{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:21:20Z","timestamp":1787772080543,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Individuals with disabilities face elevated risks of adverse oral health outcomes compared with the general population, including worse periodontal health, increased edentulism, and untreated dental decay. Given the varied impacts of different disabilities on people's health and well\u2010being, this study aims to investigate diverse associations between untreated decay and cognitive, physical, emotional, and sensory disabilities among US adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study analyzed questionnaire and clinical examination data on 7084 adults (\u226520\u2009years) from the 2015\u201318 National Health and Nutrition Examination Survey cycles. Sociodemographics, oral health behaviors, health conditions, and disability were all examined. The prevalence of tooth decay was calculated as the proportion of adults with untreated decay. Survey\u2010weighted multivariable logistic regression was used to assess associations between disability and untreated decay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In general, untreated decay was more than twice as prevalent in individuals with three or more disabilities as in those without any disabilities (34.5% vs. 13.2%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). After adjusting for confounders, lack of functional dentition was the most significant predictor of untreated decay prevalence (adjusted odds ratio: 2.97, 95% CI: 2.37\u20133.72). Other significant factors were younger age (20\u201344), non\u2010Hispanic black race or ethnicity, low\u2010income status, having an underlying chronic condition, not having a past\u2010year dental visit, symptomatic dental visits, and current tobacco use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>No associations were found between disability type (cognitive, emotional, physical, and sensory) and untreated decay among community\u2010dwelling US adults. Several health\u2010related, social, and behavioral factors emerged as primary predictors of untreated decay. Further research is needed to explore disability types and dental caries determinants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12644","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T08:52:58Z","timestamp":1725958378000},"page":"439-452","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Associations between disability type and untreated dental decay among community dwelling US adults"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3545-8106","authenticated-orcid":false,"given":"Ishita","family":"Singh","sequence":"first","affiliation":[{"name":"Dental Public Health Research Fellow at the National Institute of Dental, Oral and Craniofacial Research (NIDCR) National Institutes of Health (NIH)  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobai","family":"Li","sequence":"additional","affiliation":[{"name":"Biostatistics and Clinical Epidemiology Unit, Office of Director, Clinical Research Center National Institutes of Health (NIH)  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"Iafolla","sequence":"additional","affiliation":[{"name":"Office of Science Policy and Analysis, National Institute of Dental, Oral and Craniofacial Research (NIDCR) National Institutes of Health (NIH)  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahdokht","family":"Boroumand","sequence":"additional","affiliation":[{"name":"Dental Public Health and Research Fellowship within the Office of Science Policy and Analysis, National Institute of Dental, Oral and Craniofacial Research (NIDCR) National Institutes of Health (NIH)  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hosam","family":"Alraqiq","sequence":"additional","affiliation":[{"name":"Office of Science Policy and Analysis, National Institute of Dental, Oral and Craniofacial Research (NIDCR) National Institutes of Health (NIH)  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6732a3"},{"key":"e_1_2_11_3_1","volume-title":"International classification of functioning, disability and health","author":"World Health Organization","year":"2001"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2010.00136.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2003.tb00305.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18041556"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-1972"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.07.015"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.174029"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1922\/CDH_4137Suzuki07"},{"key":"e_1_2_11_11_1","unstructured":"National Institutes of Health.Oral health in America: advances and challenges. Bethesda MD: US Department of Health and Human Services National Institutes of Health National Institute of Dental and Craniofacial Research.2021."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2009.0050"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1679-45082016AO3712"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/fmch-2020-000583"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.04.040"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2010.395"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2008.00049.x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10024-2590"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208246"},{"key":"e_1_2_11_20_1","unstructured":"National Center for Health Statistics.2015\u20132016 National Health and Nutrition Examination Survey (NHANES). NHANES Questionnaires Datasets and Related Documentation [Internet]. Bethesda (MD): Centers for Disease Control and Prevention. [cited 2024 Feb 20]. Available from:https:\/\/www.cdc.gov\/nchs\/nhanes\/nhanes_questionnaires.htm"},{"key":"e_1_2_11_21_1","unstructured":"National Center for Health Statistics.2017\u20132018 National Health and Nutrition Examination Survey (NHANES). NHANES Questionnaires Datasets and Related Documentation [Internet]. Bethesda (MD): Centers for Disease Control and Prevention. [cited 2024 Feb 20]. Available from:https:\/\/www.cdc.gov\/nchs\/nhanes\/nhanes_questionnaires.htm."},{"key":"e_1_2_11_22_1","unstructured":"Centers for Disease Control and Prevention (CDC).Oral Health Recorders Manual 2019\u20132020 NHANES. Available from:https:\/\/wwwn.cdc.gov\/nchs\/data\/nhanes\/2019\u20102020\/manuals\/2020\u2010Oral\u2010Health\u2010Recorders\u2010Manual\u2010508.pdf"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-019-0777-6"},{"key":"e_1_2_11_24_1","unstructured":"Mental Health Foundation.Cognitive Disorders [Internet]. 2022 [cited 2024 Feb 20]. Available from:https:\/\/mentalhealthfoundation.org\/health-conditions\/cognitive-disorders\/"},{"key":"e_1_2_11_25_1","unstructured":"U.S. Department of Education.Individuals with disabilities education Act (IDEA).2017Sec. 300.8 (c) (4). Available from:https:\/\/sites.ed.gov\/idea\/regs\/b\/a\/300.8\/c\/4"},{"key":"e_1_2_11_26_1","unstructured":"University of Western Sydney.Education to employment. National Disability Coordination Officer Program. 2012. Retrieved January 8 2014. Available from:Physical disability | What is disability? | Education to Employment (archive.org)"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-022-5085-x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2007.01436.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12725"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.30358"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.09.004"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2020.1784196"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.ohpd.a38780"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010505"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.ohpd.b2448609"},{"key":"e_1_2_11_36_1","unstructured":"2021 National Healthcare Quality and Disparities Report. Rockville MD Agency for Healthcare Research and Quality; December 2021. AHRQ Report No. 21(22)\u20100054\u2010EF."}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12644","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T13:29:00Z","timestamp":1733405340000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12644"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,10]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/jphd.12644"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12644","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,10]]},"assertion":[{"value":"2024-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}