Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020

Abstract Background To test the hypothesis that among individuals in the 2020 Behavioral Risk Factor Surveillance System (BRFSS) cross-sectional anonymous health survey in the United States (US), after controlling for confounding, an increasing number of poor mental health (MH) days in the past mont...

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Main Author: Hoda M. Abdellatif
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02543-1
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author Hoda M. Abdellatif
author_facet Hoda M. Abdellatif
author_sort Hoda M. Abdellatif
collection DOAJ
description Abstract Background To test the hypothesis that among individuals in the 2020 Behavioral Risk Factor Surveillance System (BRFSS) cross-sectional anonymous health survey in the United States (US), after controlling for confounding, an increasing number of poor mental health (MH) days in the past month is associated with increasing odds of delayed oral health (OH) care utilization and poorer OH outcomes. Methods Adjusted logistic regression models were developed with poor MH days as the exposure to examine the association with two dependent variables (DVs): Most recent dental visit longer than one year ago (yes/no), and having lost 6 or more teeth (yes/no). Results Approximately one third (32%) reported most recent dental visit more than one year ago, and 17% had lost 6 or more teeth. Those in the second quartile of poor MH days had 11% higher odds of delayed dental visit, and those in the highest quartile had 26% higher odds, compared to the reference group. For having lost 6 or more teeth, compared to the reference group, those in the third quartile had 8% higher odds and those in the fourth quartile had 18% higher odds. Conclusions Poor MH days is independently associated with odds of poor OH utilization and OH in the US above and beyond diagnosed mental and physical conditions. Policymakers in the US should expand health insurance plans to include dental insurance, and should increase access to MH care, especially for the aging population, and those with chronic conditions.
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spelling doaj.art-8a98231ff328482cb83c880cc80218142022-12-22T03:42:12ZengBMCBMC Oral Health1472-68312022-11-0122111510.1186/s12903-022-02543-1Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020Hoda M. Abdellatif0Department of Preventive Dental Sciences, College of Dentistry, Community Division, Princess Nourah Bint Abdulrahman UniversityAbstract Background To test the hypothesis that among individuals in the 2020 Behavioral Risk Factor Surveillance System (BRFSS) cross-sectional anonymous health survey in the United States (US), after controlling for confounding, an increasing number of poor mental health (MH) days in the past month is associated with increasing odds of delayed oral health (OH) care utilization and poorer OH outcomes. Methods Adjusted logistic regression models were developed with poor MH days as the exposure to examine the association with two dependent variables (DVs): Most recent dental visit longer than one year ago (yes/no), and having lost 6 or more teeth (yes/no). Results Approximately one third (32%) reported most recent dental visit more than one year ago, and 17% had lost 6 or more teeth. Those in the second quartile of poor MH days had 11% higher odds of delayed dental visit, and those in the highest quartile had 26% higher odds, compared to the reference group. For having lost 6 or more teeth, compared to the reference group, those in the third quartile had 8% higher odds and those in the fourth quartile had 18% higher odds. Conclusions Poor MH days is independently associated with odds of poor OH utilization and OH in the US above and beyond diagnosed mental and physical conditions. Policymakers in the US should expand health insurance plans to include dental insurance, and should increase access to MH care, especially for the aging population, and those with chronic conditions.https://doi.org/10.1186/s12903-022-02543-1Mental healthOral healthBehavioral Risk Factor Surveillance SystemChronic diseaseHealthcare disparitiesUnited States
spellingShingle Hoda M. Abdellatif
Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020
BMC Oral Health
Mental health
Oral health
Behavioral Risk Factor Surveillance System
Chronic disease
Healthcare disparities
United States
title Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020
title_full Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020
title_fullStr Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020
title_full_unstemmed Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020
title_short Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020
title_sort poor mental health days is associated with higher odds of poor oral health outcomes in the brfss 2020
topic Mental health
Oral health
Behavioral Risk Factor Surveillance System
Chronic disease
Healthcare disparities
United States
url https://doi.org/10.1186/s12903-022-02543-1
work_keys_str_mv AT hodamabdellatif poormentalhealthdaysisassociatedwithhigheroddsofpoororalhealthoutcomesinthebrfss2020