{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:46:18Z","timestamp":1784591178449,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"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":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The aim of this study is to describe the prevalence of disparity in access to dental care and tooth loss between US adults with and without disabilities at the state level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis included data from the 2020 Behavioral Risk Factor Surveillance System (BRFSS), a cross\u2010sectional state\u2010run annual telephone survey of noninstitutionalized US adults aged 18 years or older. The primary predictor, having any disability, was defined as reported difficulty in hearing, vision, cognition, mobility, self\u2010care, or independent living. The two dental outcomes used were reported time since last dental visit and missing teeth status. We conducted descriptive analysis and multinomial regression models on weighted data to report the prevalence and state\u2010level disparity in dental outcomes between individuals with and without disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nationally, one in four adults reported a disability, with a disproportionately higher prevalence among females, Native Americans and lower education and income groups. The highest utilization of dental services within a year among individuals with disabilities was found in the Northwestern and Midwestern states. Western states had the highest proportion of individuals with disability to have had a recent dental visit and a complete dentition, while the Southern states had the lowest proportions. After adjusting for sociodemographic factors, 59.1% of individuals with disabilities had dental visits within a year, which is 8.0% points less than those without disabilities. Similarly, only 50.8% of individuals with a disability had complete tooth retention, which is 10.1% points less than individuals without disability. Regardless of the type of disability, adults with a disability were less likely to have visited the dentist in the past year or to have retained all of their teeth. Those with self\u2010care disabilities had the lowest rates of both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There were clear disparities in the utilization of dental care and dentate status among adults with disabilities at the state level. The findings from this study highlighted the necessity of finding local solutions to address the gap in dental care utilization and tooth loss between those with and without disability among the US population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.12944","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T10:55:42Z","timestamp":1701168942000},"page":"925-936","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Influence of disabilities on state\u2010level disparity in dental care utilization and tooth loss: Findings from the 2020 Behavioral Risk Factor Surveillance System"],"prefix":"10.1111","volume":"44","author":[{"given":"Reem","family":"Binmogren","sequence":"first","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aljohara","family":"Alshathri","sequence":"additional","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habah","family":"Alhamdan","sequence":"additional","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rand","family":"Alnuwaiser","sequence":"additional","affiliation":[{"name":"College of Dentistry King Saud University  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muath","family":"Aldosari","sequence":"additional","affiliation":[{"name":"Periodontics and Community Dentistry King Saud University College of Dentistry  Riyadh Saudi Arabia"},{"name":"Oral Health Policy and Epidemiology Harvard School of Dental Medicine  Boston Massachusetts USA"},{"name":"Health Policy and Health Services Research Boston University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.30358"},{"key":"e_1_2_7_3_1","unstructured":"Centers for Disease Control and Prevention.Disability and Health Disability Barriers. [Internet].2020.www.cdc.gov\/ncbddd\/disabilityandhealth\/disability\u2010barriers.html"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12484"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.150318"},{"key":"e_1_2_7_6_1","unstructured":"National Institute of Dental and Craniofacial Research USD of H and HS. Developmental Disabilities & Oral Health [Internet]. 2023 [cited 2023 Aug 20].https:\/\/www.nidcr.nih.gov\/health\u2010info\/developmental\u2010disabilities"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2010.00136.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12303"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2014.09.010"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2022.2109823"},{"key":"e_1_2_7_11_1","unstructured":"Healthy People 2030. People with Disabilities [Internet]. 2023 [cited 2023 Aug 20].https:\/\/health.gov\/healthypeople\/objectives\u2010and\u2010data\/browse\u2010objectives\/people\u2010disabilities"},{"key":"e_1_2_7_12_1","unstructured":"Centers for Disease Control and Prevention. A Data Users\u2019 Guide July 2018 to the Disability Questions [Internet]. 2018 [cited 2023 Aug 20].https:\/\/www.cdc.gov\/brfss\/data_documentation\/pdf\/BRFSS_Data_Users_Guide_on_Disability_Questions_2018\u2010508.pdf"},{"key":"e_1_2_7_13_1","unstructured":"American Dental Association. Dentist Demographics Dashboard [Internet]. 2023 [cited 2023 Aug 20].https:\/\/www.ada.org\/resources\/research\/health\u2010policy\u2010institute\/us\u2010dentist\u2010demographics"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12556"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1697854"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/9074618"},{"issue":"10","key":"e_1_2_7_17_1","first-page":"51","article-title":"More Rhode Island adults have dental coverage after the medicaid expansion: did more adults receive dental services? Did more dentists provide services?","volume":"100","author":"Zwetchkenbaum S","year":"2013","journal-title":"R I Med J"},{"key":"e_1_2_7_18_1","unstructured":"West Virginia Department of Health and Human Resources. Policy and Procedures Manual [Internet]. 2021 [cited 2023 Aug 20].https:\/\/www.wvdhhr.org\/rfts\/provider\/forms\/RFTS_Manual_2021.pdf"},{"key":"e_1_2_7_19_1","article-title":"Dentist Participation in Medicaid: How Should It be Measured? Does ItMatter? American Dental Association","author":"Vujicic M","journal-title":"Health Policy Institute Research Brief"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12303"},{"key":"e_1_2_7_21_1","article-title":"Impact of COVID\u201019 on dental care utilization and oral health conditions in the United States","author":"Choi SE","year":"2023","journal-title":"JDR Clin Trans Res"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2017.1409596"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262796"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1352\/0047-6765(2002)040<0119:ASCAAW>2.0.CO;2"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12944","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.12944","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12944","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T07:25:55Z","timestamp":1779261955000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.12944"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,28]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/scd.12944"],"URL":"https:\/\/doi.org\/10.1111\/scd.12944","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,28]]},"assertion":[{"value":"2023-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}