{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:45:55Z","timestamp":1791783955506,"version":"4.3.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"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":["Community Dental Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    Oral diseases impair quality of life and may contribute to reduced work productivity. This study aimed to estimate productivity loss due to oral health conditions and to examine its association with oral health conditions using data from the National Health and Nutrition Examination Survey (NHANES) during 2017\u22122018 and 2019\u22122020.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A cross-sectional analysis of data from 6830 NHANES-participating adults \u226530\u00a0years who had received dental examinations and self-reported oral health-related productivity loss\u2014was conducted. Oral health was measured using various proxy indicators such as self-rated oral health; periodontal disease awareness; bone loss; and the decayed, missing, and filled teeth (DMFT) index. Associations (odds ratios [OR]) with 95% confidence intervals (CI) for oral health problems were estimated using logistic regression models adjusted for demographic variables, with productivity loss as the dependent variable.\n                    <jats:bold>Results:<\/jats:bold>\n                    Of all the participants, 3.69% reported that they faced productivity problems frequently due to oral health problems. Poor self-rated oral health (OR = 17.76), self-reported bone loss around the teeth (OR = 1.56), and higher DMFT scores were significantly associated with productivity loss. Non-Hispanic Black participants reported greater productivity loss compared with non-Hispanic White participants (OR = 2.4).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The study findings demonstrated that poor oral health\u2014including periodontal disease, bone loss, and dental caries\u2014was significantly associated with productivity loss among US adults. Addressing this problem by providing access to dental care and preventive measures can increase workforce productivity and reduce economic losses.\n                  <\/jats:p>","DOI":"10.1177\/0265539x251400505","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T23:46:26Z","timestamp":1763682386000},"page":"272-279","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Oral health and workforce efficiency: Analyzing productivity loss using NHANES data"],"prefix":"10.1177","volume":"43","author":[{"given":"Layla","family":"Abuljadayel","sequence":"first","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2071-6084","authenticated-orcid":false,"given":"Mona","family":"Rajeh","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Kabbarah","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8234-690X","authenticated-orcid":false,"given":"Dalia","family":"Meisha","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dania","family":"Sabbahi","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Bahanan","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heba","family":"Ashi","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Bamashmous","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2024.09.029"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0258268"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2020.vol34.0036"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0228-6"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0313-x"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.245"},{"key":"e_1_3_5_8_1","volume-title":"Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, and Edentulism, United States, 1999\u20132004 to 2011\u20132016","author":"Centers for Disease Control and Prevention","year":"2019","unstructured":"Centers for Disease Control and Prevention (2019) Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, and Edentulism, United States, 1999\u20132004 to 2011\u20132016. Atlanta, GA: Centers for Disease Control and Prevention. US Dept of Health and Human Services. Available at:. https:\/\/www.cdc.gov\/oral-health\/media\/pdfs\/Oral-Health-Surveillance-Report-2019-h.pdf accessed 2 September 2025."},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16050710"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2023.vol37.0046"},{"key":"e_1_3_5_11_1","first-page":"197","article-title":"Dental caries and tooth loss in adults in the United States, 2011-2012","volume":"197","author":"Dye B","year":"2015","unstructured":"Dye B, Thornton-Evans G, Li X, et al. (2015) Dental caries and tooth loss in adults in the United States, 2011-2012. National Center for Health Statistics Data Brief 197: 197.","journal-title":"National Center for Health Statistics Data Brief"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2012.01718.x"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-13-17"},{"issue":"3","key":"e_1_3_5_15_1","first-page":"250","article-title":"Exploring the relationship between socioeconomic status and oral health","volume":"48","author":"Hudelson P","year":"2020","unstructured":"Hudelson P (2020) Exploring the relationship between socioeconomic status and oral health. Community Dentistry and Oral Epidemiology 48(3): 250\u2013255.","journal-title":"Community Dentistry and Oral Epidemiology"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12598"},{"issue":"4","key":"e_1_3_5_17_1","first-page":"ZC05","article-title":"Impact of dental disorders and its influence on self-esteem levels among adolescents","volume":"11","author":"Kaur P","year":"2017","unstructured":"Kaur P, Singh S, Mathur A, et al. (2017) Impact of dental disorders and its influence on self-esteem levels among adolescents. Journal of Clinical and Diagnostic Research 11(4): ZC05\u2013ZC08.","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.5327\/Z1679443520190397"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e10714"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517750572"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.09.023"},{"key":"e_1_3_5_22_1","doi-asserted-by":"publisher","DOI":"10.2486\/indhealth.2021-0274"},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03196-4"},{"key":"e_1_3_5_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001798"}],"container-title":["Community Dental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251400505","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0265539X251400505","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251400505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:12:38Z","timestamp":1791781958000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0265539X251400505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/0265539X251400505"],"URL":"https:\/\/doi.org\/10.1177\/0265539x251400505","relation":{},"ISSN":["0265-539X","2515-1746"],"issn-type":[{"value":"0265-539X","type":"print"},{"value":"2515-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,20]]}}}