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Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults.
J Am Geriatr Soc 2019; 67(S3):S551-S556JA

Abstract

OBJECTIVES

Dry mouth is a common condition among older adults that negatively influences oral health, general health, and quality of life. The role of psychosocial factors in oral health conditions and diseases remains largely unknown. We conducted a study to examine the relationship between perceived stress and dry mouth among US older Chinese adults and further investigated the potential moderating role of social support and social strain from different sources in the relationship.

DESIGN

Cross-sectional analysis.

SETTING

Baseline of the Population Study of Chinese Elderly in Chicago, a community-engaged, population-based longitudinal study of health and well-being among community-dwelling US older Chinese adults.

PARTICIPANTS

Individuals 60 years or older (N = 3157).

MEASUREMENTS

Perceived stress was measured by the 10-item Chinese Perceived Stress Scale to evaluate the degree to which life situations were perceived as stressful during the preceding month on a 5-point scale, ranging from 0 ("never") to 4 ("very often"). Dry mouth was a binary self-reported outcome variable (1 = "dry mouth"). Social support was measured by the Health and Retirement Study's social support and strain scale from sources including spouse, other family members, and friends with a 3-point response set, ranging from 0 ("hardly ever") to 2 ("often"). Sociodemographics and disease processes were assessed as covariates. We conducted stepwise logistic regressions with interaction terms.

RESULTS

Having higher levels of perceived stress was significantly associated with a higher likelihood of reporting dry mouth (odds ratio = 1.03; 95% confidence interval = 1.02-1.04). The effect of perceived stress on dry mouth may vary by levels of family and friend support.

CONCLUSION

Perceived stress may influence dry mouth either directly or indirectly. To prevent or reduce dry mouth, in addition to disease processes, interventions need to consider psychosocial factors in dry mouth, especially perceived stress and social support, in this growing population. J Am Geriatr Soc 67:S551-S556, 2019.

Authors+Show Affiliations

School of Social Work, University of Nevada, Reno, Nevada.Department of Psychology, Bowling Green State University, Bowling Green, Ohio.Rory Meyers College of Nursing, New York University, New York, New York.School of Nursing, Duke University, Durham, North Carolina.School of Community Health Sciences, University of Nevada, Reno, Nevada.Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California.Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31403193

Citation

Mao, Weiyu, et al. "Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults." Journal of the American Geriatrics Society, vol. 67, no. S3, 2019, pp. S551-S556.
Mao W, Chen Y, Wu B, et al. Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults. J Am Geriatr Soc. 2019;67(S3):S551-S556.
Mao, W., Chen, Y., Wu, B., Ge, S., Yang, W., Chi, I., & Dong, X. (2019). Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults. Journal of the American Geriatrics Society, 67(S3), pp. S551-S556. doi:10.1111/jgs.15890.
Mao W, et al. Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults. J Am Geriatr Soc. 2019;67(S3):S551-S556. PubMed PMID: 31403193.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults. AU - Mao,Weiyu, AU - Chen,Yiwei, AU - Wu,Bei, AU - Ge,Shaoqing, AU - Yang,Wei, AU - Chi,Iris, AU - Dong,XinQi, PY - 2018/08/30/received PY - 2019/02/18/revised PY - 2019/02/22/accepted PY - 2019/8/13/entrez KW - older Chinese immigrants KW - oral health KW - social strain KW - social support KW - stress SP - S551 EP - S556 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 67 IS - S3 N2 - OBJECTIVES: Dry mouth is a common condition among older adults that negatively influences oral health, general health, and quality of life. The role of psychosocial factors in oral health conditions and diseases remains largely unknown. We conducted a study to examine the relationship between perceived stress and dry mouth among US older Chinese adults and further investigated the potential moderating role of social support and social strain from different sources in the relationship. DESIGN: Cross-sectional analysis. SETTING: Baseline of the Population Study of Chinese Elderly in Chicago, a community-engaged, population-based longitudinal study of health and well-being among community-dwelling US older Chinese adults. PARTICIPANTS: Individuals 60 years or older (N = 3157). MEASUREMENTS: Perceived stress was measured by the 10-item Chinese Perceived Stress Scale to evaluate the degree to which life situations were perceived as stressful during the preceding month on a 5-point scale, ranging from 0 ("never") to 4 ("very often"). Dry mouth was a binary self-reported outcome variable (1 = "dry mouth"). Social support was measured by the Health and Retirement Study's social support and strain scale from sources including spouse, other family members, and friends with a 3-point response set, ranging from 0 ("hardly ever") to 2 ("often"). Sociodemographics and disease processes were assessed as covariates. We conducted stepwise logistic regressions with interaction terms. RESULTS: Having higher levels of perceived stress was significantly associated with a higher likelihood of reporting dry mouth (odds ratio = 1.03; 95% confidence interval = 1.02-1.04). The effect of perceived stress on dry mouth may vary by levels of family and friend support. CONCLUSION: Perceived stress may influence dry mouth either directly or indirectly. To prevent or reduce dry mouth, in addition to disease processes, interventions need to consider psychosocial factors in dry mouth, especially perceived stress and social support, in this growing population. J Am Geriatr Soc 67:S551-S556, 2019. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/31403193/Perceived_Stress,_Social_Support,_and_Dry_Mouth_Among_US_Older_Chinese_Adults L2 - https://doi.org/10.1111/jgs.15890 DB - PRIME DP - Unbound Medicine ER -