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Association between depression and poor oral health in Korean elderly: the six Korean national health and nutrition examination survey (KNHANES VI-2)

우리나라 노인의 우울과 주관적 구강건강 관련성: 국민건강영양조사 제6기 2차(2014년) 자료 이용

  • Cho, Han-A (Department of Social and Humanity in Dentistry, Wonkwang University School of Dentistry) ;
  • Choi, Eun-Sil (BK21 PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University)
  • 조한아 (원광대학교 치과대학 인문사회치의학교실) ;
  • 최은실 (고려대학교 대학원 보건과학과 BK21+인간생명-사회환경 상호작용 융합사업단)
  • Received : 2016.07.28
  • Accepted : 2016.12.08
  • Published : 2016.12.30

Abstract

Objectives: The purpose of this study was to examine the association between depression and poor oral health in Korean elderly using Korean version of the Patient Health Questionnaire-9 (PHQ-9) for assessment of depressive symptoms. Methods: This study used the data from Korean National Health and Nutrition Examination Survey (KNHANES VI-2). The study included 1,454 elderly Korean aged over 65. Variables included demographic characteristics (gender, age), socioeconomic factor (income, education), systemic diseases, oral health related factor (tooth brush, dental products), health related factor (alcohol drinking, smoking), and depression. Logistic regression analysis was used as sequential models. Effects were quantified as odds ratios (OR) and 95% confidence intervals (CI). Results: From frequency analysis, being female, primary school or less, non-alcohol drinking, poor oral health were significantly related to depression. In the multiple logistic regression model, depression was significantly associated with poor oral health (OR=1.96, CI=1.15-3.53) after adjustment for other covariates including demographic characteristics, socioeconomic factor, systemic diseases, oral health related factor, and health related factor (OR=1.91, CI=1.13-3.27). Conclusions: Depression had an influence on the poor oral health after adjustment as confounding variable in the elderly. It should be focused on the health promotion for the elderly vulnerable to depression and poor oral health. The development of the mental health and oral health should be established.

Keywords

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