Depression and Rural Environment Are Associated With Poor Oral Health Among Pregnant Women in Northern Appalachia
| Autor: | Deborah E. Polk, Cameron L. Randall, Richard J. Crout, Kathy Neiswanger, Elizabeth Kao, Linda J. Brown, Stella Chapman, Robert J. Weyant, Mary L. Marazita, John R. Shaffer, Jennifer L. Maurer, Betsy Foxman, Sarah E. Hayes, Daniel W. McNeil |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Rural Population Gerontology Adolescent Urban Population Oral Health Oral hygiene Article 03 medical and health sciences Gingivitis 0302 clinical medicine Quality of life (healthcare) Arts and Humanities (miscellaneous) Pregnancy Environmental health Developmental and Educational Psychology medicine Humans 030212 general & internal medicine Healthcare Disparities Depression (differential diagnoses) Appalachian Region Depressive Disorder Depression business.industry 030206 dentistry medicine.disease Health equity Clinical Psychology Quality of Life Female Rural area medicine.symptom business Appalachia |
| Zdroj: | Behavior Modification. 40:325-340 |
| ISSN: | 1552-4167 0145-4455 |
| DOI: | 10.1177/0145445515615353 |
| Popis: | Both oral health problems and depression among pregnant women contribute to maternal–infant health outcomes. Little is known, however, about the potential effects of clinically significant depression on the oral health status of pregnant women. The purpose of the present study was to determine the influence of clinically significant depression and rural- or urban-dwelling status on oral health outcomes among pregnant women. Pregnant women ( N = 685) in rural (i.e., West Virginia) and urban (i.e., Pittsburgh, PA) areas of northern Appalachia were assessed by calibrated examiners regarding gingivitis, oral hygiene, and DMFT (decayed, missing, and filled teeth), completed the Center for Epidemiologic Studies–Depression Scale (CES-D) and provided demographics. Participants were categorized based on clinically significant depressive symptoms (CES-D ≥ 16) and rural/urban domicile. Women with depression and those living in rural areas had worse oral health on all three indices than their non-depressed and urban counterparts. Depression, particularly among women in rural areas, affects certain oral health indices and represents a modifiable target for intervention. Moreover, treatments designed specifically for rural populations may be of particular utility. Women who are pregnant or planning to become pregnant may benefit from regular depression screenings from their dental and medical health care providers. |
| Databáze: | OpenAIRE |
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