Objective: Psychosocial factors can affect health. Patterns of psychosocial stressors and resources among older adults were examined for oral health status. Methods: The Health and Retirement Study (HRS) is a representative sample of US adults >50 years. Participants completed the 2018 HRS CORE survey and Psychosocial and Lifestyle Questionnaire Panel A "Leave Behind" survey (HRS-LB)(N=4703). All measures were self-reported, and stratified into outcome groups: 1) edentulous/dentate, 2) with/without a recent dental visit in the last two years. Psychosocial measures covered three domains: well-being, beliefs, and lifestyle. Specifically, we studied loneliness, life satisfaction, perceived age, social status, control, mastery, and chronic stressors. Latent class analysis (LCA) identified profiles of adults based on the distribution of psychological and social stressors and resources. Associations between latent classes and being edentulous and a recent dental visit were examined in logistic regression models. Results: About 30% reported no recent dental visit; 14% were edentulous. Three latent classes were identified; profiles had different distributions of psychosocial factors. Half were in Class A:"Satisfied/Connected" (n=2230), 27% in Class B:"Satisfied/Lonely" (n=1293), and 25% in Class C:"Unsatisfied/Lonely" (n=1180). "Satisfied/Connected" adults had the fewest psychosocial risk factors, most resources, were dentate, with a recent dental visit. "Unsatisfied/Lonely" adults exhibited the most psychosocial risk factors and fewest resources, more were edentulous and lacked a recent dental visit. "Satisfied/Lonely" adults exhibited characteristics between Classes A and C. In fully adjusted regression models, Class B adults had 1.29 (1.03-1.61) times greater odds than Class A to be edentulous, and 1.27 (1.07-1.50) times greater odds to not have a recent dental visit. Class C adults had 1.20 (0.96-1.51) times greater odds than Class A to be edentulous, and 1.33 (1.11-1.58) times greater odds to not have recent dental visit. Conclusion: Adverse psychosocial factors are associated with edentulism and lack routine dental visits.

The authors have declared no competing interest.

The Health and Retirement Study data is sponsored by the National Institute on Aging (grand number U01AG009740) and is conducted by the University of Michigan. This analysis was conducted with financial support from the National Institute of Dental and Craniofacial Research, R03DE030161-01.

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Publicly available data used in this analysis are online at the Health and Retirement Study website: https://hrs.isr.umich.edu/data-products. The University of North Carolina at Chapel Hill Office of Human Research Ethics determined this secondary data analysis did not require approval.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Publicly available data used in this analysis are online at the Health and Retirement Study website: https://hrs.isr.umich.edu/data-products.

https://hrs.isr.umich.edu/data-products