Having fewer than 21 teeth associated with poorer general health among South Australians

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dc.contributor.authorJamieson, L.
dc.contributor.authorBrennan, D.
dc.contributor.authorPeres, M.
dc.contributor.authorLuzzi, L.
dc.contributor.authorMiller, C.
dc.contributor.authorBowden, J.
dc.contributor.authorMcCaffrey, N.
dc.date.issued2017
dc.description[Correction added on April 20, 2017 after online publication: two author names were changed from Marco Peres and Nikki McCaffery to Marco A. Peres and Nikki McCaffrey, respectively.]
dc.description.abstractObjective: To explore whether having less than 21 teeth is associated with poorer general health in a representative population sample of South Australians. Methods: Data were from a cross-sectional state-based survey, conducted from September to December 2013. Complete data were available for 2,908 participants (58 percent response rate). General health-related quality of life (HrQOL), as measured by the EuroQol instrument (EQ-5D-5L), was the main outcome measure. Total disutility scores were calculated, with the five individual EQ-5D dimensions then dichotomized into “no problems” and “at least one problem.” The main explanatory variable was self-reported missing teeth, as assessed by having <21 teeth versus 211 teeth in a questionnaire. Results: Overall, disutility was low (0.09) (ranges from 0 to 1, with high scores indicating poorer general health). In multivariable analysis, total disutility was positively associated with older age, lower annual household income, lower levels of physical activity, being a current tobacco smoker, receiving mental health treatment and <21 teeth. When individual dimensions were considered, missing teeth remained significantly associated with mobility problems (PR 1.26, 95 percent CI 1.06, 1.50) and pain/discomfort (PR 1.16, 95 percent CI 1.06, 1.27). Conclusions: Missing teeth was associated with poor general health status as measured by EQ-5D-5L disutility. The relationship was especially evident with respect to mobility and pain/discomfort. The findings emphasize the importance of oral health as predictors of general health.
dc.description.statementofresponsibilityLisa Jamieson, David Brennan, Marco A. Peres, Liana Luzzi, Caroline Miller, Jacqui Bowden, Nikki McCaffrey
dc.identifier.citationJournal of Public Health Dentistry, 2017; 77(3):216-224
dc.identifier.doi10.1111/jphd.12200
dc.identifier.issn0022-4006
dc.identifier.issn1752-7325
dc.identifier.orcidJamieson, L. [0000-0001-9839-9280]
dc.identifier.orcidBrennan, D. [0000-0002-7888-0920]
dc.identifier.orcidPeres, M. [0000-0002-8329-2808]
dc.identifier.orcidLuzzi, L. [0000-0002-5450-6483]
dc.identifier.orcidMiller, C. [0000-0001-9723-8047]
dc.identifier.orcidBowden, J. [0000-0003-1983-8930]
dc.identifier.orcidMcCaffrey, N. [0000-0003-3684-3723]
dc.identifier.urihttp://hdl.handle.net/2440/109270
dc.language.isoen
dc.publisherWiley
dc.rights© 2017 American Association of Public Health Dentistry
dc.source.urihttps://doi.org/10.1111/jphd.12200
dc.subjectEQ-5D-5L
dc.subjectEQ-5D
dc.subjectpopulation survey
dc.subjectepidemiology
dc.subjectmobility
dc.subjectpain/discomfort
dc.subjectdisutility
dc.subjectphysical activity
dc.subjecthealth-related quality of life
dc.subjectadults
dc.titleHaving fewer than 21 teeth associated with poorer general health among South Australians
dc.typeJournal article
pubs.publication-statusPublished

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