{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:00:38Z","timestamp":1790402438366,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004916","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Amazonas","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004916","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006507","name":"Funda\u00e7\u00e3o Oswaldo Cruz","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006507","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the extent to which socioeconomic and environmental characteristics are associated with oral health outcomes among adults and elderly people living in rural riverside communities in the Brazilian Amazon. The study also examined the mediating role of self\u2010reported dental status and reason for the last dental visit in these associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A household\u2010based cross\u2010sectional study included 569 residents from seven riverside communities along the Negro River, Manaus, Brazil. Data on age, sex, family income, conditional and unconditional social cash transfer programmes, housing conditions and sanitation, self\u2010reported dental status, reason for the last dental visit, dental pain and satisfaction with oral health were collected through structured interviews. Structural equation modelling was used in the data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Poorer self\u2010reported dental status was directly associated with non\u2010enrolment in conditional cash transfer programme, lower income, greater age and female sex. Non\u2010enrolment in conditional cash transfer programme and problem\u2010oriented dental care\u2010seeking behaviour was linked to dental pain. Worse self\u2010reported dental status and inadequate household sanitation were directly associated with problem\u2010oriented dental care\u2010seeking behaviour. Poor satisfaction with oral health was linked to dental pain and problem\u2010oriented dental care\u2010seeking behaviour. Several indirect relationships were detected. Family income, self\u2010reported dental status, reason for the last dental visit and dental pain mediated the relationships between demographics, cash transfer programmes and satisfaction with oral health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participation in income transfer programmes and family income emerged as relevant factors in reducing inequalities in oral health among adults and elderly people living in rural riverside communities. Improving the regularity and frequency of dental services can have a direct impact on satisfaction with oral health. Inter\u2010sectoral actions targeting social and financial protection should be on the political agenda to improve the oral health of people living in rural riverside communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70122","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:23:20Z","timestamp":1790400200000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic Inequalities and Oral Health Among Adults and Elderly People in Rural Riverside Communities in the Amazon, Brazil"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5964-004X","authenticated-orcid":false,"given":"Emmanuelle de F\u00e1tima Noberto","family":"Bezerra","sequence":"first","affiliation":[{"name":"Le\u00f4nidas and Maria Deane Institute, Oswaldo Cruz Foundation  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2053-5008","authenticated-orcid":false,"given":"Ana Paula Corr\u00eaa de Queiroz","family":"Herkrath","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4439-0189","authenticated-orcid":false,"given":"Fernando Jos\u00e9","family":"Herkrath","sequence":"additional","affiliation":[{"name":"Le\u00f4nidas and Maria Deane Institute, Oswaldo Cruz Foundation  Manaus Amazonas Brazil"},{"name":"School of Health Sciences Amazonas State University  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0263-7286","authenticated-orcid":false,"given":"Luiza","family":"Garnelo","sequence":"additional","affiliation":[{"name":"Le\u00f4nidas and Maria Deane Institute, Oswaldo Cruz Foundation  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1031-0734","authenticated-orcid":false,"given":"Sully de Souza","family":"Sampaio","sequence":"additional","affiliation":[{"name":"Le\u00f4nidas and Maria Deane Institute, Oswaldo Cruz Foundation  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6299-4432","authenticated-orcid":false,"given":"Mario Vianna","family":"Vettore","sequence":"additional","affiliation":[{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.22605\/RRH8258"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0277845"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304180"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2002.0120"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u201009100\u2010x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208096"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515575538"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010021\u201001613\u20100"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0102\u2010311x2009000800019"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18126414"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u2010549720210004.supl.2"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u2010549720190015.supl.2"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413429"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2020.1850828"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034\u20107612135532"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010018\u20106084\u20103"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12552"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/jispcd.JISPCD_12_22"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0034\u20108910.2013047004688"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.elerap.2010.07.003"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u201081232014192.20752012"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(25)00091\u2010X"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201020046\u20102"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u201081232018242.04782017"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u201081232021268.07362020"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.12691\/ijdsr\u201012\u20103\u20102"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161244"},{"key":"e_1_2_10_30_1","volume-title":"Global 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