A population-based study of edentulism in the US: does depression and rural residency matter after controlling for potential confounders?
Identifieur interne : 002197 ( Pmc/Curation ); précédent : 002196; suivant : 002198A 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.
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
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A population-based study of edentulism in the US: does depression and rural residency matter after controlling for potential confounders?</title>
<author><name sortKey="Saman, Daniel M" sort="Saman, Daniel M" uniqKey="Saman D" first="Daniel M" last="Saman">Daniel M. Saman</name>
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<author><name sortKey="Arevalo, Oscar" sort="Arevalo, Oscar" uniqKey="Arevalo O" first="Oscar" last="Arevalo">Oscar Arevalo</name>
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<author><name sortKey="Lutfiyya, May Nawal" sort="Lutfiyya, May Nawal" uniqKey="Lutfiyya M" first="May Nawal" last="Lutfiyya">May Nawal Lutfiyya</name>
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<series><title level="j">BMC Public Health</title>
<idno type="eISSN">1471-2458</idno>
<imprint><date when="2014">2014</date>
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<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>
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<pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id>
<journal-title-group><journal-title>BMC Public Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2458</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24450754</article-id>
<article-id pub-id-type="pmc">3905917</article-id>
<article-id pub-id-type="publisher-id">1471-2458-14-65</article-id>
<article-id pub-id-type="doi">10.1186/1471-2458-14-65</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>A population-based study of edentulism in the US: does depression and rural residency matter after controlling for potential confounders?</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" equal-contrib="yes" id="A1"><name><surname>Saman</surname>
<given-names>Daniel M</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>DSaman@EIRH.org</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A2"><name><surname>Lemieux</surname>
<given-names>Andrine</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>lemie008@d.umn.edu</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A3"><name><surname>Arevalo</surname>
<given-names>Oscar</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>oralchair05@yahoo.com</email>
</contrib>
<contrib contrib-type="author" corresp="yes" equal-contrib="yes" id="A4"><name><surname>Lutfiyya</surname>
<given-names>May Nawal</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>nlutfiyy@umn.edu</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Essentia Institute of Rural Health, Division of Research, Duluth, MN 55805, USA</aff>
<aff id="I2"><label>2</label>
Duluth Medical Research Institute, University of Minnesota Duluth, Duluth, MN 55812, USA</aff>
<aff id="I3"><label>3</label>
Miami Children’s Hospital, Pediatric Dentistry, Doral, FL 33178, USA</aff>
<aff id="I4"><label>4</label>
University of Minnesota, National Center for Interprofessional Practice and Education, Academic Health Center, Minneapolis, MN 55845, USA</aff>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>22</day>
<month>1</month>
<year>2014</year>
</pub-date>
<volume>14</volume>
<fpage>65</fpage>
<lpage>65</lpage>
<history><date date-type="received"><day>15</day>
<month>7</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>16</day>
<month>1</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 Saman et al.; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Saman et al.; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.biomedcentral.com/1471-2458/14/65"></self-uri>
<abstract><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>
</abstract>
<kwd-group><kwd>Depression</kwd>
<kwd>Rural residency</kwd>
<kwd>Edentulism</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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