{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T07:21:58Z","timestamp":1778052118559,"version":"3.51.4"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1031310"],"award-info":[{"award-number":["1031310"]}],"id":[{"id":"10.13039\/501100000925","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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate whether a stronger Sense of Coherence (SOC) modifies the association between low household income and poor self\u2010rated dental and general health measures (SRDH and SRGH, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Cross\u2010sectional analyses were performed using data from the Dental Care and Oral Health Study (DCOHS, 2015\u20132016) in South Australia (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093664). In multivariate Poisson regression models, the main effects, interactions and effect modifications of SOC in the association between income and SRDH and SRGH were estimated using prevalence ratios (PRs) for poor self\u2010rated health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the low\u2010income group, among those with stronger SOC, the prevalence of poor SRDH (16.0%) and SRGH (8.1%) was lower than that of those with weaker SOC (25.0% and 18.9%). Lower coherence (weak SOC) was associated with poor SRGH (PR\u2009=\u20094.8, 95% CI [1.8\u201313.1]). The interaction between lower coherence and low\u2010 and middle\u2010income strata was not associated with the prevalence of poor SRDH and SRGH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although interactions between SOC and income were not statistically significant, findings suggest a potential modifying role of strong SOC on the association between low income and poor health. These results should be interpreted with caution, as they are exploratory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70033","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T04:46:09Z","timestamp":1761108369000},"page":"285-293","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sense of Coherence as a Modifier of Income Inequalities in Self\u2010Rated Oral and General Health: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6101-0200","authenticated-orcid":false,"given":"Mehrsa","family":"Zakershahrak","sequence":"first","affiliation":[{"name":"Australian Research Centre for Population Oral Health, Adelaide Dental School the University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Chrisopoulos","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health, Adelaide Dental School the University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liana","family":"Luzzi","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health, Adelaide Dental School the University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health, Adelaide Dental School the University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Brennan","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health, Adelaide Dental School the University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0963-7214.2005.00347.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.06.040"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17051619"},{"key":"e_1_2_12_5_1","volume-title":"Unraveling the Mystery of Health: How People Manage Stress and Stay Well","author":"Antonovsky A.","year":"1987"},{"key":"e_1_2_12_6_1","first-page":"12","volume-title":"Health, Stress, and Coping","author":"Antonovsky A.","year":"1979"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(93)90033-Z"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-04600-6_7"},{"key":"e_1_2_12_9_1","volume-title":"Sense of Coherence: Determinants and Consequences","author":"Volanen S.\u2010M.","year":"2011"},{"key":"e_1_2_12_10_1","first-page":"31","volume-title":"Wayfinding Through Life's Challenges: Coping and Survival","author":"Eriksson M.","year":"2011"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dax088"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/14.3.322"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr218"},{"key":"e_1_2_12_14_1","volume-title":"Sense of Coherence: Structure, Stability and Health\u2010Promoting Role in Working Life","author":"Feldt T.","year":"2000"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.041616"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2009.00483.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2006.056275"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181ba333c"},{"key":"e_1_2_12_19_1","first-page":"180","volume-title":"Handbook of Stress, Coping, and Health: Implications for Nursing Research, Theory, and Practice","author":"Horsburgh M. E.","year":"2012"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/4.4.252"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00105-7"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00348.x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12893"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12804"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-023-04827-3"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11482-023-10198-5"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520250075037"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00394.x"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6839-5"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-12-67"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/5.1.56"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1027\/1015-5759\/a000337"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2016.01.025"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1159\/000493537"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02376.x"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0283-9318.2003.00234.x"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12402"},{"issue":"4","key":"e_1_2_12_39_1","first-page":"869","article-title":"Strengthening Sense of Coherence: Opportunities for Theory Building in Health Promotion","volume":"31","author":"Super S.","year":"2016","journal-title":"Health Promotion International"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaceta.2019.12.002"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0018726708094863"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2022.2031941"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7549.1080"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.70033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:39:40Z","timestamp":1778049580000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.70033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/cdoe.70033"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.70033","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,21]]},"assertion":[{"value":"2024-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}