Abstract
The relationship between subjective well-being (SWB) and frequent attendance is understudied. This study used data from a large German sample of non-institutionalized individuals aged 40+ in 2014 (n = 7264). SWB was measured using the Satisfaction with Life Scale (SWLS) and the Positive and Negative Affect Schedule (PANAS). Number of self-reported dental visits in the past twelve months was used to measure the utilization frequency of dental services. Individuals with at least four dental visits in the preceding year (highest decile) were defined as frequent dental visits. Robustness checks were performed using alternative cut-offs to define frequent dental visits. Multiple logistic regressions showed that frequent dental visits (highest decile) were associated with less satisfaction with life [OR: 0.89, 95%-CI: 0.80–0.99] and higher negative affect [OR: 1.41, 95%-CI: 1.22–1.64], whereas it was not significantly associated with positive affect. Both associations depended on the cut-off chosen to define frequent dental visits. The present study highlights the association between SWB (particularly negative affect and low life satisfaction) and frequent dental visits. Further studies evaluating patients’ motivation for high dental service use are necessary to check the robustness of our findings.
Highlights
Previous research has shown that the effects of oral diseases are not restricted to the oral area, but may play a role in many other diseases that occur in the rest of the body
The fifth wave was used as we were interested in examining the association between subjective well-being (SWB) and frequent dental visits and the exact number for all dental visits was only reported in this wave
Adjusting for socioeconomic, health-related and lifestyle factors, multiple logistic regressions revealed that frequent dental visits were consistently associated with low SWB
Summary
Previous research has shown that the effects of oral diseases are not restricted to the oral area, but may play a role in many other diseases that occur in the rest of the body. Poor oral health has been observed to have a negative influence on quality of life [3,4]. An example of this is tooth loss, which may result in chewing impairments, and contribute to lower self-esteem (due to aesthetics) [5,6] and communication difficulties [6]. Routine dental check-ups have been regarded to be important in preventing and treating oral diseases [7,8]. Many countries have the current suggestion to have a dental check
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