College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea; Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Republic of Korea.
Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Republic of Korea.
J Affect Disord. 2024 Sep 15;361:581-588. doi: 10.1016/j.jad.2024.06.052. Epub 2024 Jun 17.
Oral health influences the quality of life of older adults. Further, depression is negatively associated with oral health. However, little is known about this relationship among older adults with chronic health conditions. Additionally, since oral health and depression differ between genders, this study aimed to investigate the effect of transitions in depressive symptoms on oral health among older adults with chronic health conditions by gender.
We used data from the Korean Longitudinal Study of Aging (2020-2022). The study sample comprised 2836 older adults (1104 men; 1732 women). We adopted multiple linear regression to examine the association between depressive symptom transitions and oral health by gender.
The new onset depression symptoms were significantly associated with the deterioration of oral health in men (β = -5.4308) and women (β = -4.8328). Our study showed a gender-specific association between new onset depressive symptoms and particular domains of oral health. For men, the association was slightly more negative in psychosocial function (β = -2.1177) while women presented lower GOHAI scores in both the physical function domain (β = -1.8800) and the psychosocial function domain (β = -1.8801).
The data used in this study were self-reported via a survey; thus, self-report bias may be a relevant concern.
To prevent deterioration in oral health, depressive symptoms must be detected and addressed early among older adults with chronic conditions. This study underscores the importance of interventions that consider gender differences in the association between depressive symptoms and psychosocial and physical functioning.
口腔健康影响老年人的生活质量。此外，抑郁与口腔健康呈负相关。然而，人们对慢性病老年人中这种关系知之甚少。此外，由于口腔健康和抑郁在性别上存在差异，因此本研究旨在按性别调查慢性病老年人中抑郁症状变化对口腔健康的影响。
我们使用了韩国老龄化纵向研究（2020-2022 年）的数据。研究样本包括 2836 名老年人（男性 1104 名，女性 1732 名）。我们采用多元线性回归分析来检验性别对抑郁症状变化与口腔健康之间的关系。
新发生的抑郁症状与男性（β=-5.4308）和女性（β=-4.8328）口腔健康恶化显著相关。我们的研究显示，新发生的抑郁症状与女性口腔健康的某些特定领域之间存在性别特异性关联。对于男性，心理社会功能方面的关联稍显负面（β=-2.1177），而女性在生理功能领域（β=-1.8800）和心理社会功能领域（β=-1.8801）的 GOHAI 评分均较低。
本研究使用的是通过调查进行的自我报告数据；因此，可能存在自我报告偏差的相关问题。
为了防止口腔健康恶化，必须早期发现和治疗慢性病老年人的抑郁症状。本研究强调了考虑抑郁症状与心理社会和生理功能之间关联的性别差异的干预措施的重要性。
