{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:06:10Z","timestamp":1790647570557,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100027678","name":"CareQuest Institute for Oral Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100027678","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To characterize demographic factors associated with dental care utilization in the past year among patients receiving primary care at a Massachusetts Accountable Care Organization \u2010participating health system.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Electronic medical record data were obtained for unique primary care patients who completed oral health screening at a single Massachusetts ACO\u2010participating health system between July 1, 2023, and March 1, 2024. Dental care utilization was assessed using patients' self\u2010reported receipt of dental care in the previous 12\u2009months. Bivariate and multivariable logistic regression models assessed associations between patient demographics and non\u2010utilization of dental care.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall, 38% of patients had not utilized dental care in the past year. Compared with reference groups in their respective categories, higher odds of non\u2010utilization were observed among males (OR 1.21; 95% CI: 1.16\u20131.26), children aged 0\u20135 (OR 3.97; 95% CI: 3.51\u20134.48), adults aged \u2265\u200960 (OR 4.03; 95% CI: 3.61\u20134.49), Haitian Creole speakers (OR 1.78; 95% CI: 1.59\u20132.00), Asian patients (OR 1.27; 95% CI: 1.16\u20131.38) and publicly insured patients (OR 2.34; 95% CI: 2.19\u20132.49).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Disparities in self\u2010reported dental care utilization were observed across sex, age, language, race, and insurance status within a single Massachusetts Accountable Care Organization \u2010participating health system.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jphd.70072","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:45:23Z","timestamp":1790646323000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dental Care Utilization Among Patients Receiving Primary Care Within a Massachusetts Accountable Care Organization"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6334-8587","authenticated-orcid":false,"given":"John","family":"Ahern","sequence":"first","affiliation":[{"name":"Cambridge Health Alliance Cambridge Massachusetts USA"},{"name":"Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9999-808X","authenticated-orcid":false,"given":"Ariela Braverman","family":"Bronstein","sequence":"additional","affiliation":[{"name":"Institute for Community Health Malden Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0313-7272","authenticated-orcid":false,"given":"Caleb","family":"Tam","sequence":"additional","affiliation":[{"name":"Cambridge Health Alliance Cambridge Massachusetts USA"},{"name":"Harvard School of Dental Medicine Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0135-0806","authenticated-orcid":false,"given":"Benjamin","family":"Le Cook","sequence":"additional","affiliation":[{"name":"Cambridge Health Alliance Cambridge Massachusetts USA"},{"name":"Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Oral Health in America: Advances and Challenges","author":"National Institute of Dental and Craniofacial Research","year":"2021"},{"key":"e_1_2_10_3_1","volume-title":"Primary Care Sub\u2010Capitation Program: Appendix D","author":"MassHealth","year":"2023"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303833"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"25","article-title":"Oral Health Screening by MassHealth Accountable Care Organizations: An Opportunity for Equity\u2010Focused Interventions","volume":"98","author":"Ahern J.","year":"2024","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304180"},{"issue":"6","key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1136\/jech-2024-223202","article-title":"Race Disparities in Dental Care Use From Adolescence to Middle Adulthood in the USA","volume":"79","author":"Testa A.","year":"2025","journal-title":"Journal of Epidemiology and Community Health"},{"issue":"3","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.adaj.2023.11.005","article-title":"Changes in Dental Visits and Oral Health for Children by Race and Ethnicity During the COVID\u201019 Pandemic","volume":"155","author":"Kranz A. M.","year":"2024","journal-title":"Journal of the American Dental Association (1939)"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12806"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/10775587221108751"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3071"},{"issue":"5","key":"e_1_2_10_12_1","first-page":"59","article-title":"Interest in Accessing Integrated Dental Services in Primary Care Among Patients With Low Dental Care Utilization","volume":"99","author":"Ahern J.","year":"2025","journal-title":"Journal of Dental Hygiene"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.70072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jphd.70072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.70072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:45:25Z","timestamp":1790646325000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.70072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":11,"alternative-id":["10.1111\/jphd.70072"],"URL":"https:\/\/doi.org\/10.1111\/jphd.70072","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"2026-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jphd.70072"}}