Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study
| العنوان: | Dental problems and chronic diseases in mentally ill homeless adults: a cross-sectional study |
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| المؤلفون: | Stephen W. Hwang, Cilia Mejia-Lancheros, Patricia O'Campo, Vicky Stergiopoulos, Andrea Wang, James Lachaud, Rosane Nisenbaum |
| المصدر: | BMC Public Health, Vol 20, Iss 1, Pp 1-13 (2020) BMC Public Health |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Preventive health service, Male, Chronic bronchitis, Homeless persons, Cross-sectional study, Health Status, 0302 clinical medicine, Epidemiology, Odds Ratio, Prevalence, Medicine, 030212 general & internal medicine, Randomized Controlled Trials as Topic, education.field_of_study, Mental Disorders, lcsh:Public aspects of medicine, Stomatognathic Diseases, 1. No poverty, Middle Aged, 3. Good health, Multiple chronic conditions, Ill-Housed Persons, Female, Research Article, Adult, Canada, medicine.medical_specialty, Oral health, Anemia, Population, Dental health services, 03 medical and health sciences, Internal medicine, Humans, education, Inflammation, business.industry, Public health, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, 030206 dentistry, Odds ratio, medicine.disease, Mental health, Cross-Sectional Studies, Logistic Models, Mouth diseases, Chronic diseases, Chronic Disease, business |
| الوصف: | Background Dental problems (DPs) and physical chronic diseases (CDs) are highly prevalent and incident in people with low socioeconomic status such as homeless individuals. Yet, evidence on the association between DPs and physical CDs in this population is limited. In the present study, we assessed the association between DPs and type and number of CDs in individuals experienced chronic homelessness and serious mental health problems. Methods We analyzed cross-sectional baseline data from 575 homeless adults with serious mental health problems participating in the Toronto site of the At Home/Chez Soi randomized controlled trial. Chronic DPs (lasting at least 6 months) were the primary exposure variable. Presence of self-reported CDs, including heart disease, effect of stroke, hypertension, diabetes, asthma, chronic bronchitis/emphysema, stomach or intestinal ulcer, inflammatory bowel disease, migraine, thyroid problems, arthritis, kidney/bladder problems, liver disease (other than hepatitis), and iron-deficiency anemia, were the primary outcomes. The total number of CDs was also analyzed as a secondary outcome. Logistic regression models were used to assess the association between DPs with each of the studied CDs, and negative binomial regression was used to test the association between DPs with the number of CDs. Results In our 575 homeless participants (68.5% males) with mean age 40.3 (11.8) years, a high proportion had DPs (42.5%). The presence of DPs was positively associated with heart disease (adjusted odds ratio (AOR):4.19,1.67–10.52), diabetes (AOR:2.17,1.13–4.17), chronic bronchitis (AOR:2.34,1.28–4.29), stomach or intestinal ulcer (AOR:3.48,1.80–6.73), inflammatory bowel disease (AOR:2.52,1.38–4.60), migraine (AOR:1.80,1.20–2.72), arthritis (AOR:2.71,1.71–4.29), kidney/bladder problems (AOR:2.43,1.30–4.54), and iron-deficiency anemia (AOR:3.28,1.90–5.65). DPs were also associated with a higher number of CDs (IRR: 1.62,1.38–1.90). Conclusion Dental health problems in homeless individuals with serious mental disorders are associated with several CDs. Dental care should be better integrated into existing social and health programs serving this population to improve their overall health status. The AH/CS study is registered with the International Standard Randomized Control Trial Number Register (ISRCTN42520374). |
| تدمد: | 1471-2458 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dbd738d91757cd0bc874532f1cd09c5eTest https://doi.org/10.1186/s12889-020-08499-7Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....dbd738d91757cd0bc874532f1cd09c5e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712458 |
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