School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, 2751, Australia.
South Western Sydney Local Health District Mental Health Service, Liverpool, NSW, Australia.
BMC Public Health. 2024 Aug 21;24(1):2263. doi: 10.1186/s12889-024-19713-1.
People living with mental illness experience poorer oral health outcomes compared to the general population, yet little is known about their oral health knowledge, attitudes, and practices. The aim of this mixed-methods systematic review was to synthesise evidence regarding oral health knowledge, attitudes, and practices of people living with mental illness to inform preventative strategies and interventions. Database searches were conducted in PubMed, MEDLINE, PsycINFO, CINAHL, ProQuest, and Scopus with no limitations placed on the year of study. All studies available in the English language, that explored the oral health knowledge, attitudes, and/or practices of people with a mental illness were included. Articles were excluded if they primarily pertained to intellectual disability, behavioural and psychological symptoms of dementia, drug and alcohol or substance use, or eating disorders. A thematic synthesis was undertaken of 36 studies (26 high-moderate quality), resulting in 3 themes and 9 sub-themes. Study participants ranged from n = 7 to n = 1095 and aged between 15-83 years with most having a diagnosis of schizophrenia, schizoaffective, or bipolar affective disorder. People diagnosed with a mental illness were found to have limited oral health knowledge, particularly regarding the effects of psychotropic medication. Various barriers to oral health care were identified, including high dental costs, the negative impact of mental illness, dental fears, lack of priority, and poor communication with dental and health care providers. Study participants often displayed a reduced frequency of tooth brushing and dental visits. The findings highlight the potential for mental health care providers, oral health and dental professionals, mental health consumers, and carers to work together more closely to improve oral health outcomes for people with mental illness. The systematic review protocol is registered with the International Prospective Register of Systematic Reviews (PROSPERO), (registration ID CRD42022352122).
与一般人群相比，患有精神疾病的人口腔健康状况较差，但人们对他们的口腔健康知识、态度和行为知之甚少。本混合方法系统评价的目的是综合有关精神疾病患者口腔健康知识、态度和行为的证据，为预防策略和干预措施提供信息。在 PubMed、MEDLINE、PsycINFO、CINAHL、ProQuest 和 Scopus 数据库中进行了数据库检索，对研究年限没有限制。纳入了所有可用的英语研究，这些研究探讨了患有精神疾病的人的口腔健康知识、态度和/或行为。如果主要涉及智力残疾、痴呆的行为和心理症状、药物和酒精或物质使用或饮食失调，则排除文章。对 36 项研究（26 项为高-中质量）进行了主题综合分析，得出了 3 个主题和 9 个亚主题。研究参与者的范围从 n=7 到 n=1095，年龄在 15-83 岁之间，大多数人被诊断为精神分裂症、分裂情感障碍或双相情感障碍。患有精神疾病的人被发现口腔健康知识有限，特别是关于精神药物影响的知识。确定了各种口腔保健障碍，包括牙科费用高、精神疾病的负面影响、对牙科的恐惧、缺乏优先级以及与牙科和医疗保健提供者沟通不畅。研究参与者通常刷牙和看牙医的频率降低。研究结果强调了精神卫生保健提供者、口腔卫生和牙科专业人员、精神卫生消费者和照顾者更紧密地合作，改善精神疾病患者口腔健康结果的潜力。系统评价方案在国际前瞻性系统评价登记处（PROSPERO）注册（登记号 CRD42022352122）。
