{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:21:09Z","timestamp":1790961669348,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"vor","delay-in-days":60,"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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine if relationships exist between the total dental treatment needs of incoming Air Force recruits and non\u2010clincal demographic and oral\u2010health related factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the 2018 Air Force Recruit Oral Health Study (ROHS) was used, an anonymized sample of 1330 AF recruits that included a comprehensive oral exam and survey collecting demographic and oral health behavior information. The primary outcome variable was the total number of dental treatment needs for recruits, and independent predictor variables included select socio\u2010demographic factors and wellness behaviors. Along with descriptive statistics, a multivariable negative binomial regression analysis was performed to assess the relationship between variables with a normalized weight making the final results representative of all incoming recruits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final adjusted analysis showed that an incoming recruit's self\u2010rated oral health, dental coverage prior to enlistment, need\u00a0for a dental visit within the last 12 months,\u00a0sugar intake, and tobacco use increased their risk for dental treatment needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first study to assess the relationship between specific risk indicators and increased dental treatment needs while adjusting other related covariates. Factors associated with dental treatment needs were identified that provide Air Force leaders with actionable information to directly improve recruit oral health and military readiness by identifying new airmen at the highest risk for excessive dental care needs while at basic military training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12590","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T15:21:26Z","timestamp":1698765686000},"page":"371-380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Oral health risk factors and overall dental treatment needs for incoming air force recruits"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6590-8648","authenticated-orcid":false,"given":"J. Brett","family":"Ryan","sequence":"first","affiliation":[{"name":"Department of Health Policy and Health Services Research Boston University Henry M. Goldman School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thayer","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Health Services Research Boston University Henry M. Goldman School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"McDonough","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Health Services Research Boston University Henry M. Goldman School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4361-2205","authenticated-orcid":false,"given":"David","family":"Schindler","sequence":"additional","affiliation":[{"name":"USAF Dental Research and Consultation Service (DRCS) Institute of Surgical Research  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott P.","family":"Irwin","sequence":"additional","affiliation":[{"name":"USAF Dental Research and Consultation Service (DRCS) Institute of Surgical Research  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor M.","family":"Badner","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Department of Dentistry Jacob Medical Center  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Joint Chiefs of Staff.Joint Publication 1\u20130; Joint Personnel Support. [cited 2022 Dec 13]https:\/\/www.jcs.mil\/Doctrine\/Joint-Doctrine-Pubs\/1-0-Personnel-Series\/"},{"key":"e_1_2_9_3_1","unstructured":"About the Military Health System.Military Health System. [cited 2022 May 12] n.d.https:\/\/www.health.mil\/About-MHS"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00336"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.173.Supplement_1.42"},{"key":"e_1_2_9_6_1","unstructured":"AIR FORCE MANUAL 47\u2010101.Managing Dental Sevices. U.S. Air Force.2020https:\/\/static.e-publishing.af.mil\/production\/1\/af_sg\/publication\/afman47-101\/afman47-101.pdf"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.173.Supplement_1.38"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-11-00180"},{"key":"e_1_2_9_9_1","unstructured":"IrwinSP.Air Force Recruit Oral Health Study \u2013 Summary of Findings unpublished. November 1 2022.2019."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa393"},{"key":"e_1_2_9_11_1","unstructured":"Milley: Medical Forces Could Be Limited During War by Planned Cuts| Military.com. n.d.). [cited 2022 May 12]https:\/\/www.military.com\/daily-news\/2022\/05\/11\/medical-forces-could-be-shorthanded-during-war-due-planned-cutsmilley-says.html?utm_source=sailthru&utm_medium=email&utm_campaign=dfn-ebb"},{"key":"e_1_2_9_12_1","unstructured":"IrwinSP Soliv\u00e1n\u2010OrtizAM.Recruit Study Dental Examiner Calibration Course Manual.2018."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.ohpd.b898947"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.1293"},{"key":"e_1_2_9_15_1","unstructured":"BureauUC.Geographic Levels. Census.gov. [cited 2022 Dec 14]https:\/\/www.census.gov\/programs-surveys\/economic-census\/guidance-geographies\/levels.html"},{"key":"e_1_2_9_16_1","unstructured":"Select Demographic USAF.Personnel E1\u2010E3; DMDC Request DRS149932. Published online August 26.2022."},{"key":"e_1_2_9_17_1","first-page":"8","article-title":"Prevalence of total and untreated dental caries among youth: United States, 2015\u20132016","volume":"307","author":"Fleming E","year":"2018","journal-title":"NCHS Data Brief"},{"key":"e_1_2_9_18_1","unstructured":"Oral Health in America: Advances and Challenges: Section 2B Oral Health Across Adolescents. NIDCR. [cited 2022 Nov 17]https:\/\/www.nidcr.nih.gov\/oralhealthinamerica"},{"key":"e_1_2_9_19_1","unstructured":"PhilippsD ArangoT.Who Signs up to Fight? Makeup of U.S. Recruits Shows Glaring Disparity.The New York Times.2010 [cited 2022 Nov 11]https:\/\/www.nytimes.com\/2020\/01\/10\/us\/military-enlistment.html"},{"key":"e_1_2_9_20_1","unstructured":"Census Bureau Data. [cited 2022 Nov 17]https:\/\/data.census.gov\/"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18157865"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12300"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00418.x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2009.31"},{"key":"e_1_2_9_25_1","first-page":"13","volume-title":"Military life: the psychology of serving in peace and combat: operational stress","author":"McGurk D"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.11.007"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12590","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T05:13:48Z","timestamp":1703567628000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/jphd.12590"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12590","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"2023-05-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}