Mental and psychosocial predictors of toothache in Brazilian dam rupture: a cross-sectional study

Paula Carolina Mendes Santos, Marco Antonio Valente Roque, Andre Augusto Correa de Freitas, Brian Sabato, Ana Cristina Borges-Oliveira, Frederico Duarte Garcia, Maila de Castro Lourenco das Neves

Abstract


Introduction: The burst of Fundão's dam in Mariana, Brazil, was one of the most significant technological disasters and, for instance, may be associated with negative consequences in oral and mental health. Objective: The present study aimed to investigate the toothache prevalence and the associated factors in disaster survivors. Method: This research is an observational, cross-sectional study carried out as a health household survey with the Mariana dam rupture survivors. Results: the study included 225 adults; age mean 45.5±17.8 years. In univariate analysis, the prevalence of toothache was 16.9% and was higher in women (20.1% versus 11.1%, p= 0.097) subjects with generalized anxiety disorders (GAD) (57.9% versus 25.8%, p≥0.0001), major depressive disorder (MDD) (50 versus 24.6%, p=0.003), post-traumatic stress disorder (PTSD) (26.3 versus 9%, p=0.006), a lower social support satisfaction (SSSS). Multivariate Data Analysis (MVA) results reveal how individuals dissatisfied with their oral appearance were 3.2 times more likely to present with toothaches (p=0.004, 95% CI-1.46-7.02). Of those affected by the disaster, survivors diagnosed with GAD were 2.5 times more likely to present tooth aches (p=0.019, 95% CI=1.16-5.48). Ultimately, the likelihood of an individual presenting with toothaches after the disaster rose to 4% to each point in the SSSS (p.=0.026,95% CI=1.005-1.081). Conclusion: We found that post-disaster survivors in Brazil presented with an elevated prevalence of toothache, and this oral symptom correlated with other dental impairments, anxiety disorder, and social support.


Keywords


Oral health, mental health, disaster survivors

Full Text:

PDF

References


Neves MCL, Roque MA V, Freitas AA, Garcia FD. PRISMMA: pesquisa sobre a saúde mental das famílias atingidas pelo rompimento da barragem de Fundão em Mariana. Belo Horiz Corpus. 2018;

ISDR. Basic Terms of Disaster Risk Reduction. Living with Risk A Glob Rev Disaster Reduct Initiat. 2004;

Sandifer PA, Walker AH. Enhancing disa

ster resilience by reducing stress-associated health impacts. Front public Heal. 2018;6:373.

Gomes ERB, Cavalcante ACS. Desastres naturais: perdas e reações psicológicas de vítimas de enchente em Teresina-PI . Vol. 24, Psicologia & Sociedade . scielo ; 2012. p. 720–8.

Pitułaj A, Kiejna A, Dominiak M. Negative synergy of mental disorders and oral diseases versus general health. Dent Med Probl. 2019;

Han W, Liang C, Jiang B, Ma W, Zhang Y. Major natural disasters in China, 1985–2014: occurrence and damages. Int J Environ Res Public Health. 2016;13(11):1118.

Matevosyan NR. Oral health of adults with serious mental illnesses: a review. Community Ment Health J. 2010;46(6):553–62.

Sato Y, Aida J, Takeuchi K, Ito K, Koyama S, Kakizaki M, et al. Impact of loss of removable dentures on oral health after the Great East Japan Earthquake: a retrospective cohort study. J Prosthodont. 2015;24(1):32–6.

Kishi M, Aizawa F, Matsui M, Yokoyama Y, Abe A, Minami K, et al. Oral health-related quality of life and related factors among residents in a disaster area of the Great East Japan Earthquake and giant tsunami. Health Qual Life Outcomes. 2015;13(1):143.

Tsuchiya M, Aida J, Hagiwara Y, Sugawara Y, Tomata Y, Sato M, et al. Periodontal disease is associated with insomnia among victims of the Great East Japan Earthquake: a panel study initiated three months after the disaster. Tohoku J Exp Med. 2015;237(2):83–90.

Naito M, Suzukamo Y, Nakayama T, Hamajima N, Fukuhara S. Linguistic adaptation and validation of the General Oral Health Assessment Index (GOHAI) in an elderly Japanese population. J Public Health Dent. 2006;66(4):273–5.

El Osta N, Tubert-Jeannin S, Hennequin M, Naaman NBA, El Osta L, Geahchan N. Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon. Health Qual Life Outcomes. 2012;10(1):131.

Tubert‐Jeannin S, Riordan PJ, Morel‐Papernot A, Porcheray S, Saby‐Collet S. Validation of an oral health quality of life index (GOHAI) in France. Community Dent Oral Epidemiol. 2003;31(4):275–84.

Zaitsu T, Ueno M, Shinada K, Ohara S, Wright FAC, Kawaguchi Y. Association of clinical oral health status with self-rated oral health and GOHAI in Japanese adults. Community Dent Health. 2011;28(4):297.

Shukla J. Extreme weather events and mental health: Tackling the psychosocial challenge. ISRN Public Health. 2013;2013.

