{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T04:18:56Z","timestamp":1787545136274,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study aimed to determine the key factors that predict oral health care utilization among persons with and without depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 17,525 working\u2010age adults from the 2022 National Health Interview Survey were analyzed. Survey\u2010weighted Poisson regression models estimated the population\u2010level associations between sociodemographic factors (e.g., income, education, last medical visit) and a report of no past\u2010year dental visit and Delayed Dental Care due to cost (DDC), while Random Forest (RF) permutation importance quantified each variable's contribution to predictive discrimination for individuals with or without depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The adjusted prevalence (aPR) of no past\u2010year dental visit and DDC was greater among those with depression compared to those without depression (39.6% vs. 35.3% aPR\u2009=\u20091.12; 95% confidence interval (CI), 1.06 to 1.18) and (26.6% vs. 17.8%, aPR\u2009=\u20091.47, 95% CI, 1.35, 1.59), respectively. Our RF models demonstrated an acceptable range of discrimination for both outcomes (AUC range: 0.67\u20130.73) across the subgroups by depression status. Income was the most important variable contributing most to all four models' discrimination, regardless of depression status, suggesting a cross\u2010cutting impact on oral health service utilization regardless of depression status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Individuals with depression were less likely to visit the dentist and more likely to report cost\u2010related delayed dental care than those without depression. Further, income was an important factor impacting oral health care\u2010seeking behavior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.70077","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T03:39:07Z","timestamp":1787542747000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Key Predictors of Oral Health Service Utilization Among Working\u2010Age Adults With and Without Depression in the United States"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1238-4131","authenticated-orcid":false,"given":"McKing Izeiza","family":"Amedari","sequence":"first","affiliation":[{"name":"John D. Bower School of Population Health University of Mississippi Medical Center  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2670-7402","authenticated-orcid":false,"given":"Lisa J.","family":"Heaton","sequence":"additional","affiliation":[{"name":"CareQuest Institute for Oral Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6199-5337","authenticated-orcid":false,"given":"Thomas","family":"Dobbs","sequence":"additional","affiliation":[{"name":"John D. Bower School of Population Health University of Mississippi Medical Center  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1281-1682","authenticated-orcid":false,"given":"Bernadette","family":"Grayson","sequence":"additional","affiliation":[{"name":"John D. Bower School of Population Health University of Mississippi Medical Center  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5531-3512","authenticated-orcid":false,"given":"Osayande","family":"Agbonlahor","sequence":"additional","affiliation":[{"name":"John D. Bower School of Population Health University of Mississippi Medical Center  Jackson Mississippi USA"},{"name":"Myrlie Evers\u2010Williams Institute for the Elimination of Health Disparities  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4948-294X","authenticated-orcid":false,"given":"Benjamin","family":"Walker","sequence":"additional","affiliation":[{"name":"John D. Bower School of Population Health University of Mississippi Medical Center  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1111\/j.1600-0528.2011.00637.x","article-title":"The Association Between Depression and Anxiety and Use of Oral Health Services and Tooth Loss","volume":"40","author":"Okoro C. A.","year":"2012","journal-title":"Community Dentistry and Oral Epidemiology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"240097","DOI":"10.5888\/pcd21.240097","article-title":"Mental Health, Socioeconomic Position, and Oral Health: A Path Analysis","volume":"21","author":"Heaton L. 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