Impact of mood disorders on oral health‐care utilization among middle‐aged and older adults

Mago, Anjali; Thyvalikakath, Thankam P.

doi:10.1111/cdoe.12102

Cited by 10 publications

(9 citation statements)

References 43 publications

(40 reference statements)

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“…The significant results linking socioeconomic status, including education and income levels, to health status indicators, such as self-rated health, depression, and stress, were not confined to dental care outcomes. These results were similar to those of previous studies using various designs or study periods 15–23…”

Section: Discussionsupporting

confidence: 92%

Employment status and unmet dental care needs in South Korea: a population-based panel study

Choi

Lee

et al. 2019

BMJ Open

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ObjectivesThis study was designed to evaluate whether employment status is associated with the experience of unmet dental care needs.MethodsA total of 4620 workers were retrieved from Korea Health Panel data (2010–2013), and potential relationships were explored among their income levels, changes in employment and unmet dental care needs.ResultsAmong the 4620 workers, 17.3% said they had failed at least once to get dental treatment or check-up, despite their needs. Precarious workers and those not in employment were more likely to experience unmet dental care needs due to economic burden compared with permanent workers (OR 1.36, 1.40, respectively). In addition, people in low-income group were 4.46 times more likely to experience unmet dental care needs caused by economic burden, compared with those with the highest income.ConclusionThis disparity means that precarious workers and those not in employment are more likely to face barriers in obtaining needed health services. Given the insecure employment status of low income people, meeting their healthcare needs is an important consideration.

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Section: Discussionsupporting

confidence: 92%

Employment status and unmet dental care needs in South Korea: a population-based panel study

Choi

Lee

et al. 2019

BMJ Open

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“…Our findings support the work of Mago and Thyvalikakath, which indicated that those who had mood disorders visited dentists less frequently [33]. Reports from individuals with mood disorders indicated that they had unmet dental care needs [34].…”

Section: Discussionsupporting

confidence: 88%

“…Second, the patients more commonly reported a high level of dental fear that would deter them from receiving dental care earlier [37, 38]. Third, the lack of formal or informal support for patients with mood disorder would render them less likely to visit dentists when oral care is needed [33]. …”

Section: Discussionmentioning

confidence: 99%

Utilization of dental care among patients with severe mental illness: a study of a National Health Insurance database

2016

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BackgroundThe oral health of patients with severe mental illness is poor, in general, and this may be attributed, in part, to inadequate dental care. This study investigated dental care utilization among patients with severe mental illness using a national representative sample.MethodsThis study used Taiwan’s National Health Insurance Research Dataset for 2009. Patients with the diagnosis of severe mental illness (ICD-9-CM: 290–298) were recruited as the study sample, and others comprised the control. Any visit to a dentist was defined as positive in terms of dental care utilization. Regression analyses were applied to determine the odds of dental care utilization for each diagnostic entity of severe mental illness, compared with the general population and controlling for potential covariates.ResultsOnly 40 % of 19,609 patients with severe mental illness visited the dentist within 12 months. This was significantly lower than the dental visit rate of 48.3 % for the control population (odds ratio [OR] = .72, 95 % confidence interval [CI] = .69–.74; P <0.0001). The odds of dental care utilization differed among the severe mental illness diagnostic categories; e.g., the odds were lowest among those with alcohol psychoses (OR = .54, CI = .43–.68), senile dementia (OR = .55, CI = .52–.59) and other organic psychoses (OR = .58, CI = .52–.65), and highest among those with mood disorder (OR = .89, CI = .85–.94), with schizophrenic patients occupying a mid-level position (OR = .63, CI = .59–.67).ConclusionsPatients with severe mental illness received less dental care than the general population. Health care providers and caregivers of patients with severe mental illness should encourage them to visit the dentist regularly, in order to improve the oral health of these vulnerable patient groups.

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“…Friedlander and Birch (1990) 75 Less discrepancy between self-reported dental problems and dental professionals' awareness of problems Tang (2014) 65 Importance of dental education Friedlander and Birch (1990) 75 Use of artificial salivary products (chewing gum) without sugar Friedlander and Birch (1990) 75 Need for greater collaboration between psychiatrists and dental professionals (especially dental hygienists) to be more aware of medication and the patient's current psychological situation and use of alcohol/drugs to exhibit supportive, non-judgemental attitude to patients and assure to patients information is confidential Clark (2003), 73 Dicks (1995), 78 Friedlander (2002), 76 Rosmus (2007) 79Maslow's pyramid for hygienists to place oral hygiene in line with quality of life Rosmus (2007) 79 Anxiety/mood disorders Anxiety and poor oral health status Marcenes and Sheiham (1992), 80 Mago (2014) 81 Underutilization of dental health services Mago (2014), 81 DMFT = decayed, missing and filled teeth; SES = socioeconomic status.…”

Section: Patients Do Not Keep To Appointmentsmentioning

confidence: 99%

Barriers and enablers for oral health care for people affected by mental health disorders

Slack‐Smith

Hearn

Scrine

et al. 2017

Australian Dental Journal

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Impact of mood disorders on oral health‐care utilization among middle‐aged and older adults

Cited by 10 publications

References 43 publications

Employment status and unmet dental care needs in South Korea: a population-based panel study

Employment status and unmet dental care needs in South Korea: a population-based panel study

Utilization of dental care among patients with severe mental illness: a study of a National Health Insurance database

Barriers and enablers for oral health care for people affected by mental health disorders

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