Mind the gap: an administrative data analysis of dental treatment outcomes and severe mental illness

Finola R Ferry; Michael Rosato; Gerard Leavey

doi:10.1080/09638237.2022.2069722

Mind the gap: an administrative data analysis of dental treatment outcomes and severe mental illness

Finola R Ferry
, Michael Rosato
, Gerard Leavey

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

104 Downloads (Pure)

Abstract

Background
Oral health of people with severe mental illness (SMI) remains an important public health issue, despite evidence pointing suboptimal dental health outcomes in this population.

Aims
We test the hypotheses that individuals with SMI have lower contact with dental services and higher levels of fillings and extractions. We also examine effect modification by age-group.

Methods
We used linked administrative data from general practitioner (GP), hospital and dental records to examine dental service use and treatments (extractions, fillings, crowns and x-Rays) among the Northern Ireland hospital population between January 2015 and November 2019 (N=798,564).

Results
After adjusting for available socio-demographic characteristics, analysis indicated lower levels of dental service use (OR=0.80, 95% CI=0.77, 0.84), including lower likelihood of fillings (OR=0.81, 0.77, 0.84) and X-rays (OR=0.77, 0.74, 0.81), but higher levels of extractions (OR=1.23, 1.18, 1.29) among patients with SMI. We also found effect modification by age-group, with older individuals with SMI less likely to have each of the four dental treatments.

Conclusions
We suggest that in the general area of physical healthcare for people with SMI, oral healthcare is neglected. There is a need for improved understanding of the barriers to routine care and treatment, and development of psychoeducational interventions.

Original language	English
Pages (from-to)	1-7
Number of pages	7
Journal	Journal of Mental Health
Early online date	10 May 2022
DOIs	https://doi.org/10.1080/09638237.2022.2069722
Publication status	Published online - 10 May 2022

Bibliographical note

Publisher Copyright:
© 2022 Informa UK Limited, trading as Taylor & Francis Group.

Data Availability Statement

The linked administrative data that support the findings are safe-guarded and only available to members of the research team. Syntax files developed to produce findings reported in this study are available on request from the corresponding author.

Funding

This work was undertaken for a project as part of Administrative Data Research Northern Ireland, which is supported by the Economic and Social Research Council (ESRC) (project number: ES/L007509/1).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Psychiatry and Mental health
General Medicine
Severe mental illness
Severe mental disorder
Dental health
Oral health
Dental treatment
Administrative data
dental treatment
oral health
dental health
severe mental disorder
administrative data

Access to Document

10.1080/09638237.2022.2069722

Mind the gap an administrative data analysis of dental treatment outcomes and severe mental illnessFinal published version, 874 KB

Cite this

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title = "Mind the gap: an administrative data analysis of dental treatment outcomes and severe mental illness",

abstract = "Background Oral health of people with severe mental illness (SMI) remains an important public health issue, despite evidence pointing suboptimal dental health outcomes in this population. Aims We test the hypotheses that individuals with SMI have lower contact with dental services and higher levels of fillings and extractions. We also examine effect modification by age-group. Methods We used linked administrative data from general practitioner (GP), hospital and dental records to examine dental service use and treatments (extractions, fillings, crowns and x-Rays) among the Northern Ireland hospital population between January 2015 and November 2019 (N=798,564). Results After adjusting for available socio-demographic characteristics, analysis indicated lower levels of dental service use (OR=0.80, 95\% CI=0.77, 0.84), including lower likelihood of fillings (OR=0.81, 0.77, 0.84) and X-rays (OR=0.77, 0.74, 0.81), but higher levels of extractions (OR=1.23, 1.18, 1.29) among patients with SMI. We also found effect modification by age-group, with older individuals with SMI less likely to have each of the four dental treatments. Conclusions We suggest that in the general area of physical healthcare for people with SMI, oral healthcare is neglected. There is a need for improved understanding of the barriers to routine care and treatment, and development of psychoeducational interventions. ",

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N2 - Background Oral health of people with severe mental illness (SMI) remains an important public health issue, despite evidence pointing suboptimal dental health outcomes in this population. Aims We test the hypotheses that individuals with SMI have lower contact with dental services and higher levels of fillings and extractions. We also examine effect modification by age-group. Methods We used linked administrative data from general practitioner (GP), hospital and dental records to examine dental service use and treatments (extractions, fillings, crowns and x-Rays) among the Northern Ireland hospital population between January 2015 and November 2019 (N=798,564). Results After adjusting for available socio-demographic characteristics, analysis indicated lower levels of dental service use (OR=0.80, 95% CI=0.77, 0.84), including lower likelihood of fillings (OR=0.81, 0.77, 0.84) and X-rays (OR=0.77, 0.74, 0.81), but higher levels of extractions (OR=1.23, 1.18, 1.29) among patients with SMI. We also found effect modification by age-group, with older individuals with SMI less likely to have each of the four dental treatments. Conclusions We suggest that in the general area of physical healthcare for people with SMI, oral healthcare is neglected. There is a need for improved understanding of the barriers to routine care and treatment, and development of psychoeducational interventions.

AB - Background Oral health of people with severe mental illness (SMI) remains an important public health issue, despite evidence pointing suboptimal dental health outcomes in this population. Aims We test the hypotheses that individuals with SMI have lower contact with dental services and higher levels of fillings and extractions. We also examine effect modification by age-group. Methods We used linked administrative data from general practitioner (GP), hospital and dental records to examine dental service use and treatments (extractions, fillings, crowns and x-Rays) among the Northern Ireland hospital population between January 2015 and November 2019 (N=798,564). Results After adjusting for available socio-demographic characteristics, analysis indicated lower levels of dental service use (OR=0.80, 95% CI=0.77, 0.84), including lower likelihood of fillings (OR=0.81, 0.77, 0.84) and X-rays (OR=0.77, 0.74, 0.81), but higher levels of extractions (OR=1.23, 1.18, 1.29) among patients with SMI. We also found effect modification by age-group, with older individuals with SMI less likely to have each of the four dental treatments. Conclusions We suggest that in the general area of physical healthcare for people with SMI, oral healthcare is neglected. There is a need for improved understanding of the barriers to routine care and treatment, and development of psychoeducational interventions.

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Mind the gap: an administrative data analysis of dental treatment outcomes and severe mental illness

Abstract

Bibliographical note

Data Availability Statement

Funding

UN SDGs

Keywords

Access to Document

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