Association of Education and Depressive Symptoms with Tooth Loss
Association of Education and Depressive Symptoms with Tooth Loss
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DOI：
10.1177/0022034520969129
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发表时间：
2021-04-01
影响因子：
7.6
通讯作者：
Bessho, K.
中科院分区：
文献类型：
--
作者：
Fukuhara, S.;Asai, K.;Bessho, K.
先前的证据表明，较低的教育程度和抑郁症状与牙齿脱落有关。这项研究的假设是，这些因素可能会加剧对牙齿脱落的影响，超过其个别影响的总和。本研究旨在探讨社区居民之教育程度与忧郁症状对缺牙数之独立与交互影响。从日本普通人群中收集了9，647人的横断面数据。牙科检查由牙医进行。根据受教育年限将受教育程度分为3个级别：9至12年。使用流行病学研究中心抑郁量表（CES-D）评估抑郁症状;总分≥ 16分和/或使用抑郁药物表明存在抑郁症状。在调整传统危险因素的多变量分析中，教育程度被确定为缺失牙齿数量的决定因素（教育>9至12年）。我们的研究表明，教育程度和牙齿脱落之间存在显着的关联，以及部分交互关联之间的“
Previous evidence suggests the association of lower educational attainment and depressive symptoms with tooth loss. The hypothesis of this study was that these factors may exacerbate the effect on tooth loss beyond the sum of their individual effects. We aimed to clarify the independent and interactive effects of educational attainment and depressive symptoms on the number of missing teeth among community residents. Cross-sectional data of 9,647 individuals were collected from the general Japanese population. Dental examination was conducted by dentists. Educational attainment was categorized into 3 levels based on the number of educational years: 9 to 12 y. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptoms; a total score of >= 16 and/or the use of medications for depression indicate the presence of depressive symptoms. In the multivariate analysis with adjustment for conventional risk factors, educational attainment was identified as a determinant of the number of missing teeth (>9 to 12 y of education). Our study suggests the presence of a significant association between educational attainment and tooth loss, as well as a partial interactive association between "