Cross‐sectional analysis of role of socioeconomic status in the association between depression and periodontitis
Notice bibliographique
Résumé
BACKGROUND: Numerous studies have reported an association between depression and periodontitis, though results are inconsistent and highly heterogeneous. The present study aimed to examine the potential confounding role of poor socioeconomic status (SES) in the association between depression and periodontitis by performing a secondary analysis of the National Health and Nutrition Examination Survey (NHANES) data. METHODS: Among participants of the 2009-2014 NHANES cycles, those who fulfilled sociodemographic (education level, household income, ethnicity, marital status), medical, and depression questionnaires, and underwent full-mouth periodontal examination were selected. Periodontitis (mild, moderate, and severe) was assessed based on the Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) criteria. Depression was defined by a Patient Health Questionnaire (PHQ-9) total score ≥10. Weighted multivariable regressions for complex design models were used to assess the association between periodontitis and depression accounting for the role of SES. Adjusted odds ratio (OR) with 95% confidence intervals (CIs) were provided. RESULTS: Among 9537 participants [mean age: 51.9 years (SD: 14.1), 50.1% females], 4768 (41.2%) and 830 (7.3%) presented with periodontitis and depression, respectively. Depression was significantly associated with periodontitis (weighted OR [95% CI]: 1.26 [1.01-1.56]). However, this association was no longer significant when adjusting for SES indicators (0.94 [0.75-1.18]), especially poverty (91.4% of OR reduction when adjusting for poverty only). CONCLUSION: The association between depression and periodontitis may largely be explained by SES, which should thus be considered at both the population- and individual levels in preventive and management strategies. PLAIN LANGUAGE SUMMARY: Depression and periodontitis are two common health problems, and some studies suggest they might be linked. But could this connection actually be due to other factors, like low income or education levels? To find out, we analyzed data from a national US health survey involving over 9500 adults who answered questions about their mental health, income, education, and lifestyle, and who also underwent a full-mouth periodontal examination. We found that depression and periodontitis appeared to be connected at first glance. However, when we considered socioeconomic factors-especially low income-the link between the two disappeared. This suggests that financial challenges and limited access to resources might play a bigger role than previously thought. Our findings highlight the need for health professionals to look beyond individual conditions and consider a person's broader life circumstances when providing care. At a public health level, addressing social inequalities could help improve both mental and oral health outcomes.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».