs français
- KwdFr :
- Adaptation psychologique, Adulte d'âge moyen, Analyse en composantes principales, Comportement en matière de santé, Coût de la maladie, Facteurs de l'âge, Facteurs de risque, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (psychologie), Mâchoire partiellement édentée (économie), Mâle, Perte dentaire (), Perte dentaire (psychologie), Perte dentaire (économie), Soutien social, Stress psychologique (), Stress psychologique (psychologie), Stress psychologique (économie), État de santé.
- MESH :
- psychologie : Mâchoire partiellement édentée, Perte dentaire, Stress psychologique.
- économie : Mâchoire partiellement édentée, Perte dentaire, Stress psychologique.
- Adaptation psychologique, Adulte d'âge moyen, Analyse en composantes principales, Comportement en matière de santé, Coût de la maladie, Facteurs de l'âge, Facteurs de risque, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Mâchoire partiellement édentée, Mâle, Perte dentaire, Soutien social, Stress psychologique, État de santé.
English descriptors
- KwdEn :
- Adaptation, Psychological, Age Factors, Cost of Illness, Female, Health Behavior, Health Status, Humans, Jaw, Edentulous, Partially (complications), Jaw, Edentulous, Partially (economics), Jaw, Edentulous, Partially (psychology), Male, Middle Aged, Principal Component Analysis, Risk Factors, Sex Factors, Social Support, Socioeconomic Factors, Stress, Psychological (complications), Stress, Psychological (economics), Stress, Psychological (psychology), Tooth Loss (complications), Tooth Loss (economics), Tooth Loss (psychology).
- MESH :
- complications : Jaw, Edentulous, Partially, Stress, Psychological, Tooth Loss.
- economics : Jaw, Edentulous, Partially, Stress, Psychological, Tooth Loss.
- psychology : Jaw, Edentulous, Partially, Stress, Psychological, Tooth Loss.
- Adaptation, Psychological, Age Factors, Cost of Illness, Female, Health Behavior, Health Status, Humans, Male, Middle Aged, Principal Component Analysis, Risk Factors, Sex Factors, Social Support, Socioeconomic Factors.
Abstract
It is unclear which theoretical dimension of psychological stress affects health status. We hypothesized that both distress and coping mediate the relationship between socio-economic position and tooth loss. Cross-sectional data from 2915 middle-aged adults evaluated retention of < 20 teeth, behaviors, psychological stress, and sociodemographic characteristics. Principal components analysis of the Perceived Stress Scale (PSS) extracted 'distress' (a = 0.85) and 'coping' (a =0.83) factors, consistent with theory. Hierarchical entry of explanatory variables into age- and sex-adjusted logistic regression models estimated odds ratios (OR) and 95% confidence intervals [95% CI] for retention of < 20 teeth. Analysis of the separate contributions of distress and coping revealed a significant main effect of coping (OR = 0.7 [95% CI = 0.7-0.8]), but no effect for distress (OR = 1.0 [95% CI = 0.9-1.1]) or for the interaction of coping and distress. Behavior and psychological stress only modestly attenuated socio-economic inequality in retention of < 20 teeth, providing evidence to support a mediating role of coping.
DOI: 10.1177/154405910708601205
PubMed: 18037649
Affiliations:
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Turrell</name></author><author><name sortKey="Spencer, A J" sort="Spencer, A J" uniqKey="Spencer A" first="A J" last="Spencer">A J Spencer</name></author><author><name sortKey="Marcenes, W" sort="Marcenes, W" uniqKey="Marcenes W" first="W" last="Marcenes">W. Marcenes</name></author></analytic><series><title level="j">Journal of dental research</title><idno type="ISSN">0022-0345</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological</term><term>Age Factors</term><term>Cost of Illness</term><term>Female</term><term>Health Behavior</term><term>Health Status</term><term>Humans</term><term>Jaw, Edentulous, Partially (complications)</term><term>Jaw, Edentulous, Partially (economics)</term><term>Jaw, Edentulous, Partially (psychology)</term><term>Male</term><term>Middle Aged</term><term>Principal Component Analysis</term><term>Risk Factors</term><term>Sex Factors</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Stress, Psychological (complications)</term><term>Stress, Psychological (economics)</term><term>Stress, Psychological (psychology)</term><term>Tooth Loss (complications)</term><term>Tooth Loss (economics)</term><term>Tooth Loss (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte d'âge moyen</term><term>Analyse en composantes principales</term><term>Comportement en matière de santé</term><term>Coût de la maladie</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (psychologie)</term><term>Mâchoire partiellement édentée (économie)</term><term>Mâle</term><term>Perte dentaire ()</term><term>Perte dentaire (psychologie)</term><term>Perte dentaire (économie)</term><term>Soutien social</term><term>Stress psychologique ()</term><term>Stress psychologique (psychologie)</term><term>Stress psychologique (économie)</term><term>État de santé</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Stress, Psychological</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Stress, Psychological</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Stress, Psychological</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Age Factors</term><term>Cost of Illness</term><term>Female</term><term>Health Behavior</term><term>Health Status</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Principal Component Analysis</term><term>Risk Factors</term><term>Sex Factors</term><term>Social Support</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte d'âge moyen</term><term>Analyse en composantes principales</term><term>Comportement en matière de santé</term><term>Coût de la maladie</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Perte dentaire</term><term>Soutien social</term><term>Stress psychologique</term><term>État de santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">It is unclear which theoretical dimension of psychological stress affects health status. We hypothesized that both distress and coping mediate the relationship between socio-economic position and tooth loss. Cross-sectional data from 2915 middle-aged adults evaluated retention of < 20 teeth, behaviors, psychological stress, and sociodemographic characteristics. Principal components analysis of the Perceived Stress Scale (PSS) extracted 'distress' (a = 0.85) and 'coping' (a =0.83) factors, consistent with theory. Hierarchical entry of explanatory variables into age- and sex-adjusted logistic regression models estimated odds ratios (OR) and 95% confidence intervals [95% CI] for retention of < 20 teeth. Analysis of the separate contributions of distress and coping revealed a significant main effect of coping (OR = 0.7 [95% CI = 0.7-0.8]), but no effect for distress (OR = 1.0 [95% CI = 0.9-1.1]) or for the interaction of coping and distress. Behavior and psychological stress only modestly attenuated socio-economic inequality in retention of < 20 teeth, providing evidence to support a mediating role of coping.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><noCountry><name sortKey="Marcenes, W" sort="Marcenes, W" uniqKey="Marcenes W" first="W" last="Marcenes">W. Marcenes</name><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name><name sortKey="Spencer, A J" sort="Spencer, A J" uniqKey="Spencer A" first="A J" last="Spencer">A J Spencer</name><name sortKey="Turrell, G" sort="Turrell, G" uniqKey="Turrell G" first="G" last="Turrell">G. Turrell</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Sanders, A E" sort="Sanders, A E" uniqKey="Sanders A" first="A E" last="Sanders">A E Sanders</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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