{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:09:38Z","timestamp":1774325378102,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,5,12]],"date-time":"2018-05-12T00:00:00Z","timestamp":1526083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Evidence indicates that adverse childhood experiences (ACEs) have destructive impacts on quality of life, health outcomes, and health\u2010care expenditures. Studies further demonstrate a dose\u2013response relationship between the number of ACEs and risk for experiencing chronic illness, such as oral diseases later in life. Research is scarce on the prioritization of contextualized public health interventions addressing this important threat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional data from 2011 to 2012 National Survey of Children's Health (NSCH) provided a nationally representative sample of children in the United States, ages 1\u201017 for dentate status (<jats:italic>n<\/jats:italic>\u2009=\u200961,530). The dependent variables identified untreated oral health\u2010care needs and preventive dental utilization. The key independent variables included exposure to parental death, parental divorce, parental incarceration, mental health illnesses, domestic violence, neighborhood violence, and racial discrimination. Exogenous variables included age, sex, race\/ethnicity, number of children in household, socioeconomic status proxies, health insurance status, and special health needs. The data, when adjusted for complex survey design, proportionately represent children in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Unadjusted and adjusted logistic regressions revealed varying magnitudes of significance across diverse racial and ethnic profiles. Exposures to parental divorce and parental death particularly exhibited critical magnitudes of influence, compared to all other ACEs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In keeping with the Pareto Principle, exposure to certain ACEs, namely parental divorce and parental death, potentially introduces more profound social and health\u2010related consequences later in life. Therefore, contextualized interventions should prioritize public health efforts to address households burdened with exposure to parental divorce and\/or parental death.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12274","type":"journal-article","created":{"date-parts":[[2018,5,12]],"date-time":"2018-05-12T09:35:27Z","timestamp":1526117727000},"page":"313-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Exploring the relationship between adverse childhood experiences and oral health\u2010related quality of life"],"prefix":"10.1111","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8152-488X","authenticated-orcid":false,"given":"Faizan","family":"Kabani","sequence":"first","affiliation":[{"name":"Caruth School of Dental Hygiene College of Dentistry, Texas A&amp;M University Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9754-380X","authenticated-orcid":false,"given":"Kristine","family":"Lykens","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Systems, School of Public Health University of North Texas Health Science Center Fort Worth TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1925-3190","authenticated-orcid":false,"given":"Hyo Jung","family":"Tak","sequence":"additional","affiliation":[{"name":"Department of Health Services Research &amp; Administration College of Public Health, University of Nebraska Medical Center Omaha NE USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,12]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"National Center for Health Statistics. Oral and dental health [Internet]. Maryland: National Center for Health Statistics;2017[cited 2017 Nov 28]. Available from:https:\/\/www.cdc.gov\/nchs\/fastats\/dental.htm"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0541-3"},{"key":"e_1_2_6_4_1","unstructured":"FDI World Dental Federation. The challenge of oral disease: a call for global action [Internet]. Geneva: FDI World Dental Federation;2015[cited 2018 Apr 20]. pp. 1\u2010120. 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