{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T20:50:30Z","timestamp":1773089430736,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T00:00:00Z","timestamp":1509062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1 TR000005"],"award-info":[{"award-number":["UL1 TR000005"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Despite a decline in cigarette smoking in the United States, high rates persist among the socioeconomically underserved who consequently are at risk for smoking\u2010related disease (SRD). Since academically affiliated dental clinics are more likely to encounter underserved patients, smoking interventions could address both the oral and systemic risks of continued smoking. To determine the relevance of providing smoking counseling in the context of SRD, this study examined the prevalence of smoking and its associations with socioeconomic status (SES), SRD and its sequela, and medication use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Socioeconomic and smoking status was determined from 1,797 electronic health records of a sample of patients at a Pennsylvania dental clinic in 2010. Low SES included patients who were covered by a Medicaid program (MA) or \u201cself\u2010payers.\u201d High SES encompassed those with an employment\u2010based commercial dental insurance (COM). Self\u2010reported smoking rates were compared with patients' SES, SRDs or sequela, and medications being used for the management of their SRDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 41.7 percent of these patients were smoking. Smoking was related to SES with the highest rate (52.7 percent) among MA patients compared with 31.5 percent in patients with COM. In addition, 37 percent of patients with SRD or sequela and 33 percent who were taking medications for their management were smoking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Academically affiliated dental clinics are more likely to encounter underserved patients who smoke and have SRD. For greater patient impact and receptivity, it is essential that tobacco cessation interventions emphasize the risks of smoking on systemic as well as oral health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12255","type":"journal-article","created":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T12:56:44Z","timestamp":1509109004000},"page":"154-158","source":"Crossref","is-referenced-by-count":1,"title":["Relevance of smoking interventions for dental clinic patients with smoking\u2010related disease"],"prefix":"10.1111","volume":"78","author":[{"given":"Elizabeth A.","family":"Bilodeau","sequence":"first","affiliation":[{"name":"Department of Diagnostic Sciences University of Pittsburgh, School of Dental Medicine Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Guggenheimer","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Sciences University of Pittsburgh, School of Dental Medicine Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1997.0191"},{"issue":"3","key":"e_1_2_8_3_1","first-page":"81","article-title":"Cigarette smoking \u2013 United States, 2006\u20132008 and 2009\u20132010","volume":"62","author":"Garrett BE","year":"2013","journal-title":"MMWR."},{"issue":"9","key":"e_1_2_8_4_1","first-page":"95","article-title":"Surveillance of certain health behaviors and conditions among states and selected local areas\u2013Behavioral Risk Factor Surveillance System, United States, 2009","volume":"60","author":"Li C","year":"2011","journal-title":"MMWR."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.5219"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.10.012"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu266"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1101512"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2010.00185.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2010.00176.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2014.12.016"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00051716"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1984.0387"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000381717"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0112"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.03.003"},{"key":"e_1_2_8_17_1","first-page":"1","article-title":"Sources of health insurance and characteristics of the uninsured: analysis of the March 2011 current population survey","volume":"362","author":"Fronstin P.","year":"2011","journal-title":"EBRI Issue Brief."},{"issue":"44","key":"e_1_2_8_18_1","first-page":"889","article-title":"Current cigarette smoking among adults\u2010United States, 2011","volume":"61","author":"Agaku I","year":"2012","journal-title":"MMWR"},{"key":"e_1_2_8_19_1","unstructured":"2010 Surgeon General's Report\u2014how tobacco smoke causes disease: the biology and behavioral basis for smoking\u2010attributable disease. 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