{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:13:19Z","timestamp":1776085999412,"version":"3.50.1"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,10,27]],"date-time":"2019-10-27T00:00:00Z","timestamp":1572134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["15\/428\u20102015\u20102018"],"award-info":[{"award-number":["15\/428\u20102015\u20102018"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Type 2 diabetes mellitus (T2DM) and periodontal disease are two highly prevalent, directly and independently associated long\u2010term conditions that disproportionately impact Indigenous M\u0101ori in New Zealand (NZ). Although poorly understood, a number of social and biological mechanisms connect these conditions. This qualitative study explored experiences of T2DM and oral and dental (hereafter oral\/dental) health; access to oral\/dental health care; whether participants\u2019 experiences supported or challenged existing evidence; and sought suggestions for improving oral\/dental health in a high\u2010deprivation rural area of Northland, NZ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants (n\u00a0=\u00a033) meeting the study criteria: self\u2010identified M\u0101ori ethnicity, aged\u00a0\u2265\u00a018\u2010years with glycated haemoglobin (HBA1c) &gt;65\u00a0mmol\/L were recruited via the local primary care clinic in September\u2010December 2015; two left the study prior to data collection. During face\u2010to\u2010face semi\u2010structured interviews, participants (n\u00a0=\u00a031) were asked <jats:italic>How does diabetes affect your teeth?<\/jats:italic> and <jats:italic>When did you last access dental care?<\/jats:italic> Kaupapa M\u0101ori (KM) theory and methodology provided an important decolonizing lens to critically analyse the fundamental causes of Indigenous health inequities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Independent analysis of qualitative data by three KM researchers identified four themes: access barriers to quality care; pathways to edentulism; the \u2018cost\u2019 of edentulism; and, unmet need. Results contributed towards informing Mana T\u016b\u2014an evidence\u2010based KM programme for diabetes in primary care\u2014to be introduced in this and other communities from 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Oral health is integral to diabetes management, and vice versa. Subsidized specialist referrals for oral\u2010dental health care for M\u0101ori with T2DM could improve glycaemic control and diabetes outcomes and reduce diabetes\u2010related complications among this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12501","type":"journal-article","created":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T02:57:51Z","timestamp":1572231471000},"page":"101-108","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Oral and dental health and health care for M\u0101ori with type 2 diabetes: A qualitative study"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0853-2661","authenticated-orcid":false,"given":"Jennifer","family":"Reid","sequence":"first","affiliation":[{"name":"c\/\u2010 Te Kupenga Hauora M\u0101ori Medical and Health Sciences University of Auckland Auckland New 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