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Cited by 58Dental Health and Care UtilizationMental Health Treatment and AccessOral microbiology and periodontitis research

Oral Health in Veterans Affairs Patients Diagnosed with Serious Mental Illness

Kilbourne, Amy M., Horvitz‐Lennon, Marcela, Post, Edward P., McCarthy, John F., Cruz, Mario, Welsh, Deborah, Blow, Frederic C.·2007·Journal of Public Health Dentistry
DOI 10.1111/j.1752-7325.2007.00007.x
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Abstract

Objectives: We evaluated patient and medication treatment factors associated with self‐reported oral health status in patients diagnosed with serious mental illness (SMI) in a large, national sample of patients in the Veterans Affairs (VA) health system. Methods: 4,769 patients (mean age = 55, 7.8 percent women) were included from the VA’s 1999 National Psychosis Registry (NPR) for whom the oral health information gathered by the VA’s Large Health Survey of Veterans was available. Current (1999) psychotropic medication data were ascertained from the NPR. Multivariable logistic regression analyses were used to determine the patient factors (e.g., sociodemographic, enabling, and treatment factors) associated with poor or fair overall dental health, and with having tooth or mouth problems that made it difficult to eat. Results: While 61.0 percent of persons with SMI self‐reported fair to poor dental health, 34.1 percent reported that oral health problems made it difficult for them to eat. Patients who were not employed, experiencing financial strain, who smoked, who were prescribed tricyclic antidepressants, or prescribed selective serotonin reuptake inhibitors were more likely to report poor or fair dental health. These variables were also associated with having tooth or mouth problems. Conclusions: Suboptimal oral health was self‐reported with substantial pre‐valence among patients with SMI, a problematic finding given its consequences for general health, social functioning, and quality of life. Greater efforts are needed to improve oral health outcomes among patients with SMI by facilitating access to dental care and addressing mutable factors such as smoking and medication side effects.

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Authors
Kilbourne, A. M., Horvitz‐Lennon, M., Post, E. P., McCarthy, J. F., Cruz, M., Welsh, D., & Blow, F. C.
Affiliations
  • University of Michigan (US)
  • University of Pittsburgh (US)
Corresponding author
Kilbourne, Amy M.
ORCID
Venue
Journal of Public Health Dentistry
Publisher
Wiley
Published
2007-01
Volume
67
Issue
1
Pages
42-48
ISSN
  • 0022-4006 (ISSN-L)
  • 1752-7325
DOI
10.1111/j.1752-7325.2007.00007.x
OpenAlex
W2115031933
Cited by
58
References
28
Citations by year
2026: 2 · 2025: 2 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 2 · 2012: 1
FWCI
1.50
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 71 d)
Locations
  • Journal of Public Health Dentistry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Department of Veterans Affairs
  • National Institute of Mental Health (K23MH001879)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Keywords
oral health, severe mental illness, veterans, psychotropic drugs, dental health, eating difficulties, smoking, tricyclic antidepressants, selective serotonin reuptake inhibitors, financial stress, employment status, access to dental care, adverse drug reactions
MeSH terms
Adult, Aged, Aged, 80 and over, Bipolar Disorder, Cross-Sectional Studies, Dental Health Surveys, Female, Humans, Ichthyosis, Male, Middle Aged, Oral Health, Periodontal Diseases, Psychotropic Drugs, Schizophrenia, Tooth Diseases, United States, United States Department of Veterans Affairs, Veterans, Logistic Models

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