{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:31:27Z","timestamp":1787063487688,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"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":["Oral Diseases"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examined the impact of early childhood exposure to China's 1959\u20131961 famine on the likelihood of adult edentulism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from 8209 adults surveyed in 2011\u20132012 China Health and Retirement Longitudinal Study (CHARLS). Logistic regression was used to analyze the odds ratios (ORs) and confidence intervals (CIs) of early starvation and edentulism in adulthood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with unexposed individuals, famine\u2010exposed individuals had a significantly increased odds of edentulism. After adjustment for age, sex, location, severity, income, education, smoking, drinking, hypertension, dyslipidaemia, diabetes, and heart disease, the final ORs (95% CIs) were 2.097 (1.047, 4.355) for the foetal exposure group, 2.625 (1.245, 5.746) for the preschool group, and 3.907 (1.608, 9.726) for the school\u2010age exposure group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Exposure to China's 1959\u20131961 famine during early childhood is associated with significantly increased odds of edentulism in adulthood, particularly among those exposed during school age (OR\u2009=\u20093.907; 95% CI: 1.608\u20139.726).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.70177","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:56:31Z","timestamp":1767164191000},"page":"1170-1181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exposure to Famine in Early Childhood Increases the Odds of Edentulism in Adulthood: Results From the China Health and Retirement Longitudinal Study"],"prefix":"10.1111","volume":"32","author":[{"given":"Dingfa","family":"Gu","sequence":"first","affiliation":[{"name":"Department of Prosthodontics Shaoxing Stomatological Hospital  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Shaoxing Stomatological Hospital  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Shaoxing Stomatological Hospital  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yurong","family":"Leng","sequence":"additional","affiliation":[{"name":"Department of Stomatology, the Affiliated Stomatological Hospital, Jiangxi Medical College Nanchang University  Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4140-9780","authenticated-orcid":false,"given":"Xiaolin","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, the First Affiliated Hospital Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics Shaoxing Stomatological Hospital  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1257\/jep.25.3.153"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj12040084"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.74557.2"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncpneph0344"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glw081"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/15648265050262s209"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2001.65.10.tb03444.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19020754"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12895"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(22)01546\u2010x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20242-0"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.836708"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345231181885"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2010.02189.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.22567"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010020\u201002146\u20101"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1095292"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(09)60234\u20108"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/132.8.2367S"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980021001269"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2018.01.003"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/children11070869"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-951X(99)80008-X"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dym126"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2025.1655811"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(13)60225\u20101"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(12)61689\u20104"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.2003.com122.x"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657\u2010022\u201001209\u20103"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12249"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7225.1619"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02595-3"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2017-210334"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.46862\/interdental.v20i3.10524"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2012.301190"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyx222"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753\u20100407.13319"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.859947"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6300(1998)10:6<723::AID-AJHB4>3.0.CO;2-Q"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1095\/biolreprod.104.034561"}],"container-title":["Oral Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/odi.70177","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/odi.70177","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/odi.70177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:26:43Z","timestamp":1781008003000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/odi.70177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,30]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/odi.70177"],"URL":"https:\/\/doi.org\/10.1111\/odi.70177","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/ODI.70177\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70177\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70177\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70177\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70177\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70177\/v3\/decision1","asserted-by":"object"}]},"ISSN":["1354-523X","1601-0825"],"issn-type":[{"value":"1354-523X","type":"print"},{"value":"1601-0825","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,30]]},"assertion":[{"value":"2025-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}