{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:45:22Z","timestamp":1790909122033,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The invisibility of the transgender population within official records, combined with other socio\u2010economic factors, impacts oral health status among transgender people. Hence, our systematic review and meta\u2010analysis aim to generate a pooled estimate of the oral health status of the transgender community in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>A systematic search was performed across four databases. The studies included a quantitative research design conducted in India and involved self\u2010identified transgender individuals. The pooled prevalence was determined at a 95% confidence interval (CI). Q\u2010statistics and the <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> test were utilized to evaluate the source of heterogeneity. Leave\u2010one\u2010out analysis and Baujat plots were used to detect outliers within the studies. A Doi plot and LFK index were employed to assess the publication bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 12 studies comprising 1566 transgender participants were included. The pooled prevalence of toothbrush use among transgenders in India was found at 83% (95% CI: 0.73\u20130.91), smoking\u00a0=\u00a012% (CI: 0.03\u20130.26), smokeless tobacco\u00a0=\u00a053% (CI\u00a0=\u00a00.38\u20130.68), dental caries\u00a0=\u00a078% (CI: 67%\u201388%), calculus\u00a0=\u00a065% (CI: 0.4\u20130.86), and bleeding 18% (CI:0.08\u20130.32).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Oral health disparities among Indian transgender individuals are evident in the low toothbrush usage, an elevated prevalence of tobacco use, and dental disorders such as calculus, cavities, and bleeding. Tailored dental health programs that include inclusive healthcare services and awareness are essential.<\/jats:p><\/jats:sec><jats:sec><jats:title>Prospero registration<\/jats:title><jats:p>CRD42023468872<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.13027","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T03:59:17Z","timestamp":1716955157000},"page":"1535-1546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Oral health status among the transgender population of India: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4174-907X","authenticated-orcid":false,"given":"Vini","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of Dental Research Cell Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth  Pimpri Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna","family":"Negi","sequence":"additional","affiliation":[{"name":"Department of Dental Research Cell Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth  Pimpri Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankita","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Dental Research Cell Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth  Pimpri Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snehasish","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Dental Research Cell Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth  Pimpri Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simmi","family":"Oberoi","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Government Medical College  Patiala Punjab India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Aaqib","family":"Shamim","sequence":"additional","affiliation":[{"name":"Department of Pharmacology All India Institute of Medical Sciences  Jodhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaqali","family":"Karobari","sequence":"additional","affiliation":[{"name":"Dental Research Unit Center for Global Health Research Saveetha Institute of Medical and Technical Sciences Saveetha Medical College and Hospital Saveetha University  Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"issue":"3","key":"e_1_2_8_2_1","first-page":"131","article-title":"\u201cTrans\u2010forming\u201d dental practice norms: exploring transgender identity and oral health implications","volume":"56","author":"Tamrat J","journal-title":"Can J Dent Hyg [Internet]"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2017.17060626"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2174\/1871530319666191015193120"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010021\u201003084\u20107"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0253\u20107176.194908"},{"issue":"2","key":"e_1_2_8_7_1","first-page":"E320","article-title":"Assessment of oral health status and treatment needs of HIV positive transgenders in Odisha\u2014a cross\u2010sectional study","volume":"63","author":"Kumar G","year":"2022","journal-title":"J Prev Med Hyg [Internet]"},{"key":"e_1_2_8_8_1","unstructured":"TransGender\/Others\u2014Census 2011 India [Internet]. 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