Dental problems (DPs) and physical chronic diseases (CDs) are highly prevalent and incident in people with low socioeconomic status such as homeless individuals. Yet, evidence on the association between DPs and physical CDs in this population is limited. In the present study, we assessed the association between DPs and type and number of CDs in individuals experienced chronic homelessness and serious mental health problems. We analyzed cross-sectional baseline data from 575 homeless adults with serious mental health problems participating in the Toronto site of the At Home/Chez Soi randomized controlled trial. Chronic DPs (lasting at least 6 months) were the primary exposure variable. Presence of self-reported CDs, including heart disease, effect of stroke, hypertension, diabetes, asthma, chronic bronchitis/emphysema, stomach or intestinal ulcer, inflammatory bowel disease, migraine, thyroid problems, arthritis, kidney/bladder problems, liver disease (other than hepatitis), and iron-deficiency anemia, were the primary outcomes. The total number of CDs was also analyzed as a secondary outcome. Logistic regression models were used to assess the association between DPs with each of the studied CDs, and negative binomial regression was used to test the association between DPs with the number of CDs. In our 575 homeless participants (68.5% males) with mean age 40.3 (11.8) years, a high proportion had DPs (42.5%). The presence of DPs was positively associated with heart disease (adjusted odds ratio (AOR):4.19,1.67–10.52), diabetes (AOR:2.17,1.13–4.17), chronic bronchitis (AOR:2.34,1.28–4.29), stomach or intestinal ulcer (AOR:3.48,1.80–6.73), inflammatory bowel disease (AOR:2.52,1.38–4.60), migraine (AOR:1.80,1.20–2.72), arthritis (AOR:2.71,1.71–4.29), kidney/bladder problems (AOR:2.43,1.30–4.54), and iron-deficiency anemia (AOR:3.28,1.90–5.65). DPs were also associated with a higher number of CDs (IRR: 1.62,1.38–1.90). Dental health problems in homeless individuals with serious mental disorders are associated with several CDs. Dental care should be better integrated into existing social and health programs serving this population to improve their overall health status. The AH/CS study is registered with the International Standard Randomized Control Trial Number Register (ISRCTN42520374).

中文翻译：

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精神疾病无家可归的成年人的牙齿问题和慢性疾病：一项横断面研究。

牙齿问题（DPs）和身体慢性疾病（CDs）十分普遍，并且发生在社会经济地位低下的人（如无家可归的人）中。但是，关于该人群中DP和物理CD之间关联的证据有限。在本研究中，我们评估了患有慢性无家可归和严重精神健康问题的个体中DP与CD类型和数量之间的关联。我们分析了575名无家可归者的严重横断面基线数据，这些成年人参加了At Home / Chez Soi随机对照试验的多伦多站点，患有严重的精神健康问题。慢性DPs（持续至少6个月）是主要的暴露变量。存在自我报告的CD，包括心脏病，中风，高血压，糖尿病，哮喘，慢性支气管炎/肺气肿，胃或肠道溃疡的影响，主要的结果是炎症性肠病，偏头痛，甲状腺问题，关节炎，肾/膀胱问题，肝病（除肝炎外）和缺铁性贫血。CD的总数也作为次要结果进行了分析。Logistic回归模型用于评估DP与每个研究CD的关联，负二项式回归用于检验DP与CD数量的关联。在我们的575名无家可归者（平均68.5％的男性）中，平均年龄为40.3（11.8）岁，有很高的比例患有DP（42.5％）。DP的存在与心脏病（校正比值比（AOR）：4.19,1.67–10.52），糖尿病（AOR：2.17,1.13-4.17），慢性支气管炎（AOR：2.34,1.28–4.29），胃癌或胃癌呈正相关。肠道溃疡（AOR：3.48，1.80–6.73），炎症性肠病（AOR：2.52，1.38–4.60），偏头痛（AOR：1.80,1.20–2.72），关节炎（AOR：2.71、1.71–4.29），肾/膀胱问题（AOR：2.43,1.30–4.54）和缺铁性贫血（AOR：3.28,1.90–5.65） 。DP也与更多数量的CD相关（IRR：1.62、1.38-1.90）。患有严重精神障碍的无家可归者的牙齿健康问题与几种CD有关。牙科保健应更好地融入为该人群服务的现有社会和健康计划中，以改善其总体健康状况。AH / CS研究已在国际标准随机对照试验号码簿（ISRCTN42520374）中进行了注册。患有严重精神障碍的无家可归者的牙齿健康问题与几种CD有关。牙科保健应更好地融入为该人群服务的现有社会和健康计划中，以改善其总体健康状况。AH / CS研究已在国际标准随机对照试验号码簿（ISRCTN42520374）中进行了注册。患有严重精神障碍的无家可归者的牙齿健康问题与几种CD有关。牙科保健应更好地融入为该人群服务的现有社会和健康计划中，以改善其总体健康状况。AH / CS研究已在国际标准随机对照试验号码簿（ISRCTN42520374）中进行了注册。