{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:02:02Z","timestamp":1790960522730,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University of Hawai\u2019i at M\u0101noa College of Social Sciences Seed Grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    Smoking and diabetes have detrimental effects on tooth loss, though few studies have examined their interaction. Using five waves of cross-sectional data from the state of Hawai\u2018i in the United States, this study aimed to examine the interaction effects between smoking and diabetes on severe tooth loss (\n                    <jats:inline-formula>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:mo>\u2265<\/mml:mo>\n                          <mml:mn>6<\/mml:mn>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    ) among adults, using a weighted logistic regression approach. In Hawai\u2018i, the overall prevalence of severe tooth loss was 9.7%. Among never smokers, diabetes was associated with a 10.3% higher prevalence of severe tooth loss compared with those without diabetes. The differences due to diabetes were nearly doubled among former smokers (19%) and current smokers (16.2%). After adjusting for sociodemographic factors, the differences were smaller but still statistically significant, indicating the aggravating effect of smoking on tooth loss among those with diabetes. Awareness of the interaction between smoking and diabetes is crucial for the development of policies aimed at improving health equity.\n                  <\/jats:p>","DOI":"10.1177\/10105395251348017","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T06:55:42Z","timestamp":1751266542000},"page":"489-496","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Smoking modifies the effect of diabetes on severe tooth loss: Cross-sectional analysis of Hawai\u2018i BRFSS data from 2012 to 2020"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1553-1392","authenticated-orcid":false,"given":"Yan Yan","family":"Wu","sequence":"first","affiliation":[{"name":"Thompson School of Social Work &amp; Public Health, University of Hawai\u2018i at M\u0101noa, Honolulu, HI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6623-573X","authenticated-orcid":false,"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Hawai\u2018i at M\u0101noa, Honolulu, HI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5709-2243","authenticated-orcid":false,"given":"Fran","family":"Woodworth","sequence":"additional","affiliation":[{"name":"Department of Political Science, University of Hawai\u2018i at M\u0101noa, Honolulu, HI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9903-0626","authenticated-orcid":false,"given":"Deborah","family":"Mattheus","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Hawai\u2018i at M\u0101noa, Honolulu, HI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796021000287"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2008.01472.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-022-01012-8"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-221"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.120.suppl_18.S407-b"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.200594"},{"key":"e_1_3_3_8_2","unstructured":"About Tooth Loss\u2014Oral Health\u2014CDC. Accessed December 20 2024. https:\/\/www.cdc.gov\/oral-health\/about\/about-tooth-loss.html."},{"key":"e_1_3_3_9_2","unstructured":"Oral health data report. Family Health Services Division Hawaii State Department of Health; 2015. Accessed December 20 2024. https:\/\/health.hawaii.gov\/fhsd\/files\/2015\/04\/2015-Oral-Health-Data-Report.pdf."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-024-01991-5"},{"key":"e_1_3_3_11_2","unstructured":"Smoking and tobacco use in Hawaii. Hawaii State Department of Health; 2010. Accessed December 20 2024. https:\/\/health.hawaii.gov\/healthequity\/files\/2013\/08\/trends.pdf."},{"issue":"40","key":"e_1_3_3_12_2","first-page":"1","article-title":"Health conditions and behaviors of native hawaiian and pacific islander persons in the United States, 2014","author":"Galinsky AM","year":"2017","unstructured":"Galinsky AM, Zelaya CE, Simile C, Barnes PM. Health conditions and behaviors of native hawaiian and pacific islander persons in the United States, 2014. Vital Health Stat 3. 2017(40):1-99.","journal-title":"Vital Health Stat 3"},{"issue":"1","key":"e_1_3_3_13_2","first-page":"98","article-title":"Role of smoking in periodontal disease among diabetic patients","volume":"61","author":"Obradovi\u0107 R","year":"2012","unstructured":"Obradovi\u0107 R, Kesi\u0107 LJ, Gasi\u0107 J, Petrovi\u0107 M, Zivkovi\u0107 N. Role of smoking in periodontal disease among diabetic patients. West Indian Med J. 2012;61(1):98-101.","journal-title":"West Indian Med J"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-020-00933-8"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515598961"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0149"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1999.70.4.409"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2008.01442.x"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(87)90003-7"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd14.170214"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-124"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2011.06202.x"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd16.180187"},{"key":"e_1_3_3_24_2","unstructured":"Diabetes and Native Hawaiians\/Pacific Islanders\u2014Office of Minority Health. Accessed December 24 2024. https:\/\/minorityhealth.hhs.gov\/diabetes-and-native-hawaiianspacific-islanders."},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031210-101218"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12468"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2019.02.004"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.11.021"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.191668"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2450-6"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2025.105665"}],"container-title":["Asia Pacific Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10105395251348017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10105395251348017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10105395251348017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:44:07Z","timestamp":1777376647000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10105395251348017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/10105395251348017"],"URL":"https:\/\/doi.org\/10.1177\/10105395251348017","relation":{},"ISSN":["1010-5395","1941-2479"],"issn-type":[{"value":"1010-5395","type":"print"},{"value":"1941-2479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,30]]}}}