Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/43872
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Type: Journal article
Title: Does psychological stress mediate social deprivation in tooth loss?
Author: Sanders, A.
Slade, G.
Turrell, G.
Spencer, A.
Marcenes, W.
Citation: Journal of Dental Research, 2007; 86(12):1166-1170
Publisher: Inter Amer Assoc Dental Research
Issue Date: 2007
ISSN: 0022-0345
1544-0591
Statement of
Responsibility: 
A.E. Sanders, G.D. Slade, G. Turrell, A.J. Spencer, and W. Marcenes
Abstract: It is unclear which theoretical dimension of psychological stress affects health status. We hypothesized that both distress and coping mediate the relationship between socio-economic position and tooth loss. Cross-sectional data from 2915 middle-aged adults evaluated retention of < 20 teeth, behaviors, psychological stress, and sociodemographic characteristics. Principal components analysis of the Perceived Stress Scale (PSS) extracted ’distress’ (a = 0.85) and ’coping’ (a =0.83) factors, consistent with theory. Hierarchical entry of explanatory variables into age- and sex-adjusted logistic regression models estimated odds ratios (OR) and 95% confidence intervals [95% CI] for retention of < 20 teeth. Analysis of the separate contributions of distress and coping revealed a significant main effect of coping (OR = 0.7 [95% CI = 0.7–0.8]), but no effect for distress (OR = 1.0 [95% CI = 0.9–1.1]) or for the interaction of coping and distress. Behavior and psychological stress only modestly attenuated socio-economic inequality in retention of < 20 teeth, providing evidence to support a mediating role of coping.
Keywords: psychological stress; tooth loss; mediator; health inequalities; risk behavior
Description: Copyright © 2007 International and American Associations for Dental Research
RMID: 0020073698
DOI: 10.1177/154405910708601205
Published version: http://jdr.iadrjournals.org/cgi/content/abstract/86/12/1166
Appears in Collections:Dentistry publications

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