{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T22:21:08Z","timestamp":1783981268854,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01 DE020858"],"award-info":[{"award-number":["R01 DE020858"]}],"id":[{"id":"10.13039\/100000072","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":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To assess the relationship between oral health literacy (OHL) and dental caries among a convenience sample of adult, first\u2010time patients at two U.S. dental schools; we hypothesized that adults with low OHL would have fewer teeth, more untreated dental decay, and fewer restorations.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross\u2010sectional analysis was part of the larger Multisite Oral Health Literacy Research (MOHLR) Study. OHL was assessed using the Comprehensive Measure of Oral Health Knowledge (CMOHK). The dental caries outcome variables (number of decayed, filled, decayed plus filled, and teeth present) were abstracted from electronic dental records and represented the clinical conditions at the initial visit. We calculated OHL prevalence estimates and crude and adjusted negative binomial regression parameters for the outcome variables, controlling for relevant sociodemographic covariates.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We recruited 922 participants into the MOHLR Study, and 688 provided clinical data for this report. Crude analyses showed persons with low OHL had significantly fewer filled teeth (\n e<\/jats:italic>\n \n x<\/jats:italic>\n <\/jats:sup>\n \u2009=\u20090.67), decayed plus filled teeth (\n e<\/jats:italic>\n \n x<\/jats:italic>\n <\/jats:sup>\n \u2009=\u20090.76), and teeth present (\n e<\/jats:italic>\n \n x<\/jats:italic>\n <\/jats:sup>\n \u2009=\u20090.96) than those with high OHL. After controlling for covariates, the low versus high differences remained significant for the number of filled (\n e<\/jats:italic>\n \n x<\/jats:italic>\n <\/jats:sup>\n \u2009=\u20090.81) and decayed plus filled teeth (\n e<\/jats:italic>\n \n x<\/jats:italic>\n <\/jats:sup>\n \u2009=\u20090.84). There was no significant relationship between CMOHK and the number of decayed teeth.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The relationship between OHL and dental caries in an adult population of dental school patients is complex. Additional research, likely involving qualitative studies and more precise epidemiological assessments, is needed to understand this complicated association.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jphd.70006","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T10:09:15Z","timestamp":1754561355000},"page":"432-439","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Oral Health Literacy and Dental Caries Status in Adults"],"prefix":"10.1111","volume":"85","author":[{"given":"Mark D.","family":"Macek","sequence":"first","affiliation":[{"name":"University of Maryland School of Dentistry Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Atchison","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles School of Dentistry Berkeley California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3951-6528","authenticated-orcid":false,"given":"Folasayo","family":"Adunola","sequence":"additional","affiliation":[{"name":"U.S. Department of Health and Human Services, Health Resources and Services Administration Rockville Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.09.004"},{"key":"e_1_2_9_3_1","volume-title":"Oral Health in America: Advances and Challenges","year":"2021"},{"issue":"3","key":"e_1_2_9_4_1","first-page":"174","article-title":"A Report of a Workgroup Sponsored by the National Institute of Dental and Craniofacial Research, National Institute of Health, U.S. Public Health Service, Department of Health and Human Services","volume":"65","author":"The Invisible Barrier: Literacy and Its Relationship With Oral Health","year":"2005","journal-title":"Journal of Public Health Dentistry"},{"issue":"1","key":"e_1_2_9_5_1","first-page":"52","article-title":"Oral Health Literacy Comparisons Between Indigenous Australians and American Indians","volume":"30","author":"Jamieson L. M.","year":"2013","journal-title":"Community Dental Health"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0640-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0322"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301038"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-10-3"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2010.00599.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12089"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12156"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2010.00165.x"},{"key":"e_1_2_9_14_1","volume-title":"National Health and Nutrition Examination Surveys (NHANES): Oral Health Examiners Manual","author":"National Center for Health Statistics, Centers for Disease Control and Prevention","year":"2020"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCIDE.S306110"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4443-0"},{"issue":"3","key":"e_1_2_9_17_1","first-page":"148","article-title":"Association of Oral Health Literacy With Oral Health Behaviour and Oral Health Status in Belarus","volume":"32","author":"Blizniuk A.","year":"2015","journal-title":"Community Dental Health"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0258810"},{"issue":"6","key":"e_1_2_9_19_1","first-page":"61","article-title":"Oral Health Literacy and Oral Health Status Among Adults Attending Dental College Hospital in India","volume":"6","author":"Haridas R.","year":"2014","journal-title":"Journal of International Oral Health"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2022.vol36.0004"},{"issue":"4","key":"e_1_2_9_21_1","first-page":"323","article-title":"Relationship Between Oral Health Literacy and Oral Health Status Among College Students","volume":"13","author":"Kanupuru K. 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