ACEP AC of EP. Disaster data collection. Ann Emerg Med. 2001;October(38):485.

Estrela C, Guedes OA, Silva JA, Leles CR, Estrela CR de A, Pécora JD. Diagnostic and clinical factors associated with pulpal and periapical pain. Braz Dent J. 2011;22(4):306–11.

Tsuchiya M, Aida J, Watanabe T, Shinoda M, Sugawara Y, Tomata Y, et al. High prevalence of toothache among Great East Japan Earthquake survivors living in temporary housing. Community Dent Oral Epidemiol. 2019;47(2):119–26.

Zhang W, Ohira T, Yasumura S, Maeda M, Otsuru A, Harigane M, et al. Effects of socioeconomic factors on cardiovascular-related symptoms among residents in Fukushima after the Great East Japan Earthquake: a cross-sectional study using data from the Fukushima Health Management Survey. BMJ Open. 2017;7(6):e014077.

Amorim P. Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Brazilian J Psychiatry. 2000;22(3):106–15.

Ribeiro JLP. Escala de satisfação com o suporte social (ESSS). Análise psicológica. 1999;17(3):547–58.

Caiuby AVS, Lacerda SS, Quintana MI, Torii TS, Andreoli SB. Adaptação transcultural da versão brasileira da Escala do Impacto do Evento-Revisada (IES-R). Cad Saude Publica. 2012;28:597–603.

Oliveira AC, Czeresnia D, Paiva SM, Campos MR, Ferreira EF. [Utilization of oral health care for Down syndrome patients]. Rev Saude Publica [Internet]. 2008 Aug;42(4):693—699. Available from: https://doi.org/10.1590/s0034-89102008000400016

Teixeira SA, Santos PCM, Batista AR, Albuquerque BN, Vasconcelos M, Borges-Oliveira AC. Assessment of oral hygiene in mentally disabled children. Rev Odonto Ciência. 2015;30(3).

Peres MA, Iser BPM, Peres KG, Malta DC, Antunes JLF. Desigualdades contextuais e individuais da prevalência de dor dentária em adultos e idosos no Brasil. Cad Saude Publica. 2012;28:s114–23.

ARANHA RL de B, PINTO RS, ABREU MHNG de, MARTINS R de C. Factors associated with toothache among Brazilian adults: a multilevel analysis. Braz Oral Res. 2020;34.

Ardila CM, Agudelo-Suárez AA. Social Context and Dental Pain in Adults of Colombian Ethnic Minority Groups: A Multilevel Cross-Sectional Study. J Oral Facial Pain Headache. 2016;30(1).

Tessarollo FR, Feldens CA, Closs LQ. The impact of malocclusion on adolescents’ dissatisfaction with dental appearance and oral functions. Angle Orthod. 2012;82(3):403–9.

Almeida AB de, Leite ICG, Melgaço CA, Marques LS. Dissatisfaction with dentofacial appearance and the normative need for orthodontic treatment: determinant factors. Dental Press J Orthod. 2014;19(3):120–6.

Ghafournia M, Tehrani MH. Relationship between bruxism and malocclusion among preschool children in Isfahan. J Dent Res Dent Clin Dent Prospects. 2012;6(4):138.

Svensson P, Jadidi F, Arima T, BAAD‐HANSEN L, Sessle BJ. Relationships between craniofacial pain and bruxism. J Oral Rehabil. 2008;35(7):524–47.

Macfarlane T V, Beasley M, Macfarlane GJ. Self-reported facial pain in UK Biobank study: prevalence and associated factors. J oral Maxillofac Res. 2014;5(3).

Besharat M-A, Khadem H, Zarei V, Momtaz A. Mediating Role of Perceived Stress in the Relationship between Facing Existential Issues and Symptoms of Depression and Anxiety. Iran J Psychiatry. 2020;

Türp JC. Risk factors for bruxism. risk. 2017;2007(01/01).

Brown JL, Sheffield D, Leary MR, Robinson ME. Social support and experimental pain. Psychosom Med. 2003;65(2):276–83.

Eisenberger NI, Cole SW. Social neuroscience and health: neurophysiological mechanisms linking social ties with physical health. Nat Neurosci. 2012;15(5):669.

Che X, Cash R, Chung S, Fitzgerald PB, Fitzgibbon BM. Investigating the influence of social support on experimental pain and related physiological arousal: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2018;92:437–52.

Kaniasty K, de Terte I, Guilaran J, Bennett S. A scoping review of post‐disaster social support investigations conducted after disasters that struck the Australia and Oceania continent. Disasters. 2020;44(2):336–66.

Fernandes G, Franco AL, Aparecida de Godoi Gonçalves D, Geraldo Speciali J, Bigal ME, Camparis CM. Temporomandibular disorders, sleep bruxism, and primary headaches are mutually associated. J Orofac Pain. 2013;27(1).

Uchino BN. Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspect Psychol Sci. 2009;4(3):236–55.




DOI: https://doi.org/10.23954/osj.v7i3.3021

Refbacks

  • There are currently no refbacks.