Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux 78180, France; Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain.
Faculty of Sport Sciences, University of Murcia, Spain.
J Affect Disord. 2020 Sep 1;274:67-72. doi: 10.1016/j.jad.2020.05.085. Epub 2020 May 22.
This study aimed to investigate associations between mental health and several parameters of oral health, controlling for a variety of important covariates, in a large representative sample of Spanish people.
Data from the Spanish National Health Survey 2017 were analysed. Mental (i.e., depression, chronic anxiety, other psychiatric disorders) and oral health (i.e., dental caries, dental extraction, dental filling, gingival bleeding, tooth movement, dental material, missing tooth) were evaluated. Control variables included sex, age, marital status, education, smoking, alcohol consumption, and physical multimorbidity. Associations between psychiatric conditions (independent variables) and the number of poor oral health outcomes (dependent variable) were assessed using Poisson regression models. The associations were investigated in the overall population, in married participants and in those who were single/widowed/divorced/separated.
There were 23,089 participants [54.1% women; mean (standard deviation) age 53.4 (18.9) years]. The prevalence of at least one psychiatric condition was 15.4% in the overall sample, while the mean (standard deviation) number of poor oral health outcomes was 2.9 (1.4). There was a positive association between any psychiatric condition and the number of poor oral health outcomes [incidence rate ratio (IRR)=1.10; 95% confidence interval: 1.07-1.12], and there was a significant interaction between any psychiatric condition and marital status. The association was stronger in those participants who were single/widowed/divorced/separated.
Cross-sectional study. Oral and mental health were assessed with Yes/No questions. Exposure, outcome and covariates were self-reported.
Those with poor mental health have worse oral health but being married has some protective benefits.
本研究旨在调查在西班牙大样本代表性人群中，心理健康与口腔健康多个参数之间的关联，同时控制多种重要协变量。
分析了 2017 年西班牙国家健康调查的数据。评估了心理健康（即抑郁、慢性焦虑、其他精神障碍）和口腔健康（即龋齿、拔牙、补牙、牙龈出血、牙齿松动、牙体修复材料、缺牙）。控制变量包括性别、年龄、婚姻状况、教育程度、吸烟、饮酒和身体多病。使用泊松回归模型评估精神疾病（自变量）与口腔健康不良结局数量（因变量）之间的关联。在总体人群、已婚参与者以及单身/丧偶/离异/分居的参与者中，对这些关联进行了研究。
共有 23089 名参与者[54.1%为女性；平均（标准差）年龄 53.4（18.9）岁]。在总体样本中，至少有一种精神疾病的患病率为 15.4%，而口腔健康不良结局的平均（标准差）数量为 2.9（1.4）。任何一种精神疾病与口腔健康不良结局数量之间存在正相关[发病率比（IRR）=1.10；95%置信区间：1.07-1.12]，且任何一种精神疾病与婚姻状况之间存在显著交互作用。这种关联在单身/丧偶/离异/分居的参与者中更强。
横断面研究。口腔和心理健康状况通过是/否问题进行评估。暴露、结局和协变量均为自我报告。
心理健康状况较差的人口腔健康状况较差，但已婚人群具有一定的保护作用。
