{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:29:05Z","timestamp":1788996545254,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T00:00:00Z","timestamp":1537142400000},"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":["P30AG044281"],"award-info":[{"award-number":["P30AG044281"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG041860"],"award-info":[{"award-number":["R01AG041860"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AG046372"],"award-info":[{"award-number":["K24AG046372"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the prevalence of and factors associated with oral health measures in a sample of older homeless adults in Oakland, CA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional analysis of data from a population\u2010based study of 350 homeless adults aged \u226550 in which trained researchers conducted structured interviews using validated questions regarding sociodemographics, health\u2010related behaviors, healthcare utilization, and health status. We assessed self\u2010reported tooth loss, oral pain, and unmet need for dental care. We used multivariable logistic regression to examine factors associated with missing half or more teeth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over half 201\/350 (57.4 percent) of participants were missing at least half of their teeth. Half 191\/350 (54.6 percent) reported oral pain in the past 6 months; 101\/350 (28.9 percent) reported that oral pain prevented them from eating and 73\/350 (20.9 percent) reported that pain prevented sleeping. Almost half, 141\/350 (40.3 percent), had not seen a dentist in over 5 years, and over half 190\/350 (54.3 percent) reported being unable to obtain needed dental care. In multivariate models, increased age (AOR = 1.09, 95 percent CI 1.04\u20131.14), moderate\u2010to\u2010high risk alcohol use (AOR = 2.17, CI = 1.23\u20133.84), moderate\u2010to\u2010high risk cocaine use (AOR = 1.72, CI = 1.03\u20132.88), and ever smoking (AOR = 2.87, CI = 1.59\u20135.18) were associated with an increased odds of having lost half or more teeth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tooth loss and oral pain are highly prevalent in older homeless adults. Increasing age, alcohol, drug, and tobacco use are associated with tooth loss.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12288","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T15:30:30Z","timestamp":1537198230000},"page":"3-9","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Oral health and access to dental care among older homeless adults: results from the HOPE HOME study"],"prefix":"10.1111","volume":"79","author":[{"given":"Daniel J.","family":"Freitas","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren M.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Center for Vulnerable Populations, University of California, San Francisco San Francisco CA USA"},{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Tieu","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Center for Vulnerable Populations, University of California, San Francisco San Francisco CA USA"},{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Ponath","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Center for Vulnerable Populations, University of California, San Francisco San Francisco CA USA"},{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Guzman","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Center for Vulnerable Populations, University of California, San Francisco San Francisco CA USA"},{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1361-6889","authenticated-orcid":false,"given":"Margot","family":"Kushel","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Center for Vulnerable Populations, University of California, San Francisco San Francisco CA USA"},{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,17]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Oral Health in America: a report of the surgeon general. Rockville MD: U.S. Department of Health and Human Services National Institute of Dental and Craniofacial Research National Institutes of Health 2000."},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Selected oral health indicators in the United States, 2005\u20102008","volume":"96","author":"Dye BA","year":"2012","journal-title":"NCHS Data Brief"},{"issue":"3","key":"e_1_2_6_4_1","first-page":"1","article-title":"Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis\u2010\u2010United States, 1988\u20131994 and 1999\u20132002","volume":"54","author":"Beltran\u2010Aguilar ED","year":"2005","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910608500114"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2006.tb04082.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-010-9498-5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1988.tb00725.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-849X.2009.00437.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/asap.12004"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1848-9"},{"key":"e_1_2_6_13_1","first-page":"197","article-title":"Dental caries and tooth loss in adults in the United States, 2011\u20102012","volume":"197","author":"Dye B","year":"2015","journal-title":"NCHS Data Brief"},{"key":"e_1_2_6_14_1","article-title":"Geriatric conditions in a population\u2010based sample of older homeless adults","volume":"57","author":"Brown RT","year":"2017","journal-title":"Gerontologist"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2005.69.9.tb03993.x"},{"key":"e_1_2_6_16_1","unstructured":"Homeless emergency assistance and rapid transition to housing: defining \"homeless\". Office of the Federal Register National Archives and Records Administration;2010."},{"key":"e_1_2_6_17_1","volume-title":"The alcohol use disorders identification test: guidelines for use in primary care","author":"Babor TF","year":"2001"},{"key":"e_1_2_6_18_1","volume-title":"The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): manual for use in primary care","author":"Humeniuk R","year":"2010"},{"key":"e_1_2_6_19_1","unstructured":"Al\u2010DelaimyW EdlandS PierceJ MillsA WhiteM EmoryK et al. California Tobacco Survey (CTS) 2008: UC San Diego Library Digital Collections; 2015. Available from:https:\/\/doi.org\/10.6075\/J0KW5CX7"},{"issue":"1","key":"e_1_2_6_20_1","first-page":"3","article-title":"Development and evaluation of the oral health impact profile","volume":"11","author":"Slade GD","year":"1994","journal-title":"Community Dent Health"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12072"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/002203459607502S11"},{"key":"e_1_2_6_23_1","volume-title":"Who gained health insurance coverage under the ACA, and where do they live?","author":"Garrett B","year":"2016"},{"key":"e_1_2_6_24_1","unstructured":"New benefits for Denti\u2010Cal adults in 2018 2017 [3\/5\/2018]. Available from:https:\/\/www.cda.org\/news-events\/new-benefits-for-denti-cal-adults-in-2018"},{"key":"e_1_2_6_25_1","volume-title":"Denti\u2010Cal facts and figures","author":"Maiuro LS","year":"2010"},{"issue":"3","key":"e_1_2_6_26_1","first-page":"350","article-title":"Ethanol and human saliva: effect of chronic alcoholism on flow rate, composition, and epidermal growth factor","volume":"87","author":"Dutta SK","year":"1992","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-221"},{"issue":"1","key":"e_1_2_6_28_1","first-page":"85","article-title":"The cocaine connection. Users imperil their gingiva","volume":"122","author":"Quart AM","year":"1991","journal-title":"J Am Dent Assoc"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2003.tb03471.x"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2008.244"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2008.00301.x"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2008.00046.x"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjphd.12288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jphd.12288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T12:28:44Z","timestamp":1694003324000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,17]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1111\/jphd.12288"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12288","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,17]]},"assertion":[{"value":"2018-03-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}