Decayed and missing teeth and oral-health-related factors: Predicting depression in homeless people

Coles, Emma; Chan, Karen Pui Kei; Collins, Jennifer; Humphris, Gerry; Richards, Derek; Williams, Brian; Freeman, Ruth

doi:10.1016/j.jpsychores.2011.01.004

Cited by 37 publications

(44 citation statements)

References 19 publications

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“…They developed a hybrid structural equation model of depression and decayed and missing teeth . A variable consisting of decayed and missing teeth was associated with depression via indirect pathways (standardized indirect effects = 0.44), oral health quality of life, and anxiety . Although this current study is evaluating the relationship of comorbid depression and anxiety on teeth removed rather than the relationship of missing teeth on depression, both this study and the previous study show positive associations.…”

Section: Discussionmentioning

confidence: 64%

Comorbid depression/anxiety and teeth removed: Behavioral Risk Factor Surveillance System 2010

Wiener

McNeil

2015

Comm Dent Oral Epid

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Objective The purpose of this study was to examine the association between participants 1) who reported having had clinical diagnoses of depression and anxiety with 6+ teeth removed and 2) who reported having had clinical diagnoses of depression and anxiety with edentulism. Methods The Behavioral Risk Factor Surveillance System (BRFSS) Survey 2010 was used for the study. Analyses involved using SAS 9.3 to determine variable frequencies, Rao–Scott chi-square bivariate analyses, and Proc Surveylogistic for the logistic regressions on complex survey designs. Participants eligibility included being 18 years or older and having complete data on depression, anxiety, and number of teeth removed. Results There were 76 292 eligible participants; 13.4% reported an anxiety diagnosis, 16.7% reported a depression diagnosis, and 8.6% reported comorbid depression and anxiety. The adjusted logistic regression models were significant for anxiety and depression alone and in combination for 6+ teeth removed (AOR: anxiety 1.23; 95% CI: 1.10, 1.38; P = 0.0773; AOR: depression 1.23; 95% CI: 1.10, 1.37; P = 0.0275; P < 0.0001; and AOR: comorbid depression and anxiety 1.30; 95% CI: 1.14, 1.49; P = 0.0001). However, the adjusted models with edentulism as the outcome failed to reach significance. Conclusions Comorbid depression and anxiety are associated independently with 6+ teeth removed compared with 0–5 teeth removed in a national study conducted in United States. Comorbid depression and anxiety were not shown to be associated with edentulism as compared with any teeth present.

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Section: Discussionmentioning

confidence: 64%

Comorbid depression/anxiety and teeth removed: Behavioral Risk Factor Surveillance System 2010

Wiener

McNeil

2015

Comm Dent Oral Epid

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“…The importance of including the mental health workshop allowed dental anxiety, oral health-related quality of life and depression to be raised and explored by the participants. This was relevant, as previous research had shown that decayed and missing teeth were predictive of depression in homelessness [34]. Therefore, this workshop intervention was central to, among other aspects, the promotion of oral health, and health through increasing oral health literacy [20], to build trust among their peers and collective engaging with the service provider.…”

Section: Discussionmentioning

confidence: 99%

Strengthening Social Interactions and Constructing New Oral Health and Health Knowledge: The Co-design, Implementation and Evaluation of A Pedagogical Workshop Program with and for Homeless Young People

Rodriguez

Beaton

2019

Dentistry Journal

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Young homeless people make up nearly one-third of those experiencing homelessness. The need to provide an educative approach, to strengthen social interacting, and construct new knowledge to increase social inclusivity, is required. The aim of this qualitative exploration was to use critical consciousness as an educative tool, to co-design, implement, and evaluate a series of oral health and health pedagogical workshops to strengthen social engagement and to construct new health knowledge, with, and for, homeless young people and their service providers. An action research design permitted the simultaneous development, implementation, and evaluation of the pedagogical workshop program. A Non-Governmental Organization (NGO), providing supported accommodation for young homeless people, acted as the partner organization. Thirteen young people and five staff members from this NGO participated and co-designed eight workshops. Qualitative data collection included unstructured post-intervention interviews together with verbatim quotes from the group discussions during the workshops and from the post-workshop questionnaires. The qualitative analysis was informed by content analysis to permit the emergence of key themes from the data. The two themes were: 1. ‘trust building and collective engaging’ and 2. ‘constructing knowledge and developing skills’. Theme 1 highlighted engagement with the service provider, illustrating the transformation of the young people’s relationships, strengthening of their social interacting, and enabling their critical reflexive thinking on sensitive issues present in the homelessness trajectory. Theme 2 illustrated the young people’s ability to share, lend, and encode their new health information and convert it into an understandable and useable form. This new comprehension permitted their behavior change and social interaction. These findings provide an approach to increase young people’s knowledge, health literacy, and strengthen their social interacting to support community action.

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“…Researchers have found that dental issues such as missing and decaying teeth are associated with depression ( Coles et al, 2011). This correlation is not surprising as missing or decaying teeth may cause societal scrutiny and self-consciousness ( Coles et al, 2011). Insurance that covers only tooth extractions rather than fillings or preventive care visits may increase stigma associated with missing teeth.…”

Section: Mental Healthmentioning

confidence: 99%

Dental Disparities among Low-Income American Adults: A Social Work Perspective

MacDougall¹

2016

Health Social Work

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Decayed and missing teeth and oral-health-related factors: Predicting depression in homeless people

Cited by 37 publications

References 19 publications

Comorbid depression/anxiety and teeth removed: Behavioral Risk Factor Surveillance System 2010

Comorbid depression/anxiety and teeth removed: Behavioral Risk Factor Surveillance System 2010

Strengthening Social Interactions and Constructing New Oral Health and Health Knowledge: The Co-design, Implementation and Evaluation of A Pedagogical Workshop Program with and for Homeless Young People

Dental Disparities among Low-Income American Adults: A Social Work Perspective

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