{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T16:23:33Z","timestamp":1777047813966,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"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":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Mental health disorders (MHDs) are major public health concerns with increasing risk of morbidity and mortality among children. Oral health problems (OHPs) are receiving attention as associated comorbidities. This study assessed the burden of oral health problems in children aged 3\u201317\u2009years with MHD in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross sectional analyses was performed using the National Survey of Children's Health database 2016\u20132017 containing information of 60,655,439 children. Weighted survey binomial logistic regression generating odds ratio for association between MHD and OHP were calculated. Weighted dose\u2013response models captured incremental effects of MHD severity on oral health conditions. Population attributable risk (PAR) to quantify proportions of potentially avertable OHP as a result of intervention targeted at different levels of MHD severity were estimated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prevalence of OHP among those with any MHD was 22.5\u00a0percent. Children with MHD were more likely to be non\u2010Hispanic White, living in poorer households, and having private health insurance<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001. Dose\u2013response analyses showed children with mild MHD were 85\u2009percent more likely [OR\u00a0=\u00a01.85 (95% CI: 1.47\u20132.32)], and those with moderate\/severe MHD 93\u2009percent more likely (OR\u00a0=\u00a01.93, 95% CI: 1.50\u20132.49) to experience OHP, compared to children without MHD. Population attributable risk (PAR) revealed that if mild and moderate\/severe MHD were improved by 75\u2009percent, OHP would be averted in 152,206 children with mild and 255,851 with moderate\/severe MHD, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results suggest that disparities persist among the pediatric population with MHD who suffer OHP in the United States.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12438","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T09:05:18Z","timestamp":1608800718000},"page":"138-147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The burden of oral health problems in children with mental health disorders in the United States"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5384-8855","authenticated-orcid":false,"given":"Zenab I.","family":"Yusuf","sequence":"first","affiliation":[{"name":"Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine Houston TX USA"},{"name":"Houston VA Health Services Research and Development Service Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center Houston TX USA"},{"name":"VA South Central Mental Illness Research, Education and Clinical Center USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Dongarwar","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafeek A.","family":"Yusuf","sequence":"additional","affiliation":[{"name":"Department of Management, Policy, and Community Health University of Texas Health Science Center at Houston, School of Public Health Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sade C.","family":"Udoetuk","sequence":"additional","affiliation":[{"name":"Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamisu M.","family":"Salihu","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","first-page":"1","article-title":"Mental health surveillance among children\u2014United States, 2005\u20132011","volume":"62","author":"Perou R","year":"2013","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_7_3_1","volume-title":"Investing in mental health","author":"World Health Organization","year":"2003"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.05.017"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1993.tb01094.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2009.11.1\/krmerikangas"},{"key":"e_1_2_7_7_1","first-page":"1694","article-title":"The economic costs of alcohol and drug abuse and mental illness: 1985","volume":"90","author":"Rice DP","year":"1990","journal-title":"DHHS Publication No(ADM)"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.54.11.1467"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61611-6"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32154-2"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61392-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.11.1552"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j..2003.com122.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61238-0"},{"key":"e_1_2_7_15_1","unstructured":"Child and Adolescent Health Measurement Initiative (CAHMI) (2019). \u201c2016\u20132017 National Survey of Children's Health (2\u2009Years Combined Data Set): Child and Family Health Measures National Performance and Outcome Measures and Subgroups SAS Codebook Version 1.0\u201d Data Resource Center for Child and Adolescent Health supported by Cooperative Agreement U59MC27866 from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB). 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