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Oral disease and psychosocial risk determinants in relation to self-assessments of general health in persons with chronic whiplash-related disorders
Malmö högskola, Faculty of Odontology (OD).
Malmö högskola, Faculty of Odontology (OD).
2003 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 27, no 4, p. 185-195Article in journal (Other academic)
Abstract [en]

The aim of this study was to analyse how self-assessed general health was related to oral health among persons afflicted with whiplash-associated disorders (WAD), controlling for relevant background factors, confounders and other risk factors. Questionnaires included the SF-36 Health Survey, self-assessed oral health and relevant risk factors, in total 49 questions. Multivariable regression modelling was performed. Members of a nationwide Swedish association enlisting persons who have problems concerning a whiplash injury (n = 1,928) were included. A total of 979 persons participated in the study, a response rate of 50.8%. A multivariable regression model is presented, with general health as the dependent variable, and the independent variables inserted en-bloc. The model was highly significant with an explained variance of 28%. Among background factors, only older age appeared as significantly and strongly related to poorer general health. The strongest explanatory contributions came from the health related variables. Oral disease and extra-oral body pain were both strongly related to poorer general health, most obviously for the oral disease variable. Oral disease was significantly and to a clinically relevant degree associated with self-assessed general health. Several other psychosocial indicators of stress were also significantly related to the general health. These findings are consistent with the stress-behaviour-immune model for development of disease.

Place, publisher, year, edition, pages
2003. Vol. 27, no 4, p. 185-195
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-7121PubMedID: 14753105Scopus ID: 2-s2.0-1542349871Local ID: 3031OAI: oai:DiVA.org:mau-7121DiVA, id: diva2:1404075
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-08-29Bibliographically approved

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Axtelius, BjörnSöderfeldt, Björn

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