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Oral Health Problems in Individuals Living With Spinal Cord Injuries and Disorders.

Sherri L LaVela1, Rena Steiger-Chadwick2, Brian Bartle2

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Summary

Oral health problems are common in individuals with spinal cord injury or dysfunction (SCI/D), particularly for those living alone or experiencing pain and respiratory issues. Addressing these factors is crucial for improving oral hygiene and overall health in the SCI/D population.

Keywords:
Chronic conditionsOral healthPsychosocial healthRehabilitationSecondary complicationsSpinal cord injury

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Area of Science:

  • Rehabilitation Medicine
  • Public Health
  • Oral Health Research

Background:

  • Individuals with spinal cord injury or dysfunction (SCI/D) often face complex health challenges.
  • Oral health is a critical component of overall well-being, yet it is frequently overlooked in SCI/D populations.
  • Understanding the factors contributing to oral health problems in SCI/D is essential for targeted interventions.

Purpose of the Study:

  • To identify demographic, clinical, and psychosocial factors associated with oral health problems in individuals with SCI/D.
  • To inform the development of strategies to improve oral health outcomes for this vulnerable group.

Main Methods:

  • A cross-sectional survey was conducted with 370 veterans and civilians with SCI/D.
  • Data collected included demographics, injury characteristics, chronic conditions, psychosocial health, and self-reported oral health problems.
  • Multivariable regression analysis was used to identify independent predictors of oral health problems.

Main Results:

  • Twenty-six percent of the sample reported oral health problems.
  • Factors independently associated with oral health problems included living alone (OR 2.2), musculoskeletal pain (OR 2.7), and respiratory conditions (OR 2.0).
  • Psychosocial factors such as depression, anxiety, and loneliness were also more prevalent in those with oral health issues.

Conclusions:

  • Oral health problems are significantly associated with social isolation (living alone) and co-occurring physical (musculoskeletal pain, respiratory conditions) and psychosocial health concerns in individuals with SCI/D.
  • Future research should focus on barriers to oral hygiene and preventive care access for those living alone and experiencing pain.
  • Addressing oral health issues is important for individuals with SCI/D, especially given the potential link to respiratory complications.