Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.

<h4>Background</h4>Oral health is a less-recognized correlate of overall and mental wellbeing. This study aimed to assess the relationship between suicidal behavior (ideation and attempt) and oral health practices and status, and to determine the effect of sex on these associations among...

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Main Authors: Morenike Oluwatoyin Folayan, Maha El Tantawi, Olakunle Oginni, Elizabeth Oziegbe, Boladale Mapayi, Olaniyi Arowolo, Abiola Adetokunbo Adeniyi, Nadia A Sam-Agudu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0247073
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spelling doaj-2abe5aa9404744b5ac1873ff58eca75d2021-08-15T04:30:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01162e024707310.1371/journal.pone.0247073Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.Morenike Oluwatoyin FolayanMaha El TantawiOlakunle OginniElizabeth OziegbeBoladale MapayiOlaniyi ArowoloAbiola Adetokunbo AdeniyiNadia A Sam-Agudu<h4>Background</h4>Oral health is a less-recognized correlate of overall and mental wellbeing. This study aimed to assess the relationship between suicidal behavior (ideation and attempt) and oral health practices and status, and to determine the effect of sex on these associations among Nigerian adolescents.<h4>Methods</h4>Household survey data were collected from 10 to 19-year-old adolescents in southwestern Nigeria. Dependent variables were daily tooth brushing, daily consumption of refined carbohydrates between meals, and oral hygiene status (measured by plaque index). The independent variable was lifetime suicidal ideation/attempt, dichotomized into 'yes' and 'never'. 'Daily tooth brushing' and 'daily consumption of refined carbohydrates between meals' were included in two separate logistic regression models, and 'oral hygiene status' was included in a linear regression model. The models were adjusted for sex, age, and socioeconomic status. The linear regression model was also adjusted for frequency of daily tooth-brushing and of consumption of refined carbohydrates between meals. Interactions between sex and suicidal ideation/suicide attempt in association with dependent variables were assessed. Significance was set at 5%.<h4>Results</h4>We recruited 1,472 participants with mean age (standard deviation) of 14.6 (2.6) years. The mean plaque index was 0.84 (0.56), and 66 (4.5%) adolescents reported ever having suicidal ideation/attempt. Suicidal ideation/attempt was associated with significantly lower likelihood of tooth brushing (OR = 0.48, 95% CI: 0.26, 0.91), higher likelihood of consuming refined carbohydrates between meals (OR = 2.30, 95% CI: 1.29, 4.10), and having poor oral hygiene (B = 0.18, 95% CI: 0.05, 0.32). Among males, suicidal ideation/attempt was associated with less likelihood of eating refined carbohydrates between meals (OR = 0.96, 95% CI: 0.35, 2.61). Conversely, it was associated with a significantly higher likelihood of this outcome (OR = 4.85, 95% CI: 2.23, 10.55) among females.<h4>Conclusion</h4>The study findings suggest that poor tooth brushing habits and poor oral hygiene are indicators for risk of suicidal behavior for adolescents in Nigeria, while high sugar consumption may be an additional risk factor for adolescent females. These findings support the role of dental practitioners as members of healthcare teams responsible for screening, identifying and referring patients at risk for suicidal ideation/attempt.https://doi.org/10.1371/journal.pone.0247073
collection DOAJ
language English
format Article
sources DOAJ
author Morenike Oluwatoyin Folayan
Maha El Tantawi
Olakunle Oginni
Elizabeth Oziegbe
Boladale Mapayi
Olaniyi Arowolo
Abiola Adetokunbo Adeniyi
Nadia A Sam-Agudu
spellingShingle Morenike Oluwatoyin Folayan
Maha El Tantawi
Olakunle Oginni
Elizabeth Oziegbe
Boladale Mapayi
Olaniyi Arowolo
Abiola Adetokunbo Adeniyi
Nadia A Sam-Agudu
Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.
PLoS ONE
author_facet Morenike Oluwatoyin Folayan
Maha El Tantawi
Olakunle Oginni
Elizabeth Oziegbe
Boladale Mapayi
Olaniyi Arowolo
Abiola Adetokunbo Adeniyi
Nadia A Sam-Agudu
author_sort Morenike Oluwatoyin Folayan
title Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.
title_short Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.
title_full Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.
title_fullStr Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.
title_full_unstemmed Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.
title_sort oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in southwest nigeria.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2021-01-01
description <h4>Background</h4>Oral health is a less-recognized correlate of overall and mental wellbeing. This study aimed to assess the relationship between suicidal behavior (ideation and attempt) and oral health practices and status, and to determine the effect of sex on these associations among Nigerian adolescents.<h4>Methods</h4>Household survey data were collected from 10 to 19-year-old adolescents in southwestern Nigeria. Dependent variables were daily tooth brushing, daily consumption of refined carbohydrates between meals, and oral hygiene status (measured by plaque index). The independent variable was lifetime suicidal ideation/attempt, dichotomized into 'yes' and 'never'. 'Daily tooth brushing' and 'daily consumption of refined carbohydrates between meals' were included in two separate logistic regression models, and 'oral hygiene status' was included in a linear regression model. The models were adjusted for sex, age, and socioeconomic status. The linear regression model was also adjusted for frequency of daily tooth-brushing and of consumption of refined carbohydrates between meals. Interactions between sex and suicidal ideation/suicide attempt in association with dependent variables were assessed. Significance was set at 5%.<h4>Results</h4>We recruited 1,472 participants with mean age (standard deviation) of 14.6 (2.6) years. The mean plaque index was 0.84 (0.56), and 66 (4.5%) adolescents reported ever having suicidal ideation/attempt. Suicidal ideation/attempt was associated with significantly lower likelihood of tooth brushing (OR = 0.48, 95% CI: 0.26, 0.91), higher likelihood of consuming refined carbohydrates between meals (OR = 2.30, 95% CI: 1.29, 4.10), and having poor oral hygiene (B = 0.18, 95% CI: 0.05, 0.32). Among males, suicidal ideation/attempt was associated with less likelihood of eating refined carbohydrates between meals (OR = 0.96, 95% CI: 0.35, 2.61). Conversely, it was associated with a significantly higher likelihood of this outcome (OR = 4.85, 95% CI: 2.23, 10.55) among females.<h4>Conclusion</h4>The study findings suggest that poor tooth brushing habits and poor oral hygiene are indicators for risk of suicidal behavior for adolescents in Nigeria, while high sugar consumption may be an additional risk factor for adolescent females. These findings support the role of dental practitioners as members of healthcare teams responsible for screening, identifying and referring patients at risk for suicidal ideation/attempt.
url https://doi.org/10.1371/journal.pone.0247073
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