{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:38:24Z","timestamp":1789396704913,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,2]],"date-time":"2012-11-02T00:00:00Z","timestamp":1351814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2014,1]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n \n The objective of this study was to describe oral health literacy (\n OHL<\/jats:styled-content>\n ) among periodontal patients and to examine its association with periodontal health status.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This cross\u2010sectional study included new and referred patients presenting to the\n U<\/jats:styled-content>\n niversity of\n N<\/jats:styled-content>\n orth\n C<\/jats:styled-content>\n arolina\n G<\/jats:styled-content>\n raduate\n P<\/jats:styled-content>\n eriodontology\n C<\/jats:styled-content>\n linic. Sociodemographic and dental history information were collected.\n OHL<\/jats:styled-content>\n was measured using a dental word recognition instrument,\n R<\/jats:styled-content>\n apid\n E<\/jats:styled-content>\n stimate of\n A<\/jats:styled-content>\n dult\n L<\/jats:styled-content>\n iteracy\u201030 (\n REALD<\/jats:styled-content>\n \u201030). Clinical periodontal examinations were completed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One hundred and twenty\u2010eight participants enrolled and 121 completed all study examinations and instruments. Despite a high level of education among participants in our study, low levels of\n OHL<\/jats:styled-content>\n were found in one\u2010third (33\u2009percent) of the study population. Thirty\u2010one percent had moderate\n OHL<\/jats:styled-content>\n (score of 22\u201025), 37\u2009percent had high\n OHL<\/jats:styled-content>\n (score\u2009\u2265\u200926). The mean\n REALD<\/jats:styled-content>\n \u201030 score was 23. Fifty\u2010three percent of participants had severe periodontitis, 29\u2009percent had moderate periodontitis, and 18\u2009percent had mild or no periodontitis. Bivariate analysis showed a significant association between\n OHL<\/jats:styled-content>\n and periodontal status (\n \n P<\/jats:styled-content>\n <\/jats:italic>\n \u2009<\u20090.05). The effect of\n OHL<\/jats:styled-content>\n on periodontal health status remained statistically significant (\n \n P<\/jats:styled-content>\n <\/jats:italic>\n \u2009<\u20090.002) even after controlling for smoking, race, and dental insurance.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Lower\n OHL<\/jats:styled-content>\n was associated with more severe periodontal disease among new and referred patients presenting to the\n U<\/jats:styled-content>\n niversity of\n N<\/jats:styled-content>\n orth\n C<\/jats:styled-content>\n arolina\n G<\/jats:styled-content>\n raduate\n P<\/jats:styled-content>\n eriodontology\n C<\/jats:styled-content>\n linics.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/j.1752-7325.2012.00375.x","type":"journal-article","created":{"date-parts":[[2012,11,2]],"date-time":"2012-11-02T02:36:10Z","timestamp":1351823770000},"page":"80-87","source":"Crossref","is-referenced-by-count":89,"title":["The impact of oral health literacy on periodontal health status"],"prefix":"10.1111","volume":"74","author":[{"given":"Meggan M. H.","family":"Wehmeyer","sequence":"first","affiliation":[{"name":"Department of Periodontics and Dental Hygiene University of Texas Health Science Center at Houston School of Dentistry Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb L.","family":"Corwin","sequence":"additional","affiliation":[{"name":"Department of Periodontology School of Dentistry University of North Carolina at Chapel Hill Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet M.","family":"Guthmiller","sequence":"additional","affiliation":[{"name":"Department of Periodontology School of Dentistry University of North Carolina at Chapel Hill Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Departments of Pediatric Dentistry Health Policy and Management School of Dentistry School of Public Health University of North Carolina at Chapel Hill Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,2]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy","author":"Kutner M","year":"2006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.40153.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.4.475"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCAMA.0000282907.98166.93"},{"issue":"3","key":"e_1_2_6_6_1","first-page":"174","article-title":"The invisible barrier: literacy and its relationship with oral health. 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