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在智利农村的队列中,剩余牙数量和发生抑郁症之间的关联
Duniel Ortuño1,2, Constanza Martínez3,4,5, Constanza Caneo3
1Faculty of Medicine, PhD in Epidemiology Program, Pontificia Universidad Católica de Chile, Santiago, Chile. drortuno@uc.cl.
BMC oral health
|September 4, 2023
概括
牙损失与随着时间的推移发展抑郁症的风险更高有关. 这项纵向研究发现,剩下的牙数量减少,特别是完全失去牙 (牙),显著增加了成年人患抑郁症的几率.
科学领域:
- 口腔健康和心理健康研究
- 长度流行病学研究是指长度流行病学研究.
- 精神病学流行病学精神病学流行病学
背景情况:
- 现有的研究表明,牙脱落和抑郁症之间存在联系.
- 在不同人群中证实这种关联的纵向数据有限.
- 了解这种关系对于公共卫生倡议至关重要.
研究的目的:
- 为了调查剩余牙数量与发生抑郁之间的纵向关联.
- 在智利队列中对2年和4年的随访分析这种关系.
- 探索男性和女性之间这种关联的潜在差异.
主要方法:
- 在智利的前性队列研究 (Maule队列,MAUCO).
- 没有基线抑郁症的参与者 (38-74岁) 根据剩余的牙 (≥20, 10-19, 1-9, 没有) 分类.
- 抑郁症发病率和严重程度使用PHQ-9进行评估;逻辑回归调整为混因素.
主要成果:
- 拥有不到20颗牙的个体在两次随访中都增加了发生抑郁症的几率.
- 拥有10-19颗牙的男性的几率是2.44倍;没有牙的男性在4年后的几率是2.24倍.
- 与≥20颗牙相比,女性对所有牙脱落类别的几率都较高;牙磨损与更高的抑郁症严重程度有关.
结论:
- 减少剩余牙的数量与发生抑郁症的几率更高有关.
- 牙症显著增加了抑郁症的风险和严重程度,特别是在女性中.
- 研究结果强调了保持口腔健康对心理健康的重要性.
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