{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T01:12:45Z","timestamp":1767921165323,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,26]],"date-time":"2016-12-26T00:00:00Z","timestamp":1482710400000},"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":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Oral health\u2010related quality of life (OHRQoL) is an important health indicator not only for individuals but also for oral health care providers to treat a person holistically. Previous studies focused on OHRQoL do not provide comprehensive knowledge regarding low\u2010income patients in the United States, many of whom have chronic health conditions that can affect their oral health. The purpose of this study is to examine factors associated with OHRQoL among low\u2010income, uninsured patients of safety\u2010net providers, which provide free or reduced fee medical and\/or dental care to underserved populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Uninsured patients (<jats:italic>N<\/jats:italic>\u2009=\u2009584) participated in a self\u2010administered survey in May and June 2016 at a safety\u2010net clinic in the United States serving a low\u2010income uninsured population, which provides limited oral health care services. This study used cross\u2010sectional design and a nonprobability sample. The dependent variable was OHRQoL measured using the Oral Health Impact Profile\u201014. Chi square tests, Analysis of Variance tests, and multiple regression were used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher levels of dental care neglect and lower frequency of oral hygiene practice were associated with lower levels of OHRQoL (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). Participants utilizing a diabetes clinic reported better OHRQoL than those who were not patients of a diabetes clinic (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). US born English speakers had worse general health and OHRQoL compared to non\u2010US born English speakers and Spanish speakers (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An intervention to remedy dental neglect is recommended to improve OHRQoL among uninsured safety\u2010net patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12193","type":"journal-article","created":{"date-parts":[[2016,12,26]],"date-time":"2016-12-26T05:56:36Z","timestamp":1482731796000},"page":"155-162","source":"Crossref","is-referenced-by-count":6,"title":["Factors associated with oral health\u2010related quality of life among safety\u2010net clinic patients"],"prefix":"10.1111","volume":"77","author":[{"given":"Akiko","family":"Kamimura","sequence":"first","affiliation":[{"name":"Department of Sociology University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethany","family":"Gull","sequence":"additional","affiliation":[{"name":"Department of Sociology University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Weaver","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Education University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Anthropology University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alysa","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimiya","family":"Nourian","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Education University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanie","family":"Ashby","sequence":"additional","affiliation":[{"name":"Maliheh Free Clinic Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lea E.","family":"Erickson","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Utah Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511399918"},{"issue":"6","key":"e_1_2_8_3_1","first-page":"894","article-title":"Oral health\u2010related quality of life: a broader perspective","volume":"12","author":"Al Shamrany M.","year":"2006","journal-title":"East Mediterr Health J."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199511001-00008"},{"issue":"9","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1002\/j.0022-0337.2005.69.9.tb03994.x","article-title":"Barriers to and enablers of older adults' use of dental services","volume":"69","author":"Kiyak HA","year":"2005","journal-title":"J Dent Edu."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2008.00435.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12072"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910608500114"},{"key":"e_1_2_8_9_1","volume-title":"Oral health in America: a report of the surgeon general","author":"U.S. Department of Health and Human Services","year":"2000"},{"key":"e_1_2_8_10_1","unstructured":"Commission on the Public's Health System [Internet]. Definition\u2014health care safety net.2012. Available from:http:\/\/www.cphsnyc.org\/cphs\/What_We_Do\/safety-net\/mrt_waiver_safetynet_DEFINITION_7_30_12_1_:en-us.pdf."},{"issue":"2","key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.35680\/2372-0247.1100","article-title":"Uninsured free clinic patients' experience and perceptions of healthcare services and patient education","volume":"3","author":"Kamimura A","year":"2016","journal-title":"Patient Exp J."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1997.tb00941.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0528.2002.300302.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_8_15_1","unstructured":"RAND [Internet]. 36\u2010Item short form survey (SF\u201036) scoring instructions. Available from:http:\/\/www.rand.org\/health\/surveys_tools\/mos\/36-item-short-form\/scoring.htmlAccessed August 9 2016."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.14423\/SMJ.0000000000000379"},{"key":"e_1_2_8_17_1","article-title":"Food insecurity associated with self\u2010efficacy and acculturation","author":"Kamimura A","year":"2016","journal-title":"Popul Health Manag."},{"issue":"7","key":"e_1_2_8_18_1","first-page":"521","article-title":"Functional and psychosocial impacts of oral disorders in Canadian adults: a national population survey","volume":"75","author":"Locker D","year":"2009","journal-title":"J CanDentAssoc."},{"key":"e_1_2_8_19_1","unstructured":"Alta Dental [Internet]. 2014 Oral health and well\u2010being survey.2014. Available from:https:\/\/www.deltadental.com\/DDPAOralHealthWellBeingSurveyBrochure2014.pdf."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2013.00065"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.03.001"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2006.tb01714.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-013-9669-x"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-015-0002-8"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.03.031"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910608500310"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.evalprogplan.2016.08.006"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjphd.12193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjphd.12193","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T08:38:26Z","timestamp":1696235906000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,26]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1111\/jphd.12193"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12193","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,26]]}}}