{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:58:14Z","timestamp":1790935094213,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"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>Objectives<\/jats:title>\n                    <jats:p>To examine the association between general health literacy (HL) and multiple oral health indicators among Korean adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from 5338 adults (\u2265\u200919\u2009years) who participated in the 2023 Korea National Health and Nutrition Examination Survey. HL was assessed using the Health Literacy Index for the Community (HLIC), with scores &lt;\u200928 indicating inadequate HL. Three oral health status outcomes (chewing difficulty, self\u2010rated oral health, and voice discomfort) and one preventive dental care utilization outcome (oral health screening) were examined. Multivariable logistic regression analyses were conducted, adjusting for sociodemographic, health\u2010related, and behavioral factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After full adjustment, inadequate HL was associated with chewing difficulty, voice discomfort, and poor self\u2010rated oral health. Additionally, individuals with inadequate HL were less likely to have undergone preventive oral screening in the past year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest that inadequate HL is independently associated with poorer oral health outcomes and reduced dental care utilization, particularly in Asian contexts where oral health literacy interventions remain limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.70088","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:39:59Z","timestamp":1790933999000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Association Between General Health Literacy and Oral Health Among Korean Adults"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4677-5525","authenticated-orcid":false,"given":"In Cheol","family":"Hwang","sequence":"first","affiliation":[{"name":"Department of Family Medicine Gil Medical Center, Gachon University College of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8149-6981","authenticated-orcid":false,"given":"Hong Yup","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Statistics Dongguk University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1471-2458-12-80","article-title":"Health Literacy and Public Health: A Systematic Review and Integration of Definitions and Models","volume":"12","author":"Sorensen K.","year":"2012","journal-title":"BMC Public Health"},{"issue":"4","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1177\/0022034517693566","article-title":"Global, Regional, and National Prevalence, Incidence, and Disability\u2010Adjusted Life Years for Oral Conditions for 195 Countries, 1990\u20102015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors","volume":"96","author":"Kassebaum N. J.","year":"2017","journal-title":"Journal of Dental Research"},{"issue":"8","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.adaj.2017.04.012","article-title":"Oral Health Literacy and Associated Oral Conditions A Systematic Review","volume":"148","author":"Firmino R. T.","year":"2017","journal-title":"Journal of the American Dental Association"},{"issue":"1","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1902\/jop.2016.160203","article-title":"Oral Health Literacy and Measures of Periodontal Disease","volume":"88","author":"Holtzman J. S.","year":"2017","journal-title":"Journal of Periodontology"},{"issue":"12","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1177\/0022034510379601","article-title":"Oral Health Literacy Among Female Caregivers: Impact on Oral Health Outcomes in Early Childhood","volume":"89","author":"Vann W. J.r.","year":"2010","journal-title":"Journal of Dental Research"},{"issue":"7","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"E85","DOI":"10.2105\/AJPH.2014.301930","article-title":"Health Literacy: A Pathway to Better Oral Health","volume":"104","author":"Guo Y.","year":"2014","journal-title":"American Journal of Public Health"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"e2024061","DOI":"10.4178\/epih.e2024061","article-title":"Development and Validation of the Health Literacy Index for the Community for the Korean National Health and Nutrition and Examination Survey","volume":"46","author":"Yoon J.","year":"2024","journal-title":"Epidemiology and Health"},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"105530","DOI":"10.1016\/j.jdent.2024.105530","article-title":"Health Literacy, Oral Diseases, and Contributing Pathways: Results From the Lifelines Cohort Study","volume":"153","author":"Chakraborty T.","year":"2025","journal-title":"Journal of Dentistry"},{"issue":"4","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1922\/CDH_00145Park04","article-title":"Unmet Dental Care Needs of the Low\u2010Income Elderly in South Korea: Applying the Andersen Behavioural Model","volume":"41","author":"Park E. J.","year":"2024","journal-title":"Community Dental Health"},{"issue":"1","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1177\/1010539516684944","article-title":"Utilization of Preventive Dental Services Before and After Health Insurance Covered Dental Scaling in Korea","volume":"29","author":"Jang Y. E.","year":"2017","journal-title":"Asia\u2010Pacific Journal of Public Health"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.70088","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jphd.70088","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.70088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:40:01Z","timestamp":1790934001000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.70088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,2]]},"references-count":10,"alternative-id":["10.1111\/jphd.70088"],"URL":"https:\/\/doi.org\/10.1111\/jphd.70088","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,2]]},"assertion":[{"value":"2026-09-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jphd.70088"}}