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https://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 |
DOI: | 10.1177/154405910708601205 |
Published version: | http://jdr.iadrjournals.org/cgi/content/abstract/86/12/1166 |
Appears in Collections: | Aurora harvest 6 Dentistry publications |
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