Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study
Abstract Background Dental problems (DPs) and physical chronic diseases (CDs) are highly prevalent and incident in people with low socioeconomic status such as homeless individuals. Yet, evidence on the association between DPs and physical CDs in this population is limited. In the present study, we...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-03-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08499-7 |
| _version_ | 1818411921674600448 |
|---|---|
| author | Cilia Mejia-Lancheros James Lachaud Rosane Nisenbaum Andrea Wang Vicky Stergiopoulos Stephen W. Hwang Patricia O’Campo |
| author_facet | Cilia Mejia-Lancheros James Lachaud Rosane Nisenbaum Andrea Wang Vicky Stergiopoulos Stephen W. Hwang Patricia O’Campo |
| author_sort | Cilia Mejia-Lancheros |
| collection | DOAJ |
| description | Abstract Background Dental problems (DPs) and physical chronic diseases (CDs) are highly prevalent and incident in people with low socioeconomic status such as homeless individuals. Yet, evidence on the association between DPs and physical CDs in this population is limited. In the present study, we assessed the association between DPs and type and number of CDs in individuals experienced chronic homelessness and serious mental health problems. Methods We analyzed cross-sectional baseline data from 575 homeless adults with serious mental health problems participating in the Toronto site of the At Home/Chez Soi randomized controlled trial. Chronic DPs (lasting at least 6 months) were the primary exposure variable. Presence of self-reported CDs, including heart disease, effect of stroke, hypertension, diabetes, asthma, chronic bronchitis/emphysema, stomach or intestinal ulcer, inflammatory bowel disease, migraine, thyroid problems, arthritis, kidney/bladder problems, liver disease (other than hepatitis), and iron-deficiency anemia, were the primary outcomes. The total number of CDs was also analyzed as a secondary outcome. Logistic regression models were used to assess the association between DPs with each of the studied CDs, and negative binomial regression was used to test the association between DPs with the number of CDs. Results In our 575 homeless participants (68.5% males) with mean age 40.3 (11.8) years, a high proportion had DPs (42.5%). The presence of DPs was positively associated with heart disease (adjusted odds ratio (AOR):4.19,1.67–10.52), diabetes (AOR:2.17,1.13–4.17), chronic bronchitis (AOR:2.34,1.28–4.29), stomach or intestinal ulcer (AOR:3.48,1.80–6.73), inflammatory bowel disease (AOR:2.52,1.38–4.60), migraine (AOR:1.80,1.20–2.72), arthritis (AOR:2.71,1.71–4.29), kidney/bladder problems (AOR:2.43,1.30–4.54), and iron-deficiency anemia (AOR:3.28,1.90–5.65). DPs were also associated with a higher number of CDs (IRR: 1.62,1.38–1.90). Conclusion Dental health problems in homeless individuals with serious mental disorders are associated with several CDs. Dental care should be better integrated into existing social and health programs serving this population to improve their overall health status. The AH/CS study is registered with the International Standard Randomized Control Trial Number Register (ISRCTN42520374). |
| first_indexed | 2024-12-14T10:39:06Z |
| format | Article |
| id | doaj.art-374f5ac0c02e4993afe782a8932d1d15 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-14T10:39:06Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-374f5ac0c02e4993afe782a8932d1d152022-12-21T23:05:46ZengBMCBMC Public Health1471-24582020-03-0120111310.1186/s12889-020-08499-7Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional studyCilia Mejia-Lancheros0James Lachaud1Rosane Nisenbaum2Andrea Wang3Vicky Stergiopoulos4Stephen W. Hwang5Patricia O’Campo6MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoAbstract Background Dental problems (DPs) and physical chronic diseases (CDs) are highly prevalent and incident in people with low socioeconomic status such as homeless individuals. Yet, evidence on the association between DPs and physical CDs in this population is limited. In the present study, we assessed the association between DPs and type and number of CDs in individuals experienced chronic homelessness and serious mental health problems. Methods We analyzed cross-sectional baseline data from 575 homeless adults with serious mental health problems participating in the Toronto site of the At Home/Chez Soi randomized controlled trial. Chronic DPs (lasting at least 6 months) were the primary exposure variable. Presence of self-reported CDs, including heart disease, effect of stroke, hypertension, diabetes, asthma, chronic bronchitis/emphysema, stomach or intestinal ulcer, inflammatory bowel disease, migraine, thyroid problems, arthritis, kidney/bladder problems, liver disease (other than hepatitis), and iron-deficiency anemia, were the primary outcomes. The total number of CDs was also analyzed as a secondary outcome. Logistic regression models were used to assess the association between DPs with each of the studied CDs, and negative binomial regression was used to test the association between DPs with the number of CDs. Results In our 575 homeless participants (68.5% males) with mean age 40.3 (11.8) years, a high proportion had DPs (42.5%). The presence of DPs was positively associated with heart disease (adjusted odds ratio (AOR):4.19,1.67–10.52), diabetes (AOR:2.17,1.13–4.17), chronic bronchitis (AOR:2.34,1.28–4.29), stomach or intestinal ulcer (AOR:3.48,1.80–6.73), inflammatory bowel disease (AOR:2.52,1.38–4.60), migraine (AOR:1.80,1.20–2.72), arthritis (AOR:2.71,1.71–4.29), kidney/bladder problems (AOR:2.43,1.30–4.54), and iron-deficiency anemia (AOR:3.28,1.90–5.65). DPs were also associated with a higher number of CDs (IRR: 1.62,1.38–1.90). Conclusion Dental health problems in homeless individuals with serious mental disorders are associated with several CDs. Dental care should be better integrated into existing social and health programs serving this population to improve their overall health status. The AH/CS study is registered with the International Standard Randomized Control Trial Number Register (ISRCTN42520374).http://link.springer.com/article/10.1186/s12889-020-08499-7Oral healthMouth diseasesChronic diseasesMultiple chronic conditionsInflammationHomeless persons |
| spellingShingle | Cilia Mejia-Lancheros James Lachaud Rosane Nisenbaum Andrea Wang Vicky Stergiopoulos Stephen W. Hwang Patricia O’Campo Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study BMC Public Health Oral health Mouth diseases Chronic diseases Multiple chronic conditions Inflammation Homeless persons |
| title | Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study |
| title_full | Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study |
| title_fullStr | Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study |
| title_full_unstemmed | Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study |
| title_short | Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study |
| title_sort | dental problems and chronic diseases in mentally ill homeless adults a cross sectional study |
| topic | Oral health Mouth diseases Chronic diseases Multiple chronic conditions Inflammation Homeless persons |
| url | http://link.springer.com/article/10.1186/s12889-020-08499-7 |
| work_keys_str_mv | AT ciliamejialancheros dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy AT jameslachaud dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy AT rosanenisenbaum dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy AT andreawang dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy AT vickystergiopoulos dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy AT stephenwhwang dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy AT patriciaocampo dentalproblemsandchronicdiseasesinmentallyillhomelessadultsacrosssectionalstudy |