{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:23:54Z","timestamp":1793229834832,"version":"4.5.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    This study aims to explore the pathways through which socioeconomic position (SEP) at birth influences oral health self-perception in adolescence. A representative sample (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 1,120) of all births from the 2004 Pelotas cohort was prospectively investigated. Interviews and clinical examinations were performed at 5 and 12 y. Gingivitis was assessed at 12 y. Dental caries (dmf-t\/DMF-T), malocclusion, and the use of dental services were assessed at 5 and 12 y. SEP at birth (latent variable) was the main exposure. The outcome was a negative oral health self-perception at 18 y. Missing data were imputed using multivariate imputation. Structural equation modeling (SEM) was used to estimate the direct, indirect, and total effects from SEP to outcome. A negative perception of oral health self-perception was reported by 21.5% of the adolescents. SEP at birth influences, directly and indirectly, oral health self-perception at 18 y old. A direct effect (standard coefficient [SC] = \u22120.28,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) and an indirect effect (SC = \u22120.04,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) of SEP were observed on oral health self-perception. Dental caries at 12 y was the main mediator pathway between SEP and oral health self-perception with significant results (SC = \u22120.03,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). The pathways through occlusal status at 12 y (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.989) and gingivitis (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.238) were not statistically significant. The total effect of SEP on negative self-perception of oral health was SC = \u22120.32 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Thus, SEP at birth directly and indirectly influenced oral health self-perception at the age 18 y. SEM shows that the main pathway was direct. The main indirect effect was thought to be dental caries at 12 y.\n                  <\/jats:p>","DOI":"10.1177\/00220345251337392","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T12:50:16Z","timestamp":1750942216000},"page":"1462-1469","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Pathways of Socioeconomic Position in Oral Health Self-Perception in Brazil"],"prefix":"10.1177","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3695-0361","authenticated-orcid":false,"given":"L.A.","family":"Chisini","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Brazil"},{"name":"Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.S.","family":"Costa","sequence":"additional","affiliation":[{"name":"Post-Graduate Program in Dentistry, Federal University of Pelotas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.B.","family":"Correa","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Peres","sequence":"additional","affiliation":[{"name":"National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore"},{"name":"Oral Health Academic Clinical Program, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1730-2123","authenticated-orcid":false,"given":"K.G.","family":"Peres","sequence":"additional","affiliation":[{"name":"National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore"},{"name":"Oral Health Academic Clinical Program, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Matijasevich","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.S.","family":"Santos","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.J.D.","family":"Barros","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.F.","family":"Demarco","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Brazil"},{"name":"Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0542-2"},{"key":"e_1_3_3_3_1","article-title":"Methods used in the 1982, 1993, and 2004 birth cohort studies from Pelotas, Rio Grande Do Sul State, Brazil, and a description of the socioeconomic conditions of participants\u2019 families","volume":"24","author":"Barros AJ","year":"2008","unstructured":"Barros AJ, Santos IS, Matijasevich A, Ara\u00fajo CL, Gigante DP, Menezes AM, Horta BL, Tomasi E, Victora CG, Barros FC. 2008. Methods used in the 1982, 1993, and 2004 birth cohort studies from Pelotas, Rio Grande Do Sul State, Brazil, and a description of the socioeconomic conditions of participants\u2019 families. Cad Saude Publica. 24(suppl 3):S371\u2013S380.","journal-title":"Cad Saude Publica"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12506"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518768536"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980-5497201700010008"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1809-4503201400060009"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.11606\/s1518-8787.2023057004604"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.20396\/bjos.v23i00.8676121"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2024.vol38.0051"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00108620"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12660"},{"issue":"4","key":"e_1_3_3_13_1","first-page":"349","article-title":"Self-perception of oral health status by the elderly [in Portuguese]","volume":"35","author":"da Silva SR","year":"2001","unstructured":"da Silva SR, Castellanos Fernandes RA. 2001. Self-perception of oral health status by the elderly [in Portuguese]. Rev Saude Publica. 35(4):349\u2013355.","journal-title":"Rev Saude Publica"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00077217"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00037814"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12359"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.2319\/033011-230.1"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-015-0121-8"},{"key":"e_1_3_3_19_1","first-page":"1","volume-title":"An easy guide to factor analysis","author":"Kline P.","year":"1994","unstructured":"Kline P. 1994. An easy guide to factor analysis. London, (UK): Routledge. 1\u2013194."},{"key":"e_1_3_3_20_1","unstructured":"Kline RB. 2011. Principles and practice of structural equation modeling. 3rd ed. New York: Guilford Press."},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/22.2.175"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12276"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000533565"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040119-094318"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1159\/000525238"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2006.00339.x"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31146-8"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-81232011001100011"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-83242011005000004"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2022.vol36.0021"},{"key":"e_1_3_3_31_1","unstructured":"Solar O Irwin AA. 2010. Conceptual framework for action on the social determinants of health. Social determinants of health discussion paper 2 (policy and practice). Geneva (Switzerland): World Health Organization [accessed 2025 Apr 8]. https:\/\/www.who.int\/publications\/i\/item\/9789241500852."},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4625-44.3.4"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034512460676"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12166"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12589"},{"key":"e_1_3_3_36_1","doi-asserted-by":"crossref","unstructured":"van Buuren S Groothuis-Oudshoorn K. 2011. Mice: Multivariate imputation by chained equations in r. Journal of Statistical Software. 45(3):1\u201367.","DOI":"10.18637\/jss.v045.i03"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345211056247"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/1893562"},{"key":"e_1_3_3_39_1","unstructured":"World Health Organization. 1997. Oral health surveys: basic methods. 4th ed. Geneva (Switzerland): World Health Organization [accessed 2025 Apr 8]. https:\/\/iris.who.Int\/handle\/10665\/41905."},{"key":"e_1_3_3_40_1","unstructured":"World Health Organization. 2013. Oral health surveys: basic methods\u20145th edition. Geneva (Switzerland): World Health Organization [accessed 2024 Feb 18]. Https:\/\/www.Who.Int\/publications\/i\/item\/9789241548649."},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12497"}],"container-title":["Journal of Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00220345251337392","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00220345251337392","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00220345251337392","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:09:25Z","timestamp":1777496965000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00220345251337392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"references-count":40,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/00220345251337392"],"URL":"https:\/\/doi.org\/10.1177\/00220345251337392","relation":{},"ISSN":["0022-0345","1544-0591"],"issn-type":[{"value":"0022-0345","type":"print"},{"value":"1544-0591","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,26]]}}}