{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T14:36:00Z","timestamp":1783866960577,"version":"3.55.0"},"reference-count":67,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","award":["872\u20102022\u20100005"],"award-info":[{"award-number":["872\u20102022\u20100005"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["197189"],"award-info":[{"award-number":["197189"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Aim<\/jats:title>\n                    <jats:p>Women with lived experiences of intimate partner violence (IPV), especially physical trauma to the head, neck, and face, can experience oral health issues, leading to significant dental problems. Despite these severe dental outcomes, racialized women who have experienced IPV often find oral healthcare largely inaccessible. Yet access to oral care is a crucial, overlooked aspect of health and support for racialized women who have experienced IPV. The study aimed to explore the barriers and facilitators to accessing oral healthcare for racialized women who experience intimate partner violence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A qualitative research study using a critical, intersectional lens and principles of Community\u2010Based Participatory Research (CBPR) was conducted using 14 interviews with women and five focus group discussions with dentists (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) and shelter providers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) in Toronto, Canada. The resulting data were analyzed through reflexive thematic analysis guided by the McIntyre access framework.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The research findings highlighted multiple barriers to oral healthcare. Financial difficulties and coverage restrictions make it challenging for participants to afford the high cost of needed treatment. There are intersectional power dynamics and structural barriers in service delivery that shape oral care experiences and can manifest as racial discrimination and misogyny. Additional barriers include long waitlists and minimal access to culturally responsive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This research underscores the urgent need for policies that expand dental care coverage and for further training of dental providers in trauma sensitivity and culturally competent care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.70026","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:29:08Z","timestamp":1761762548000},"page":"292-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Improving Access to Necessary Oral Healthcare Among Racialized Women Impacted by Intimate Partner Violence: A Qualitative Exploration of Care Seeking Experiences"],"prefix":"10.1111","volume":"42","author":[{"given":"Cyndirela","family":"Chadambuka","sequence":"first","affiliation":[{"name":"Institute of Health Policy Management and Evaluation, Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Arruda\u2010Caycho","sequence":"additional","affiliation":[{"name":"Institute of Health Policy Management and Evaluation, Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Juando\u2010Prats","sequence":"additional","affiliation":[{"name":"Social &amp; Behavioural Health Sciences Division, Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"},{"name":"Nursing, Lakehead University  Thunder Bay Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amaya","family":"Perez\u2010Brumer","sequence":"additional","affiliation":[{"name":"Social &amp; Behavioural Health Sciences Division, Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Meisami","sequence":"additional","affiliation":[{"name":"Restoring Smiles Initiative Dr. Borna Meisami Commemorative Foundation  Toronto Ontario Canada"},{"name":"Surgical and Dental Sleep Medicine University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Qui\u00f1onez","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Toronto  Toronto Ontario Canada"},{"name":"Schulich School of Medicine and Dentistry Western University  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Powell","sequence":"additional","affiliation":[{"name":"Restoring Smiles Initiative Dr. Borna Meisami Commemorative Foundation  Toronto Ontario Canada"},{"name":"College Street Women's Centre  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonica","family":"Singhal","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Ratto","sequence":"additional","affiliation":[{"name":"Faculty of Information University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghazal","family":"Haddadi","sequence":"additional","affiliation":[{"name":"Restoring Smiles Initiative Dr. Borna Meisami Commemorative Foundation  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rulani","family":"Chauke","sequence":"additional","affiliation":[{"name":"Restoring Smiles Initiative Dr. Borna Meisami Commemorative Foundation  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"O'Campo","sequence":"additional","affiliation":[{"name":"Epidemiology, Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley M.","family":"Essue","sequence":"additional","affiliation":[{"name":"Institute of Health Policy Management and Evaluation, Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30652-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12334"},{"key":"e_1_2_9_4_1","unstructured":"Government of Canada \u201cAction Area Policy: Gender Equality and the Empowerment of Women and Girls (Core Action Area) \u201d(2017) cited July 3 2025 https:\/\/www.international.gc.ca\/world\u2010monde\/issues_development\u2010enjeux_developpement\/priorities\u2010priorites\/fiap_gender_equality\u2010paif_egalite_genres.aspx?lang=eng."},{"key":"e_1_2_9_5_1","volume-title":"Violence Against Women Prevalence Estimates, 2018: Global, Regional and National Prevalence Estimates for Intimate Partner Violence Against Women and Global and Regional Prevalence Estimates for Non\u2010Partner Sexual Violence Against Women [Internet]","author":"World Health Organization","year":"2021"},{"key":"e_1_2_9_6_1","unstructured":"J.Klugman \u201cGender Based Violence and the Law [Internet] \u201d(2017) cited July 14 2025 https:\/\/openknowledge.worldbank.org\/server\/api\/core\/bitstreams\/f9647c7b\u201088d1\u20105dec\u20108679\u2010c6bfb43a75c9\/content."