{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:37:50Z","timestamp":1790689070483,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,2]],"date-time":"2018-10-02T00:00:00Z","timestamp":1538438400000},"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":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Recent reports have documented health disparities according to sexual orientation and used the minority stress model as a framework for understanding their origins. To date, however, sexual orientation\u2010related disparities in the oral health domain have not been evaluated. Accordingly, this study sought to investigate potential health disparities in objectively\u2010assessed and subjective reports of oral heath among lesbian, gay, and bisexual adults relative to the heterosexual community\u2010dwelling US population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used three consecutive cycles (2009\u20132014) of National Health and Nutrition Examination Survey (NHANES) data for men and women aged 18\u201359 years. We examined clinical measures of dental caries, tooth loss, chronic periodontitis, and oral human papillomavirus (HPV) as well as subjective reports of oral health status and use of dental services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical measures of oral disease did not differ according to sexual orientation; however, bisexual adults were more likely to rate their oral health unfavorably (41%) than heterosexual adults (27%). Gay men reported \u201cbone loss around teeth\u201d more frequently (35%) than heterosexual (11%) and bisexual (10%) men. Bisexual individuals were more likely to confront barriers to accessing dental care (30%) versus heterosexual adults (19%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While clinical measures of oral health did not substantially differ between sexual orientation strata, subjective measures of oral health were worse among gay, lesbian, and bisexual adults versus heterosexual adults. Further study of the psychosocial construction of oral health among sexual minorities is warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12290","type":"journal-article","created":{"date-parts":[[2018,10,2]],"date-time":"2018-10-02T15:39:16Z","timestamp":1538494756000},"page":"18-24","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Sexual orientation\u2010related oral health disparities in the United States"],"prefix":"10.1111","volume":"79","author":[{"given":"Scott B.","family":"Schwartz","sequence":"first","affiliation":[{"name":"Division of Pediatric Dentistry and Orthodontics Cincinnati Children's Hospital Medical Center  Cincinnati OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne E.","family":"Sanders","sequence":"additional","affiliation":[{"name":"Department of Dental Ecology University of North Carolina at Chapel Hill School of Dentistry  Chapel Hill NC, 27599 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry University of North Carolina at Chapel Hill School of Dentistry  Chapel Hill NC, 27599 USA"},{"name":"Department of Health Policy and Management, Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill NC, 27599 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1290-7251","authenticated-orcid":false,"given":"Kimon","family":"Divaris","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry University of North Carolina at Chapel Hill School of Dentistry  Chapel Hill NC, 27599 USA"},{"name":"Department of Epidemiology Gillings School of Global Public Health, University of North Carolina at Chapel Hill  Chapel Hill NC, 27599 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,2]]},"reference":[{"issue":"36","key":"e_1_2_5_2_1","first-page":"1","article-title":"Sexual behavior, sexual attraction, and sexual identity in the United States: data from the 2006\u20102008 National Survey of Family Growth","volume":"5","author":"Chandra A","year":"2011","journal-title":"Natl Health Stat Report."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-010-0017-y"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.6.856"},{"key":"e_1_2_5_5_1","volume-title":"The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding","author":"Institute of Medicine","year":"2011"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137286"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12245"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/19424396.2000.12223118"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303648"},{"key":"e_1_2_5_10_1","article-title":"Oral health status of the lesbian, gay, bisexual, transgender population","volume":"90","author":"Tao W","year":"2011","journal-title":"J Dent Res"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2012.694766"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2009.73.1.tb04643.x"},{"key":"e_1_2_5_13_1","unstructured":"National health and nutrition examination survey oral health recorders procedure manual. Centers for Disease Control and Prevention; 2015.https:\/\/wwwn.cdc.gov\/nchs\/data\/nhanes\/2015-2016\/manuals\/2015_Oral_Health_Recorders_Procedures_Manual.pdf. 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