Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults

Weiyu Mao, Yiwei Chen, Bei Wu, Shaoqing Ge, Wei Yang, Iris Chi, Xinqi Dong

Research output: Contribution to journalArticle

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.
Original languageEnglish (US)
Pages (from-to)S551-S556
Number of pages6
JournalJournal of the American Geriatrics Society
Volume67
DOIs
StatePublished - 2019

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Social Support
Mouth
Oral Health
Health
Mouth Diseases
Psychology
Retirement
Spouses
Population
Longitudinal Studies
Logistic Models
Odds Ratio
Quality of Life
Confidence Intervals

Cite this

Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults. / Mao, Weiyu; Chen, Yiwei; Wu, Bei; Ge, Shaoqing; Yang, Wei; Chi, Iris; Dong, Xinqi.

In: Journal of the American Geriatrics Society, Vol. 67, 2019, p. S551-S556.

Research output: Contribution to journalArticle

Mao, Weiyu ; Chen, Yiwei ; Wu, Bei ; Ge, Shaoqing ; Yang, Wei ; Chi, Iris ; Dong, Xinqi. / Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults. In: Journal of the American Geriatrics Society. 2019 ; Vol. 67. pp. S551-S556.
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title = "Perceived Stress, Social Support, and Dry Mouth Among US Older Chinese Adults",
abstract = "OBJECTIVESDry 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.DESIGNCross‐sectional analysis.SETTINGBaseline 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.PARTICIPANTSIndividuals 60 years or older (N = 3157).MEASUREMENTSPerceived 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.RESULTSHaving 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.CONCLUSIONPerceived 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.",
author = "Weiyu Mao and Yiwei Chen and Bei Wu and Shaoqing Ge and Wei Yang and Iris Chi and Xinqi Dong",
year = "2019",
doi = "10.1111/jgs.15890",
language = "English (US)",
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pages = "S551--S556",
journal = "Journal of the American Geriatrics Society",
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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 - 2019

Y1 - 2019

N2 - OBJECTIVESDry 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.DESIGNCross‐sectional analysis.SETTINGBaseline 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.PARTICIPANTSIndividuals 60 years or older (N = 3157).MEASUREMENTSPerceived 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.RESULTSHaving 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.CONCLUSIONPerceived 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.

AB - OBJECTIVESDry 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.DESIGNCross‐sectional analysis.SETTINGBaseline 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.PARTICIPANTSIndividuals 60 years or older (N = 3157).MEASUREMENTSPerceived 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.RESULTSHaving 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.CONCLUSIONPerceived 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.

U2 - 10.1111/jgs.15890

DO - 10.1111/jgs.15890

M3 - Article

C2 - 31403193

VL - 67

SP - S551-S556

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

ER -