title: Oral Health-A Neglected Aspect of Subjective Well-Being in Later Life.
abstract: This study examined whether oral health is a neglected aspect of subjective well-being (SWB) among older adults. The key research question was whether deterioration in oral health among dentate older adults living in England was associated with decreases in SWB, using measures of eudemonic, evaluative, and affective dimensions of well-being.
  
  
  
  This secondary analysis used data from the third (2006-2007) and fifth (2010-2011) waves of respondents aged 50 and older from the English Longitudinal Study of Ageing (ELSA). We fitted multivariable regression models to examine the effects of changes in oral impacts on daily life and edentulism (complete tooth loss) on SWB (quality of life, life satisfaction, and depressive symptomatology).
  
  
  
  A worsening in both oral health measures was associated with an increase in depressive symptoms even after adjusting for time-varying confounders including declining health, activities of daily living, and reduced social support. Becoming edentate was also associated with decreases in quality of life and life satisfaction.
  
  
  
  A deterioration in oral health and oral health-related quality of life increases the risk of depressive symptoms among older adults and highlights the importance of oral health as a determinant of subjective well-being in later life.
authors.affiliation: UCL Eastman Dental Institute, London, UK.|Department of Epidemiology and Public Health, University College London, London, UK.
authors.forename: Patrick
authors.initials: P
authors.lastname: Rouxel
authors.affiliation: Department of Epidemiology and Public Health, University College London, London, UK.
authors.forename: Georgios
authors.initials: G
authors.lastname: Tsakos
authors.affiliation: Cathie March Institute for Social Research, University of Manchester, Manchester, UK.
authors.forename: Tarani
authors.initials: T
authors.lastname: Chandola
authors.affiliation: Department of Epidemiology and Public Health, University College London, London, UK.
authors.forename: Richard G
authors.initials: RG
authors.lastname: Watt
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D003863:Depression / Q000453:epidemiology / Q000209:etiology; D005260:Female; D000073656:Healthy Aging; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000150:complications / Q000453:epidemiology; D009066:Mouth, Edentulous / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D009909:Oral Health / Q000706:statistics & numerical data; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology