{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:21:08Z","timestamp":1790961668557,"version":"4.1.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1-2","license":[{"start":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T00:00:00Z","timestamp":1686355200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,23]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Veterans suffer from lower overall well-being than non-veterans because of their unique life course. This study aims to compare the impact of depression on oral health for veteran and non-veteran populations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Data from 11,693 adults (18+) participating in the National Health and Nutrition Examination Survey (2011-2018) were analyzed. The outcome variables were dichotomous (at\/above mean) decayed, missing, and filled teeth due to caries (DMFT), as well as the components, namely, missing teeth, filled teeth (FT), and decayed teeth (DT). The primary predictor variable combined depression screening outcome and veteran status (veteran\/depressed, veteran\/not depressed, non-veteran\/depressed, and non-veteran\/not depressed). Covariates included socioeconomic factors, demographics, wellness factors, and oral health\u2013related habits. Associations between outcome and predictor variables were assessed with a fully adjusted logistic regression analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Veterans, regardless of depression status, had more DMFT, FT, missing teeth, and DT compared to non-veterans. After controlling for covariates, veterans suffering from depression had higher odds of DT (1.5, 95% CI, 1.0-2.4) compared to non-veterans without depression. In general, veterans who screened negative for depression had better oral health compared to all groups, with lower odds of DT (0.7, 95% CI, 0.6-0.9) and higher odds of FT (1.4, 95% CI, 1.1-1.7) compared to non-veterans with and without depression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study found that not only veterans have higher odds of overall caries experience, but also veterans suffering from depression have higher odds of active caries compared to non-depressed veterans. Most veterans lack Veterans Health Administration dental benefits and face challenges maintaining oral health on top of medical and mental health burdens. Our results add further urgency to increasing dental care access for this vulnerable population because of the exacerbation of unmet oral health care needs attributable to the additional mental health challenges veterans face.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad217","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T11:42:15Z","timestamp":1686829335000},"page":"e157-e165","source":"Crossref","is-referenced-by-count":5,"title":["Depression and\u00a0Differential Oral Health Status Among U.S. Adults With and\u00a0Without Prior Active Duty Service in\u00a0the U.S. Military, National Health and\u00a0Nutrition Examination Survey 2011-2018"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6590-8648","authenticated-orcid":false,"given":"J Brett","family":"Ryan","sequence":"first","affiliation":[{"name":"Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine , Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thayer E","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine , Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E","family":"McDonough","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine , Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth K","family":"Kaye","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine , Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David K","family":"Schindler","sequence":"additional","affiliation":[{"name":"USAF Dental Research and Consultation Service (DRCS), Institute of Surgical Research , Fort Sam Houston, TX 78234, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,10]]},"reference":[{"key":"2024012918210051900_R1","article-title":"Major Depression","author":"National Institute of Mental Health (NIMH)","year":".."},{"issue":"8","key":"2024012918210051900_R2","doi-asserted-by":"publisher","first-page":"675","DOI":"10.1016\/S2215-0366(19)30132-4","article-title":"The Lancet Psychiatry Commission: A blueprint for\u00a0protecting physical health in\u00a0people with mental illness","volume":"6","author":"Firth","year":"2019","journal-title":"Lancet Psychiatry"},{"issue":"1","key":"2024012918210051900_R3","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/S2215-0366(15)00357-0","article-title":"Prevalence of\u00a0HIV, hepatitis B, and\u00a0hepatitis C in\u00a0people with severe mental illness: a systematic review and\u00a0meta-analysis","volume":"3","author":"Hughes","year":"2016","journal-title":"Lancet Psychiatry"},{"issue":"3","key":"2024012918210051900_R4","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.genhosppsych.2015.03.004","article-title":"Review of\u00a0the evidence: Prevalence of\u00a0medical conditions in\u00a0the United States population with serious mental illness","volume":"37","author":"Janssen","year":"2015","journal-title":"Gen Hosp Psychiatry"},{"issue":"10131","key":"2024012918210051900_R5","doi-asserted-by":"publisher","first-page":"1637","DOI":"10.1016\/S0140-6736(18)30941-3","article-title":"Making more of\u00a0multimorbidity: an emerging priority","volume":"391","year":"2018","journal-title":"The Lancet"},{"issue":"8","key":"2024012918210051900_R6","doi-asserted-by":"publisher","first-page":"2685","DOI":"10.1007\/s00784-018-2611-y","article-title":"Is depression associated with oral health outcomes in\u00a0adults and\u00a0elders? 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