Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Department of Oral Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Environ Health Prev Med. 2020 Dec 10;25(1):82. doi: 10.1186/s12199-020-00919-9.
We investigated the association between psychological distress and oral health status/oral health-related quality of life (OHQoL) in Japanese community-dwelling people.
We conducted a cross-sectional study using data from the Nagasaki Islands Study. A total of 1183 (455 men and 728 women) has been analyzed in this study. Psychological distress was measured using the Kessler Psychological Distress Scale (K6). Oral health status was measured by dental examination. The OHQoL was measured using the General Oral Health Assessment Index (GOHAI). We defined the total score of ≥5 points on the K6 as high psychological distress (high-K6 group).
The multiple linear regression analysis to identify the GOHAI showed that gender, K6, the total number of teeth, the number of dental caries, and visiting a dental clinic within the past 6 months significantly associated with the GOHAI. Among all of these variables, high-K6 (≥ 5) was a substantial contributing factor of the GOHAI (β = - 0.23, 95% Cl - 2.31 to -1.41, p < 0.0001).
It is likely that the individual with high psychological distress was strongly related to poor OHQoL even in the general population.
我们调查了日本社区居民心理困扰与口腔健康状况/口腔健康相关生活质量(OHQoL)之间的关系。
我们使用长崎岛研究的数据进行了一项横断面研究。本研究共分析了 1183 人(455 名男性和 728 名女性)。心理困扰使用 Kessler 心理困扰量表(K6)进行测量。口腔健康状况通过口腔检查进行评估。OHQoL 使用一般口腔健康评估指数(GOHAI)进行测量。我们将 K6 总分≥5 分定义为高心理困扰(高 K6 组)。
识别 GOHAI 的多元线性回归分析表明,性别、K6、总牙数、龋齿数和过去 6 个月内看牙医的次数与 GOHAI 显著相关。在所有这些变量中,高 K6(≥5)是 GOHAI 的一个重要影响因素(β=-0.23,95%Cl-2.31 至-1.41,p<0.0001)。
即使在普通人群中,高心理困扰的个体与较差的 OHQoL 密切相关。