},{"issue":"1","key":"e_1_2_9_7_1","first-page":"1","article-title":"Gender\u2010Based Violence and Unwanted Sexual Behavior in Canada, 2018: Initial Findings From the Survey of Safety in Public and Private Spaces","volume":"39","author":"Cotter A.","year":"2019","journal-title":"Juristat: Canadian Centre for Justice Statistics"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"1","article-title":"Intimate Partner Violence in Canada, 2018: An Overview","volume":"45","author":"Cotter A.","year":"2021","journal-title":"Juristat: Canadian Centre for Justice and Community Safety Statistics"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-015-0256-4"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2460-4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70110-5"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200507000-00005"},{"issue":"2","key":"e_1_2_9_13_1","first-page":"133","article-title":"Domestic Violence. Risk Factors and Outcomes","volume":"155","author":"Berrios D. C.","year":"1991","journal-title":"Western Journal of Medicine"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1998.00166.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-025-00562-4"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13122-y"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518768536"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2001.27490"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.9.5.451"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1996.0311"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/GH9.0000000000000392"},{"issue":"4","key":"e_1_2_9_22_1","first-page":"340","article-title":"Physical and Sexual Abuse Among Orofacial Pain Patients: Linkages With Pain and Psychologic Distress","volume":"9","author":"Curran S. L.","year":"1995","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjph-2024-001770"},{"issue":"2","key":"e_1_2_9_24_1","first-page":"112","article-title":"Somatic, Affective, and Pain Characteristics of Chronic TMD Patients With Sexual Versus Physical Abuse Histories","volume":"14","author":"Campbell L. C.","year":"2000","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.10.1157"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03491-0"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-14-6"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.710602"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01104-4"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12903"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12922"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-1996-6207"},{"issue":"3","key":"e_1_2_9_33_1","first-page":"247","article-title":"Intimate Partner Violence, Physical Health, Posttraumatic Stress Disorder, Depression, and Quality of Life in Latinas","volume":"11","author":"Kelly U.","year":"2010","journal-title":"Western Journal of Emergency Medicine"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/10778012231176205"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22721-4"},{"key":"e_1_2_9_36_1","unstructured":"WomanACT \u201cIssue Brief: Employment Sabotage and Disruption as a Form of Economic Abuse [Internet] \u201d(2022) cited September 4 2025 https:\/\/womanact.ca\/wp\u2010content\/uploads\/2022\/11\/WomanACT_Issue\u2010Brief\u2010Employment\u2010Sabotage.pdf."},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260520903140"},{"key":"e_1_2_9_38_1","first-page":"404","volume-title":"The Politics of Dental Care in Canada","author":"Qui\u00f1onez C.","year":"2021"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12897"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCIDE.S384335"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)02304-2"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/15313204.2020.1855494"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1744133109004836"},{"key":"e_1_2_9_44_1","unstructured":"Dr. Borna Meisami Commemorative Foundation \u201cRestoring Smiles [Internet] \u201dcited July 13 2025 https:\/\/drbmeisamifoundation.com\/services\/restoring\u2010smiles\/."},{"key":"e_1_2_9_45_1","unstructured":"Government of Canada \u201cEmployment Equity \u201d(2013) cited July 13 2025 https:\/\/www.canada.ca\/en\/public\u2010service\u2010commission\/jobs\/services\/gc\u2010jobs\/employment\u2010equity.html."},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjph-2024-001405"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069251337583"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406919874596"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732310361892"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/0095798417732414"},{"key":"e_1_2_9_52_1","article-title":"Screening for Intimate Partner Violence in Healthcare Settings: An Implementation\u2010Oriented Systematic Review","volume":"2","author":"Miller C. J.","year":"2021","journal-title":"Implementation Science and Practice"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838018767934"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1080\/08952833.2020.1793564"},{"key":"e_1_2_9_55_1","unstructured":"Government of Canada \u201cTrauma and Violence\u2010Informed Approaches to Policy and Practice [Internet] \u201d(2018) cited July 13 2025 https:\/\/www.canada.ca\/en\/public\u2010health\/services\/publications\/health\u2010risks\u2010safety\/trauma\u2010violence\u2010informed\u2010approaches\u2010policy\u2010practice.html."},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02627-y"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2001.0032"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-022-5271-x"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0310043"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-12708-7"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-21261-7"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0252750"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1177\/0731121417723827"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1093\/socpro\/spx012"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-023-00800-6"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(22)00315-2"},{"key":"e_1_2_9_67_1","unstructured":"World Health Organization \u201cWHO Discussion Paper: Draft Global Oral Health Action Plan (2023\u20132030) [Internet] \u201d(2022) cited July 13 2025 https:\/\/cdn.who.int\/media\/docs\/default\u2010source\/ncds\/mnd\/eb152\u2010draft\u2010global\u2010oral\u2010health\u2010action\u2010plan.pdf."},{"key":"e_1_2_9_68_1","unstructured":"J. C. W.Wang \u201cCollaborative Patient Care and the Oral\u2010Systemic Link [Internet]. Decisions in Dentistry \u201d(2020) cited July 13 2025 https:\/\/decisionsindentistry.com\/2020\/12\/collaborative\u2010patient\u2010care\u2010oral\u2010systemic\u2010link\/."}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70026","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.70026","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T07:45:21Z","timestamp":1778831121000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.70026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,29]]},"references-count":67,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/edt.70026"],"URL":"https:\/\/doi.org\/10.1111\/edt.70026","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,29]]},"assertion":[{"value":"2025-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}