J Dent Rehabil Appl Sci.  2020 Mar;36(1):12-20. 10.14368/jdras.2020.36.1.12.

Association of depression with chewing problems in Koreans : A cross-sectional study using the Korea National Health and Nutrition Examination Survey 2016

• Yang CM
• Baek JW

• KMID: 2512131
• DOI: http://doi.org/10.14368/jdras.2020.36.1.12

Abstract

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.

Keyword

depression; the Korea National Health and Nutrition Examination Survey (KNHANES); chewing problem; prevalence; risk factors; general population

Figure

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  Fig. 1 Flow diagram of inclusion and exclusion of participants in this study from the 2016 Korea National Health and Nutrition Examination Surveys (KNHANES VII-1). CP indicates chewing problems; PHQ, Patient Health Questionnaire.

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  Fig. 2 The prevalence of depression was significantly greater (17.2%) in individuals with CP than those without CP (10.2%) (P < 0.001). CP indicates chewing problems.

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