The influence of socioeconomic and behavioural factors on the caries experience of adults with mental disorders in a large Brazilian metropolis.

Q3 Dentistry Canadian Journal of Dental Hygiene Pub Date : 2024-10-01

Alexandre G Lopes, Laís Ra Cezário, Fábio L Mialhe

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Abstract

Background: Individuals with mental disorders have a significant risk of experiencing a deterioration in their oral health due to several factors. This cross-sectional descriptive study aimed to evaluate the influence of socioeconomic and behavioral factors on the caries experience of adults with mental disorders in a large Brazilian metropolis.

Methods: A total of 753 adults diagnosed with schizophrenia or depression participated in the study. They were users of 10 public mental health outpatient clinics located in the city of São Paulo, Brazil. These adults provided data on socioeconomic characteristics, medication use, and behaviours related to general and oral health. Oral heath examinations were conducted to evaluate dental plaque and caries experience.

Results: It was observed that the chance of presenting decayed, missing due to caries, and filled teeth (DMFT) above the sample median was significantly higher among older individuals (OR = 11.62; 95% CI: 8.11-16.66), those with lower education levels (OR = 1.76; 95% CI: 1.23-2.53), those who used tobacco 3 or more times per week (OR = 1.74; 95% CI: 1.18-2.56) and those with a higher biofilm index (OR = 1.45; 95% CI: 1.01-2.09), p< 0.05. The DMFT index (mean ± SD) was 15.3 ± 8.4 for individuals with schizophrenia and 15.8 ± 8.3 for individuals with depression. Mean plaque index was 2.81 for participants with schizophrenia and 2 for participants with depression.

Conclusion: The sample of Brazilian adults with mental disorders had poor oral health, which was associated with socioeconomic, behavioural, and oral factors.

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社会经济和行为因素对巴西一个大都市患有精神障碍的成年人龋齿经历的影响。

背景：受多种因素影响，精神障碍患者口腔健康状况恶化的风险很大。这项横断面描述性研究旨在评估社会经济和行为因素对巴西一个大都市中患有精神障碍的成年人龋齿情况的影响：共有 753 名被诊断患有精神分裂症或抑郁症的成年人参与了研究。他们是巴西圣保罗市 10 家公立精神健康门诊的使用者。这些成年人提供了社会经济特征、药物使用情况以及与一般健康和口腔健康相关的行为数据。此外，还进行了口腔健康检查，以评估牙菌斑和龋齿情况：结果发现，老年人出现蛀牙、龋齿导致的缺失牙和补牙（DMFT）超过样本中位数的几率明显更高（OR = 11.62；95% CI：8.11-16.66），教育水平较低的人出现蛀牙、龋齿导致的缺失牙和补牙（DMFT）超过样本中位数的几率也更高。66）、教育水平较低者（OR = 1.76；95% CI：1.23-2.53）、每周吸烟 3 次或以上者（OR = 1.74；95% CI：1.18-2.56）和生物膜指数较高者（OR = 1.45；95% CI：1.01-2.09），P< 0.05。精神分裂症患者的 DMFT 指数（平均值 ± SD）为 15.3 ± 8.4，抑郁症患者为 15.8 ± 8.3。精神分裂症患者的平均斑块指数为 2.81，抑郁症患者的平均斑块指数为 2：巴西成年精神障碍患者的口腔健康状况较差，这与社会经济、行为和口腔因素有关。

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来源期刊

Canadian Journal of Dental Hygiene Medicine-Medicine (all)

CiteScore

2.80

自引率

0.00%

发文量

期刊介绍： The Canadian Journal of Dental Hygiene (CJDH), established in 1966, is the peer-reviewed research journal of the Canadian Dental Hygienists Association. Published in February (electronic-only issue), June, and October, CJDH welcomes submissions in English and French on topics of relevance to dental hygiene practice, education, policy, and theory.