{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T13:00:10Z","timestamp":1782306010337,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T00:00:00Z","timestamp":1715385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Little is known about dental caries experience in adolescents with overweight and complex special health care needs (SHCNs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adolescent data (10\u201317\u2009years) from the 2016\u20132020 National Survey of Children's Health (<jats:italic>n<\/jats:italic>\u2009=\u200991,196) was analyzed. The sample was grouped into the following: more complex SHCN and overweight, more complex SHCN without overweight, less complex SHCN and overweight, less complex SHCN without overweight, no SHCN but with overweight, and neither SHCN nor overweight. A multivariable\u2010adjusted logistic regression model was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adolescents with more complex SHCNs with (OR: 1.82, 95% CI: 1.44\u20132.30, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) or without overweight (OR: 1.51, 95% CI: 1.30\u20131.76, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were at higher odds of experiencing dental caries compared to healthy adolescents. No significant associations were observed between adolescents with less complex or no SHCN regardless of the overweight status with healthy adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adolescents with more complex SHCNs, irrespective of overweight status, experienced a higher caries severity than adolescents with no SHCNs or overweight.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12622","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T11:59:11Z","timestamp":1715428751000},"page":"321-328","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association between more complex special care needs and overweight status and adolescents' difficulty with dental caries"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5435-7046","authenticated-orcid":false,"given":"Vinodh","family":"Bhoopathi","sequence":"first","affiliation":[{"name":"Section of Public and Population Oral Health University of California at Los Angeles School of Dentistry  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Wells","sequence":"additional","affiliation":[{"name":"Statistical Methods and Data Analytics University of California at Los Angeles Office of Advanced Research Computing  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Tripicchio","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Center for Obesity Research and Education College of Public Health, Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nini Chaichanasakul","family":"Tran","sequence":"additional","affiliation":[{"name":"Section of Pediatric Dentistry University of California at Los Angeles School of Dentistry  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,11]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Children with special health care needs.NSCH Data Brief July 2020. 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Retrieved [05\/04\/23] fromhttps:\/\/www.childhealthdata.org\/browse\/survey\/results?q=8520&r=1&g=936"},{"key":"e_1_2_8_5_1","unstructured":"Oral Health Surveillance Report.Trends in Dental Caries and Sealants Tooth Retention and Edentulism United States 1999\u20132004 to 2011\u20132016.2021Dec 9 [Accessed 2023 May 13].https:\/\/www.cdc.gov\/oralhealth\/publications\/OHSR-2019-index.html"},{"key":"e_1_2_8_6_1","unstructured":"FryarC CarollM AffulJ.Products \u2010 Health E Stats \u2010 Prevalence of Overweight Obesity and Severe Obesity Among Children and Adolescents Aged 2\u201319\u2009Years: United States 1963\u20131965 Through 2017\u20132018.2021Feb 5 [Accessed 2022 Jan 13].https:\/\/www.cdc.gov\/nchs\/data\/hestat\/obesity-child-17-18\/obesity-child.htm"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-025700"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2010.0025"},{"issue":"4","key":"e_1_2_8_9_1","first-page":"261","article-title":"Early childhood caries and weight status: a systematic review and meta\u2010analysis","volume":"41","author":"Angelopoulou MV","year":"2019","journal-title":"Pediatr Dent"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12960"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12221"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/23800844221090447"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0273"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-008-0339-z"},{"key":"e_1_2_8_15_1","unstructured":"Child and Adolescent Health Measurement Initiative.2018\u20132019 National Survey of Children's Health (NSCH) data query. 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