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We assessed the broader relationship between diet quality and dental caries in a diverse Latinx adult population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a cross\u2010sectional probability sample, 14,517 dentate men and women in the Hispanic Community Health Study\/Study of Latinos (HCHS\/SOL) received a dental examination and completed two 24\u2010hours dietary recalls and a food propensity questionnaire. The 2010 Alternative Healthy Eating Index (AHEI) assessed diet quality and the National Cancer Institute method predicted usual intake of the 11 dietary components that comprise the AHEI. Dental caries experience was quantified using the decayed, missing and filled surfaces (DMFS) index. Covariates included sociodemographic and anthropometric characteristics. Survey multivariable\u2010adjusted linear regression models quantified the relationship of 2010 AHEI score, and its 11 components, with DMFS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In multivariable\u2010adjusted models, each 10\u2010unit increase in diet quality score was associated with 2.5 fewer (95% confidence interval: \u22123.4, \u22121.6) DMFS. The relationship was pronounced among foreign\u2010born individuals, who comprised three\u2010quarters of the sample, irrespective of their length of US residence, but was not apparent among U.S.\u2010born individuals. Greater intake of sugar\u2010sweetened beverage and fruit juice was positively associated with dental caries, whereas vegetables (excluding potatoes); whole grains; and omega\u20103 fats were inversely associated with dental caries, independent of covariates and the other dietary components (all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An association between diet quality and dental caries was restricted to foreign\u2010born Latinix and was not limited to the adverse impact of sugar\u2010sweetened drinks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12358","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T10:11:11Z","timestamp":1581070271000},"page":"140-149","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Diet quality and dental caries in the Hispanic Community Health Study\/Study of Latinos"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2607-9514","authenticated-orcid":false,"given":"Anne","family":"Sanders","sequence":"first","affiliation":[{"name":"Adams School of Dentistry University of North Carolina  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Cardel","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Biomedical Informatics and Pediatrics University of Florida College of Medicine  Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Laniado","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Department of Epidemiology and Population Health Albert Einstein College of Medicine  Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Kaste","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry University of Illinois College of Dentistry  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Finlayson","sequence":"additional","affiliation":[{"name":"San Diego State University School of Public Health  San Diego CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Perreira","sequence":"additional","affiliation":[{"name":"Department of Social Medicine University of North Carolina  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Sotres\u2010Alvarez","sequence":"additional","affiliation":[{"name":"Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health University of North Carolina  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2001.65.10.tb03444.x"},{"key":"e_1_2_5_3_1","volume-title":"Guideline: sugars intake for adults and children","author":"World Health Organization","year":"2015"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.2012.00544.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518788283"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515623935"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.1991.tb01340.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/ejd.ejd_4_18"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.113.082685"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2010.03.015"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2010.05.006"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.2014.25"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.111.157222"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2006.07.003"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0801827"},{"key":"e_1_2_5_16_1","unstructured":"British Fluoridation Society. 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