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Depression is related to edentulism and lack of functional dentition: An analysis of NHANES data, 2005–2016
Author(s) -
AlZahrani Mohammad S.,
Alhassani Ahmed A.,
Melis Marcello,
Zawawi Khalid H.
Publication year - 2020
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/jphd.12433
Subject(s) - national health and nutrition examination survey , edentulism , medicine , dentition , tooth loss , depression (economics) , odds ratio , logistic regression , socioeconomic status , demography , dentistry , environmental health , oral health , population , sociology , economics , macroeconomics
Objective Depression and tooth loss are significant health problems that affect individuals' functionality and quality of life. Comorbidity between depression and oral diseases has been reported. The aim of this study was to investigate the association between depression and tooth loss in a US representative adult sample. Methods This study included data from 22,532 adults ≥18 years by combining six 2‐year cross‐sectional cycles of the National Health and Nutrition Examination Survey (NHANES) administered between 2005 and 2016. Data were analyzed using descriptive statistics and multinomial logistic regression adjusted for gender, age, race/ethnicity, smoking, education, socioeconomic status, body mass index, diabetes, and alcohol intake. Results Of the total sample, 4.5 percent were edentulous, 10.3 percent were lacking functional dentition (1–19 remaining teeth) and 85.2 percent had functional dentition (≥20 remaining teeth); among whom, the prevalence of depression was 12.4, 11.7, and 5.9 percent, respectively. Compared to individuals without depression, those with depression were more likely to be edentulous or lacking functional dentition versus having functional dentition (adjusted odds ratios (95% CI): 1.48 (1.16–1.89) and 1.43 (1.18–1.75), respectively). Conclusions Depression was associated with edentulism and a lack of functional dentition. Further longitudinal and interventional studies are needed to elucidate the nature and direction of the relationship between depression and tooth loss.