Adult mental health impairment and oral health care use in the United States, Medical Expenditure Panel Survey 2017-2021.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of the American Dental Association Pub Date : 2024-12-19 DOI:10.1016/j.adaj.2024.11.001

Ziwei Chen, Lindsay N Overhage, Jennifer L Cully, Anupama R Tate

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引用次数: 0

Abstract

Background: Mental illnesses can cause mental health (MH) impairments such as decreased interest and generalized fatigue. MH impairments can adversely affect oral health. The aim of this study was to investigate the associations between MH impairment, MH care, and oral health care use.

Methods: This cross-sectional study used nationally representative data of US adults from the 2017-2021 Medical Expenditure Panel Survey. Pearson χ² test and logistic regressions were used to assess the associations between oral health care use and MH impairment and oral health care use and MH care use. Regressions controlled for age, sex, race and ethnicity, income, education, survey year, marital status, geographic region, and dental insurance status.

Results: MH impairment was associated with lower odds of using any dental care (odds ratio [OR], 0.85; 95% CI, 0.81 to 0.90) and preventive care (OR, 0.79; 95% CI, 0.74 to 0.84) and with higher odds of oral surgery (OR, 1.32; 95% CI, 1.20 to 1.46) use. Receiving MH care was associated with higher odds of using overall dental care (OR, 1.62; 95% CI, 1.43 to 1.82; P < .001), preventive care (OR, 1.72; 95% CI, 1.52 to 1.96; P < .001), and restorative care (OR, 1.26; 95% CI, 1.05 to 1.50; P = .01) use.

Conclusions: MH impairment was associated with lower odds of preventive and overall dental care use and with higher odds of oral surgery use. For adults with MH impairment, receiving MH care was associated with higher odds of preventive, restorative, and overall dental care use.

Practical implications: Mental illness can be a barrier in accessing preventive dental care. However, MH care service may aid in increasing preventive, restorative, and overall oral health care use.

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来源期刊

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

期刊介绍： There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.

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