Turner, E, Berry, K, Aggarwal, V orcid.org/0000-0003-0838-9682 et al. (3 more authors) (2022) Oral health self-care behaviours in serious mental illness: A systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 145 (1). pp. 29-41. ISSN 0001-690X
Abstract
Aim
To understand the relationship between serious mental illness and oral health self‐care behaviours using meta‐analytic methods and a narrative synthesis of available literature.
Method
The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines [PROSPERO reference: CRD42020176779]. Search terms pertaining to serious mental illness and oral health were entered into EMBASE, PsycINFO, Medline and CINAHL. Eligible studies included a sample of people with a serious mental illness and a quantitative measure of an oral health self‐care behaviour (e.g. dental visits, toothbrushing). The Effective Public Health Practice Project tool was utilised to appraise the quality of the literature. Studies in the meta‐analysis contained a non‐clinical or general population comparator sample.
Results
People with a serious mental illness were significantly less likely to visit the dentist (OR 0.46, 95% CI 0.32‐.065, p>0.001) or brush their teeth (OR 0.19, 95% CI 0.08‐0.42, p<0.001) when compared to non‐clinical comparator samples. Few studies explored other oral health self‐care behaviours (e.g. flossing, mouth‐washing etc.), but uptake was generally low in people with a serious mental illness. The study quality of included studies was variable.
Conclusions
The research showed a reduced uptake of oral health self‐care behaviours in people with a serious mental illness. Sub‐optimal oral health can negatively impact on physical, social and psychological functioning. Further research is needed to understand the reasons for low rates of oral health self‐care behaviours in this population.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | Oral health; psychotic disorders; bipolar disorders; dental care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Oral Surgery (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 22 Apr 2021 10:23 |
Last Modified: | 19 Jul 2022 10:33 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/acps.13308 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:173041 |