{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:45:58Z","timestamp":1777898758543,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["D88HP37544"],"award-info":[{"award-number":["D88HP37544"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>People with disabilities face many challenges in accessing dental care. We compared disparities in dental care patterns (ie, dental visits for preventive care or treatment) between adults with and without hearing, seeing, mobility, self-care, cognition, or independent living disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We analyzed data from the 2015-2016 and 2017-2018 National Health and Nutrition Examination Survey (NHANES). For outcome variables, we included self-reported dental visit (yes\/no) and preventive dental visit (yes\/no) within the past year. NHANES asked participants whether they had serious difficulty in conducting any of the following 6 activities: hearing, seeing, mobility, self-care, cognition, or independent living; participants who answered yes to any of these activities were classified as disabled. Our analytic sample included 11\u2009288 adult respondents aged \u226520 years. We used multiple logistic regression to assess the association between disability status\u2014measured by any disability (yes\/no), the 6 types of disabilities (yes\/no), and the number of disabilities\u2014and the outcome variables, with\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009\u2264\u2009.05 indicating significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Respondents with disabilities were less likely than those without a disability to have a preventive dental visit (adjusted odds ratio = 0.67; 95% CI, 0.59-0.77). Respondents with disabilities in mobility, self-care, or independent living were significantly less likely than those without any disability to have a dental visit. In addition, adults with more disabilities were significantly less likely than those without a disability to have a dental visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Access to preventive dental care was limited among people with disabilities. Further assistance, including providing dental insurance coverage, is needed to increase access to dental care among people with disabilities, especially those with mobility, self-care, and independent living disabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549251314315","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T17:13:37Z","timestamp":1744478017000},"page":"105-113","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dental Services Use Among Adults With Disabilities: Results From the 2015-2016 and 2017-2018 National Health and Nutrition Examination Survey"],"prefix":"10.1177","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-3210","authenticated-orcid":false,"given":"Huabin","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua Daniel","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Political Science, College of Arts and Sciences, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Missy","family":"Stancil","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Pharmacy &amp; Health Sciences, Campbell University, Buies Creek, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Pardi","sequence":"additional","affiliation":[{"name":"Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0105-0416","authenticated-orcid":false,"given":"Mark E.","family":"Moss","sequence":"additional","affiliation":[{"name":"Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,12]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Centers for Disease Control and Prevention. Disability and Health Data System. Comparison report. 2022. Accessed April 15 2024. https:\/\/dhds.cdc.gov\/CR?ReportType=Locations&LocationId=59&StratCatId=&YearId=&CompareColumns=59&ShowCategoryIds=DISEST&SearchString=&ShowReportOptions=false&CategoryFilterId=&StratFilterId=&ShowCI=true&ShowWN=true&HideMissingDataRows=false"},{"key":"e_1_3_2_3_2","unstructured":"Centers for Disease Control and Prevention. Disability and health overview. April 3 2024. Accessed April 15 2024. https:\/\/www.cdc.gov\/ncbddd\/disabilityandhealth\/disability.html"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/9074618"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12632"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0288"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20096"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7863-1"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31146-8"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12160"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.01.024"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12195"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2022.03.002"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12484"},{"key":"e_1_3_2_15_2","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey. 2023. Accessed May 23 2024. http:\/\/www.cdc.gov\/nchs\/nhanes.htm"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2008.0363"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518814829"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/2380084416633102"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.05.009"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/00220345231155825"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41405-024-00195-7"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1998.0177"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.2014.1"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420923576"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040119-094318"},{"key":"e_1_3_2_26_2","unstructured":"Nasseh K Vujicic M. Dental care utilization steady among working-age adults and children up slightly among the elderly. Health Policy Institute Research Brief. October 2016. Accessed April 15 2024. https:\/\/www.ada.org\/-\/media\/project\/ada-organization\/ada\/ada-org\/files\/resources\/research\/hpi\/hpibrief_1016_1.pdf"},{"key":"e_1_3_2_27_2","unstructured":"Health Policy Institute. National trends in dental care use dental insurance coverage and cost barriers. March 2024. Accessed April 15 2024. https:\/\/www.ada.org\/-\/media\/project\/ada-organization\/ada\/ada-org\/files\/resources\/research\/hpi\/national_trends_dental_use_benefits_barriers.pdf"},{"key":"e_1_3_2_28_2","unstructured":"Hinton E Paradise J. Access to dental care in Medicaid: spotlight on nonelderly adults. The Kaiser Commission on Medicaid and Insurance. March 2016. Accessed July 8 2024. https:\/\/files.kff.org\/attachment\/issue-brief-access-to-dental-care-in-medicaid-spotlight-on-nonelderly-adults"},{"key":"e_1_3_2_29_2","unstructured":"Vujicic M Nasseh K Fosse C. Dentist participation in Medicaid: how should it be measured? Does it matter? Health Policy Institute Research Brief. 2021. Accessed August 15 2024. https:\/\/www.ada.org\/-\/media\/project\/ada-organization\/ada\/ada-org\/files\/resources\/research\/hpi\/hpibrief_1021_1.pdf"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2012.00680.x"},{"key":"e_1_3_2_31_2","unstructured":"Fish-Parcham C; Families USA. Improving access to oral health care for adults with disabilities can improve their health and well-being. September 2019. Accessed October 15 2024. https:\/\/familiesusa.org\/wp-content\/uploads\/2019\/10\/OH_Oral-Health-and-People-with-Disabilities_IssueBrief.pdf"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S384112"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","unstructured":"Mark AM. Oral health care tips for caregivers. 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