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|Title:||Psychological distress and self-rated oral health among a convenience sample of Indigenous Australians|
|Citation:||Journal of Public Health Dentistry, 2015; 75(2):126-133|
|Najith Amarasena, Kostas Kapellas, Alex Brown, Michael R. Skilton, Louise J. Maple-Brown, Mark P. Bartold, Kerin O'Dea, David Celermajer, Gary Douglas Slade and Lisa Jamieson|
|Abstract:||OBJECTIVES: This study sought to: a) estimate the frequency of poor self-rated oral health as assessed by a summary measure; b) compare frequency according to sociodemographic, behavioral, and psychological distress factors; and (3) determine if psychological distress was associated with poor self-rated oral health after adjusting for confounding. METHODS: Data were from a convenience sample of Indigenous Australian adults (n = 289) residing in Australia's Northern Territory. Poor self-rated oral health was defined as reported experience of toothache, poor dental appearance or food avoidance in the last 12 months. A logistic regression model was used to evaluate socio-demographic, behavioral, and psychological distress associations with poor self-rated oral health (SROH). Effects were quantified as odds ratios (OR). RESULTS: The frequency of poor SROH was 73.7 percent. High psychological distress, measured by a Kessler-6 score ≥8, was experienced by 33.9 percent of participants. Poor SROH was associated with high levels of psychological distress, being older, being female, and usually visiting a dentist because of a problem. In the multivariable model, factors that were significantly associated with poor SROH after adjustment for other covariates included having a high level of psychological distress (OR 2.74, 95% CI 1.25-6.00), being female (OR 2.22, 95% CI 1.03-4.78), and usually visiting a dentist because of a problem (OR 3.57, 95% CI 1.89-6.76). CONCLUSIONS: Poor self-rated oral health and high levels of psychological distress were both highly frequent among this vulnerable population. Psychological distress was significantly associated with poor self-rated oral health after adjustment for confounding.|
|Keywords:||Indigenous Australian; poor self-rated oral health; psychological distress|
|Rights:||© 2014 American Association of Public Health Dentistry|
|Appears in Collections:||Dentistry publications|
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