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KMID : 1004520200360010012
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Journal of Dental Rehabilitation and Applied Science
2020 Volume.36 No. 1 p.12 ~ p.20
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Association of depression with chewing problems in Koreans : a cross-sectional study using the Korea national health and nutrition examination Survey 2016
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Yang Chan-Mo
Baek Ju-Won
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Abstract
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Purpose: This study was designed to analyze the relationship between the presence and severity of depression and chewing problems (CPs) in a representative sample of the general population.
Materials and Methods: Health surveys and examinations were conducted on a nationally representative sample (n = 8150) of Korean was conducted. CPs was determined by a simple survey response concerning “Do you feel uncomfortable about chewing your food because of problems with your mouth such as teeth, dentures and gums?” Depression was defined as individuals with a total score ≥ 10 on the Patient Health Questionnaire (PHQ)-9 survey. Data regarding demographics, socioeconomic history and comorbid health conditions were used to analyze adjusted logistic regression models.
Results: In the Korean population, the prevalence of depression was significantly greater in individuals with CP (17.2%) than in those without CP (10.2%). On multivariate logistic regression analysis, the presence of depression was significantly associated with CPs (adjusted odd ratio [aOR]: 1.90, P < 0.001). The risk of CPs increased with increasing severity of depression as follows: severe depression (OR: 2.62, P < 0.001), moderately severe depression (OR: 2.19, P < 0.001).
Conclusion: The presence of depression was significantly associated with CPs, especially in severely depressed individuals. Depression screening should be considered in treating CP patients. (J Dent Rehabil Appl Sci 2020;36(1):12-20)
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KEYWORD
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depression, the Korea National Health and Nutrition Examination Survey (KNHANES), chewing problem, prevalence, risk factors, general population
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