{"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":1790961668074,"version":"4.1.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"the U.S. National Institute of Dental and Craniofacial Research","award":["no. T90DE021984"],"award-info":[{"award-number":["no. T90DE021984"]}]},{"name":"University of Washington Dr. Douglass L. Morell Dentistry Research Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Poor oral health among U.S. veterans remains a significant public health issue. Compared with non-veterans, veterans experience higher rates of oral disease and unmet dental care needs, contributing to substantial oral health disparities. Most U.S. veterans are ineligible for dental care through the Veterans Affairs (VA) dental care system because of the requirement for a 100% service-connected disability rating. This pilot study evaluated the association between veterans\u2019 disability rating and dental care utilization for low-income veterans with disability ratings below 100% who sought care through Everyone for Veterans (E4V). E4V is a U.S. non-profit organization that provides dental care to low-income veterans ineligible for VA dental care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The analysis was based on 2014-20 data for veterans across 30 states with complete disability rating data and who utilized dental treatment during their enrollment in E4V (N\u2009=\u2009140). Logistic regression models were used to generate odds ratios (OR) and 95% confidence intervals (CIs) to assess the relationships between disability rating and dental care utilization, which was categorized as basic restorative care, complex restorative care, or both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of veterans was 49.0 years (standard deviation [SD] \u00b1 17.6) and 87.6% were male. The mean disability rating was 38.7% (SD \u00b1 33.6, range = 0%-90%). About 62.9% of veterans (n\u2009=\u200988) utilized basic restorative dental care, 76.4% (n\u2009=\u2009107) utilized complex restorative dental care, and 40.0% utilized both (n\u2009=\u200956). In the confounder-adjusted model, disability rating was not significantly associated with any type of dental care utilization (basic restorative: P = .83; complex restorative: P = .51; both: P = .74).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although this study failed to observe significant associations between disability rating and restorative dental care utilization, the findings highlight the need for additional research on barriers to comprehensive dental care for veterans ineligible for VA dental care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/milmed\/usag337","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:55:04Z","timestamp":1783684504000},"source":"Crossref","is-referenced-by-count":1,"title":["Association Between Disability Rating and Dental Care Utilization for Low-Income Veterans Ineligible for U.S. Veterans Affairs Dental Benefits: A Pilot Study"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4368-5180","authenticated-orcid":false,"given":"Kimia","family":"Imani","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences, University of Washington , 1959 NE Pacific St , Seattle, WA 98195,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Periodontics, University of Washington , 1959 NE Pacific St , Seattle, WA 98195,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2289-7747","authenticated-orcid":false,"given":"Donald L","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, University of Washington , 1959 NE Pacific St , Seattle, WA 98195,","place":["United States"]},{"name":"Department of Health Systems and Population Health, University of Washington , 3980 15th Avenue NE , Seattle, WA 98195,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"2026072213031408900_usag337-B1","author":"National Institutes of Health, National Institutes of Dental and Craniofacial Research","year":"2021"},{"key":"2026072213031408900_usag337-B2","author":"United States Census Bureau","year":"2023"},{"key":"2026072213031408900_usag337-B3","doi-asserted-by":"publisher","first-page":"e149","DOI":"10.1093\/milmed\/usaa355","article-title":"health status among adults with and without prior active duty service in the U.S. Armed forces, NHANES 2011-2014","volume":"186","author":"Schindler","year":"2021","journal-title":"Mil Med."},{"key":"2026072213031408900_usag337-B4","doi-asserted-by":"publisher","first-page":"e157","DOI":"10.1093\/milmed\/usad217","article-title":"Depression and differential oral health status among U.S. adults with and without prior active duty service in the U.S. Military, national health and nutrition examination survey 2011\u20132018","volume":"189","author":"Ryan","year":"2024","journal-title":"Mil Med."},{"key":"2026072213031408900_usag337-B5","doi-asserted-by":"crossref","DOI":"10.35565\/CQI.2021.2041","volume-title":"Veteran Oral Health: Expanding Access and Equity","author":"Cothron","year":"2021"},{"key":"2026072213031408900_usag337-B6","volume-title":"Oral Health is Essential to Veteran Productivity and Well-Being","year":"2024"},{"key":"2026072213031408900_usag337-B7","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1080\/07448481.2018.1540985","article-title":"Oral health among student veterans: effects on mental and physical health","volume":"68","author":"Albright","year":"2020","journal-title":"J Am Coll Health"},{"key":"2026072213031408900_usag337-B8","author":"U.S. Department of Veterans Affairs","year":"2022"},{"key":"2026072213031408900_usag337-B9","author":"U.S. Department of Veterans Affairs","year":"2024"},{"key":"2026072213031408900_usag337-B10","author":"U.S. Department of Veterans Affairs","year":"2021"},{"key":"2026072213031408900_usag337-B11","author":"Congress","year":"1955"},{"key":"2026072213031408900_usag337-B12","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1097\/00004479-200604000-00010","article-title":"Oral conditions and quality of life","volume":"29","author":"Jones","year":"2006","journal-title":"J Ambul Care Manage"},{"key":"2026072213031408900_usag337-B13","first-page":"6","article-title":"Attitudes and access patterns of Michigan veterans ineligible for oral healthcare benefits: a cross-sectional study","volume":"93","author":"Nieto","year":"2019","journal-title":"J Dent Hyg"},{"key":"2026072213031408900_usag337-B14","author":"Everyone for Veterans. 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