{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T03:10:55Z","timestamp":1767237055989,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"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":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study examines the differences, by state, in dental care utilization and tooth retention between adults with and without diabetes mellitus (DM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a secondary analysis of data from the 2020 Behavioral Risk Factor Surveillance System, an annual, state\u2010based, random telephone survey of noninstitutionalized US civilian adults. The predictor variable was DM status. The outcome variables were time since the last dental appointment and tooth loss. We utilized multiple multinomial logistic regression models followed by postestimation procedures to determine state\u2010level adjusted proportions for dental visits within the last year and complete teeth retention among DM and non\u2010DM adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among adults with DM, 60.0% reported dentist visits within a year of survey participation, while 53.6% had complete tooth retention. As education and income levels increased, dental attendance and tooth retention increased among adults with DM. Most Southern states had a higher prevalence of DM, a lower proportion of dentist visits, and worse tooth retention among DM adults. Nationally, DM individuals were 4.3 percentage points less likely to visit a dentist and were 7 percent less likely to have complete teeth retention than non\u2010DM adults. Compared with the national average, 25\/50 states had greater disparities in dental visits between DM and non\u2010DM adults, and 27\/50 states had greater disparities in tooth loss between DM and non\u2010DM adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>State\u2010level variations indicate geographical and dental coverage influences on DM and dental outcomes. There is a need for state\u2010specific interventions to improve dental access and outcomes for adults with DM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12613","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:38:20Z","timestamp":1712795900000},"page":"187-197","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Utilization of dental care and dentate status in diabetic and nondiabetic patients across US states: An analysis using the 2020 Behavioral Risk Factor Surveillance System"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2200-2408","authenticated-orcid":false,"given":"Muath","family":"Aldosari","sequence":"first","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"},{"name":"Department of Oral Health Policy and Epidemiology Harvard School of Dental Medicine  Boston Massachusetts USA"},{"name":"Department of Health Policy and Health Services Research Boston University Henry M. Goldman School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0668-0313","authenticated-orcid":false,"given":"Hannah R.","family":"Archer","sequence":"additional","affiliation":[{"name":"Adams School of Dentistry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad T.","family":"Almutairi","sequence":"additional","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saud H.","family":"Alzuhair","sequence":"additional","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2085-9093","authenticated-orcid":false,"given":"Mohammad A.","family":"Aldosari","sequence":"additional","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9790-5233","authenticated-orcid":false,"given":"Erinne","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Oral Health Policy and Epidemiology Harvard School of Dental Medicine  Boston Massachusetts USA"},{"name":"College of Dental Medicine Kansas City University  Joplin Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Centers for Disease Control and Prevention.National Diabetes Statistics Report 2020. Estimates of diabetes and its burden in the United States.2020[cited 2023 May 1]. Available from:https:\/\/www.cdc.gov\/diabetes\/pdfs\/data\/statistics\/national\u2010diabetes\u2010statistics\u2010report.pdf"},{"key":"e_1_2_9_3_1","unstructured":"Centers for Disease Control and Prevention.Diabetes Basics [Internet].2022[cited 2023 May 4]. Available from:https:\/\/www.cdc.gov\/diabetes\/basics\/index.html"},{"key":"e_1_2_9_4_1","unstructured":"Diabetes and Oral Health [Internet].Centers for Disease Control and Prevention.2021[cited 2023 May 4]. Available from:https:\/\/www.cdc.gov\/diabetes\/managing\/diabetes-oral-health.html"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v6.i7.927"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2020-001819"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0938-5"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/db19-1282-P"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/2251-6581-12-14"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040119-094318"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00909-1"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2022.2075576"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2009.00136.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.01.008"},{"key":"e_1_2_9_15_1","unstructured":"Centers for Disease Control and Prevention.National Center for Chronic Disease Prevention and Health Promotion. 2020 Behavioral Risk Factor Surveillance System Survey Data and Documentation [Internet].2021[cited 2023 May 8]. Available from:https:\/\/www.cdc.gov\/brfss\/annual_data\/annual_2020.html"},{"key":"e_1_2_9_16_1","unstructured":"Centers for Disease Control and Prevention.LLCP 2020 Codebook Report Overall version data weighted with _LLCPWT Behavioral Risk Factor Surveillance System.2021. Available from:https:\/\/cdc.gov\/brfss\/annual_data\/2020\/pdf\/codebook20_llcp-v2-508.pdf"},{"key":"e_1_2_9_17_1","unstructured":"Health Policy Institute American Dental Association.The Oral Health Care System: A State\u2010by\u2010State Analysis [Internet]. Available from:https:\/\/azohc.org\/wp-content\/uploads\/2018\/01\/Advocacy-HPI.pdf"},{"issue":"3","key":"e_1_2_9_18_1","article-title":"Diabetes and tooth loss in a national sample of dentate adults reporting annual dental visits","volume":"4","author":"Kapp JM","year":"2007","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.18865\/ed.28.3.201"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.200594"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5485-7"},{"key":"e_1_2_9_22_1","unstructured":"LevisohnA.State Medicaid Coverage of Dental Services for General Adult and Pregnant Populations [Internet]. National Academy for State Health Policy.2022[cited 2023 Jun 8]. 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