Date of Conferral

2021

Degree

Doctor of Public Health (DrPH)

School

Health Services

Advisor

Pelagia Melea

Abstract

AbstractChronic kidney disease (CKD) and Periodontal disease (PD) have been identified as public health issues by both the Centers for Disease Control and Prevention and the World Health Organization. The impact of PD on the health-related quality of life (HRQoL) of the CKD patient is an area where there has been little research. Previous research has not established a connection between PD and CKD although both diseases share common inflammatory markers. The focus of this cross-sectional, quantitative study was the possible impact of PD on the HRQoL of the CKD patient and the extent to which a less than optimal mental health status (< 30 days of depressed mental state once being diagnosed with CKD) plays a role. The health belief model and social construct theory provided the theoretical framework for examining patient behavior and resultant health outcomes. A random sampling (N = 96,787) was taken from the 2016 Behavioral Risk Factor Surveillance Survey. Male and female participants in this study were 45-64 years, diagnosed with CKD and PD, had either no days of depressed mental state or less than 30 days of depressed mental state. To analyze the data correlational, linear regression, and ANOVA statistical analyses were performed using SPSS v25. The results showed a statistically significant change of 6.8% in predicting the HRQoL of the CKD patient when PD was present. This study has positive social change implications that include increased collaboration between medicine and dentistry that may lead to increased early diagnosis and treatment of PD, decreased incidence of inflammatory systemic disease, increased positive rates of HRQoL, and improved overall health outcomes.

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