{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T22:20:49Z","timestamp":1769638849391,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"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":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    While socioeconomic factors affect school absenteeism, the role of untreated oral disease remains largely overlooked. Despite declining caries rates in Australia, disparities persist among children and adolescents. This study aimed to identify factors associated with oral disease risk among school\u2010aged children using school\u2010based assessments and caregiver\u2010reported behaviors. A cross\u2010sectional analysis of retrospectively collected data from 290 children aged 5\u201318 was conducted. Oral health assessments recorded caries, restorations, and calculus, while caregiver questionnaires captured demographics, dental history, snacking habits, and oral care practices. Data were analyzed using SPSS with descriptive statistics, Chi\u2010Square tests, and logistic regression to identify significant associations. Thirty\u2010six percent of students had restorations and\/or untreated caries. Older children (13\u201318\u2009years) were over three times more likely to have caries (OR\u2009=\u20093.35). A history of dental problems (OR\u2009=\u20093.49,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and parental concern (OR\u2009=\u20091.36,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.024) were associated with increased risk. Frequent water intake was protective (OR\u2009=\u20090.83,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001), while sugar\u2010sweetened beverages increased caries risk (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.015). Surprisingly, frequent sweet snack consumption was linked to fewer restorations (OR\u2009=\u20090.54). Findings support the value of school\u2010based programs addressing modifiable oral health risks.\n                  <\/jats:p>","DOI":"10.1111\/nhs.70202","type":"journal-article","created":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T01:26:28Z","timestamp":1754097988000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Disease Risk in Australian Schoolchildren: Real\u2010World Findings and Policy Implications"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1364-6866","authenticated-orcid":false,"given":"Grace","family":"Wong","sequence":"first","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"},{"name":"Sydney Dental School, Faculty of Medicine and Health the University of Sydney  Sydney NSW Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Penrith NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle","family":"Cheng","sequence":"additional","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"},{"name":"Sydney Dental School, Faculty of Medicine and Health the University of Sydney  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya","family":"Kumar","sequence":"additional","affiliation":[{"name":"Sydney Dental School, Faculty of Medicine and Health the University of Sydney  Sydney NSW Australia"},{"name":"Oral Health Services, Nepean and Blue Mountain Local Health District, NSW Health  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marija","family":"Saponja","sequence":"additional","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"},{"name":"Sydney Dental School, Faculty of Medicine and Health the University of Sydney  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirrily","family":"Wright","sequence":"additional","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Ng","sequence":"additional","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"},{"name":"Sydney Dental School, Faculty of Medicine and Health the University of Sydney  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjana","family":"D'Hary","sequence":"additional","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Cheng","sequence":"additional","affiliation":[{"name":"Oral Health Services, Primary and Community Health, Northern Sydney Local Health District, NSW Health  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenpeng","family":"You","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith NSW Australia"},{"name":"Adelaide Medical School the University of Adelaide  Adelaide SA Australia"},{"name":"Adelaide Nursing School the University of Adelaide  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8]]},"reference":[{"key":"e_1_2_16_2_1","unstructured":"AIHW.2022.Australia's Children\u2010Dental Health.https:\/\/www.aihw.gov.au\/reports\/children\u2010youth\/australias\u2010children\/contents\/health\/dental\u2010health."},{"key":"e_1_2_16_3_1","unstructured":"Australian Curriculum Assessment and Reporting Authority.2020.Australian Curriculum Assessment and Reporting Authority.https:\/\/docs.acara.edu.au\/resources\/Guide_to_understanding_icsea_values.pdf."},{"key":"e_1_2_16_4_1","unstructured":"Australian Government Department of Health and Aged Care.2024.CDBS\u2010 Guide to the Child Dental Benefits Schedule. NSW.https:\/\/www.health.gov.au\/resources\/publications\/cdbs\u2010guide\u2010to\u2010the\u2010child\u2010dental\u2010benefits\u2010schedule?language=en."},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010023\u201015241\u20106"},{"issue":"5","key":"e_1_2_16_6_1","first-page":"29","article-title":"A Review on Toothbrushes and Tooth Brushing Methods","volume":"6","author":"Baruah K.","year":"2017","journal-title":"International Journal of Pharmaceutical Sciences"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.32553\/ijmbs.v4i6.1160"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515620779"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.20851\/ncohs"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2000.0307"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517696457"},{"issue":"1","key":"e_1_2_16_12_1","first-page":"71","article-title":"Risk Factors for Dental Caries in Young Children: A Systematic Review of the Literature","volume":"21","author":"Harris R.","year":"2004","journal-title":"Community Dental Health"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.ohpd.a39593"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/w13192716"},{"key":"e_1_2_16_15_1","unstructured":"NSW Health.2024.Wellbeing Health In\u2010Rearch Nurse (WHIN) Coordinator Program.https:\/\/www.health.nsw.gov.au\/kidsfamilies\/youth\/Pages\/whin\u2010coordinator\u2010program.aspx."},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010020\u201001321\u20101"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(19)31146\u20108"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2015.04.080"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12441"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.09.023"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106831\u201013\u201024"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2017.1397320"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007868.pub3"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010023\u201003566\u2010y"},{"key":"e_1_2_16_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2018.05.006"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010024\u20107738\u20104"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010016\u20100234\u20108"},{"key":"e_1_2_16_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12126"}],"container-title":["Nursing &amp; Health Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.70202","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nhs.70202","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.70202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T09:51:59Z","timestamp":1769593919000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nhs.70202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/nhs.70202"],"URL":"https:\/\/doi.org\/10.1111\/nhs.70202","archive":["Portico"],"relation":{},"ISSN":["1441-0745","1442-2018"],"issn-type":[{"value":"1441-0745","type":"print"},{"value":"1442-2018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70202"}}