{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:34:54Z","timestamp":1753878894424,"version":"3.41.2"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate oral status in relation to demographic, socioeconomic, medical and psychosocial risk factors among outpatients receiving treatment for Substance Use Disorder (<jats:styled-content style=\"fixed-case\">SUD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study included 91 outpatients from Stockholm, Sweden. Oral status was assessed using the Decayed, Missing, Filled Teeth (<jats:styled-content style=\"fixed-case\">DMFT<\/jats:styled-content>) index and Probing Pocket Depth (<jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content>). Psychosocial and functional factors were evaluated using the Addiction Severity Index (<jats:styled-content style=\"fixed-case\">ASI<\/jats:styled-content>), which measures problem severity in areas such as medical and social functioning, and the Global Assessment of Functioning Scale (<jats:styled-content style=\"fixed-case\">GAF<\/jats:styled-content>), which assesses overall social and occupational functioning. Data were analysed using non\u2010parametric correlations and logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean <jats:styled-content style=\"fixed-case\">DMFT<\/jats:styled-content> was 12.4 (\u00b18.1), with missing teeth (<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content>) as the dominant component. The median <jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content> was 28. The logistic regression analysis showed significant associations between risk factors and oral status variables. Age \u2265\u200940\u2009years was associated with fewer teeth (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 3.52, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.30\u20139.54), higher <jats:styled-content style=\"fixed-case\">DMFT<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 8.88, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 3.43\u201323.01) and more severe <jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 5.64, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.95\u201316.32). Low education (&lt;\u20099\u2009years) was associated with fewer decayed teeth (<jats:styled-content style=\"fixed-case\">DT<\/jats:styled-content>) (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.23, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.09\u20130.59) and lower <jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content> values (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.29, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.10\u20130.86). These results highlight the significant influence of age and education on oral status among patients with <jats:styled-content style=\"fixed-case\">SUD.<\/jats:styled-content><\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study identified relationships between oral status and several demographics, socioeconomic, medical and psychosocial risk factors among patients with <jats:styled-content style=\"fixed-case\">SUD<\/jats:styled-content>. Age was the strongest predictor of oral status, with low education being the only significant socioeconomic risk factor.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12914","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T17:30:51Z","timestamp":1746207051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Status in Relation to Demographic, Socioeconomic, Medical and Psychosocial Risk Factors Among Outpatients in Addiction Treatment Centers, Stockholm, Sweden"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2660-3673","authenticated-orcid":false,"given":"Sonja","family":"Rafat","sequence":"first","affiliation":[{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Borg","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Edman","sequence":"additional","affiliation":[{"name":"Research and Development Norrt\u00e4lje Hospital, Tiohundra AB  Norrt\u00e4lje Sweden"},{"name":"Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"Hammarberg","sequence":"additional","affiliation":[{"name":"Center for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, &amp; Stockholm Health Care Services, Region Stockholm  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia De","family":"Palma","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1922\/CDH_3488Brennan05"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13583"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2212020\u221208499\u20107"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12288"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12419"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2011.00840.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557850050007310"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2011.640279"},{"issue":"2","key":"e_1_2_12_10_1","first-page":"69","article-title":"Oral Health of Individuals Aged 3\u201380\u2009Years in J\u00f6nk\u00f6ping, Sweden During 40\u2009Years (1973\u20132013). 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