女性口腔健康與焦慮及憂鬱關係探討──社區型研究

Association Between Oral Health, Anxiety and Depression Among Women - A Community-Based Study

目的：女性為焦慮症與憂鬱症高危險族群，探討口腔健康與其焦慮、憂鬱情緒表現關係。方法：本研究採用橫斷式研究設計，研究地區為嘉義縣朴子社區、研究對象為≧20歲女性居民，使用「口腔健康評估量表（Oral Health Assessment Tool，OHAT）」、「貝克焦慮量表（Beck Anxiety Inventory，BAI）」與「流行病學研究中心憂鬱量表（The Center for Epidemiologic Studies Depression Scale，CES-D）」，以邏輯斯迴歸（Logistic regression）分析口腔健康與焦慮、憂鬱表現關聯性。結果：經校正教育程度與共病數，結果發現口腔健康狀況較差（OHAT分數增加）明顯與焦慮、憂鬱表現[Odds Ratio（OR）=1.977，95％CI：1.287-3.036；1.420，95％CI：1.008-2.000]有關；另一方面，共病數增加與焦慮、憂鬱表現顯著相關[OR分別為1.760（95％CI：1.169-2.650）、1.685（95％CI：1.156-2.455）]。結論：口腔健康可能與焦慮、憂鬱情緒有關。

Objectives. Women are at higher risk of anxiety and depression. This study aimed to investigate the relationship between oral health and anxiety and depression in women.
Methods. This study adopted a cross-sectional study design. The study area was Puzi City, Chiayi County. The subjects were female residents aged≧20 years. The Oral Health Assessment Tool (OHAT), Beck Anxiety Inventory (BAI) and Center for Epidemiological Studies Depression Scale (CES-D) were used to analyze the relationship between oral health and anxiety and depression symptoms by logistic regression.
Results. After adjusting for education level and number of comorbidities, the results showed that oral health was associated with anxiety and depression. An increase in OHAT scores was significantly associated with anxiety and depression manifestations [Odds Ratio (OR) were 1.977 (95% CI: 1.287-3.036) and 1.420 (95% CI: 1.008-2.000)]. On the other hand,an increase in the number of comorbidities was also significantly associated with anxiety and depression manifestations [ORs were 1.760 (95% CI: 1.169-2.650) and 1.685 (95% CI:1.156-2.455) respectively].
Conclusion. Oral health may be associated with anxiety and depression.