Method: Univariate/bivariate/multivariable analysis was conducted on adult data from 2006 national BRFSS using chi-square/t-tests, ANOVA and logistic regression to study the association of mental health (MH) status and oral health (OH) attributes (dental visit, teeth lost and teeth cleaning) in context of various psycho-social-economic factors. Based on observed associations and graphical criteria, a conceptual theoretical model explaining the possible causal links was developed, grouping domains of factors MH potentially impacting OH attributes
Result: Preliminary results suggest that 16% of the total US population had a life-time diagnosis of depression (48,959,128 persons). Those with anxiety/depression were less likely to visit a dentist compared to those with no anxiety/depression (OR:0.81; 95%CI:0.77-0.86). Those with depression only were also less likely to visit a dentist (OR:0.78; CI:0.74-0.83). Upon adjustment for various socio-economic and demographic factors in a main-effects model, those with anxiety/depression continued to be less likely to visit a dentist compared to those with no anxiety/depression (AdjOR: 0.91;CI:0.85-0.97). The crude OR was confounded away from the null by 11% compared to adjusted OR. Results were similar for anxiety and depression factors individually. Unlike a previous report, our estimates were lesser in magnitude. Interaction models are being developed. A hierarchically interacting conceptual model conceptual model explaining potential causal links between MH states and OH attributes was developed and is described.
Conclusion: Those with anxiety and/or depression have slightly poorer observed odds for visiting a dentist. The risk is confounded by socio-economic factors and careful causal-modeling can further explore this association.
Keywords: Anxiety/Depression and Utilization/demand
See more of: Behavioral, Epidemiologic, and Health Services Research