{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T11:04:05Z","timestamp":1768215845918,"version":"3.49.0"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oral health behaviors play an essential role in maintaining oral health and preventing oral diseases, which are often neglected in older adults. This study aimed to investigate the prevalence of oral health behaviors and their associated factors in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included participants aged 65 years or older who attended a university dental hospital in Portugal. Data were collected through a questionnaire on oral health behaviors, socioeconomic data, general health characteristics, self-perceived oral health and oral health-related quality of life. The oral clinical assessment included the Oral Hygiene Index-Simplified (OHI-S), the Decayed, Missing and Filled Teeth Index (DMFT), the Modified Community Periodontal Index, the presence of oral mucosal lesions, prosthetic presence, and prosthetic and treatment needs. Statistical analysis included descriptive and inferential methodologies. The association between potential risk indicators and oral health behaviors was assessed and modelled using logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A sample of 302 older adults participated in this study, and 56.0% were female. The mean age was 73.5 years (\u00b15.8). Regarding oral health behaviors, 21.9% brushed less than twice a day, 52.1% did not use interdental devices and 49.3% last visited a dentist for treatment. Risk indicators for less frequent brushing were being male [OR\u2009=\u20093.00, 95% CI (1.65\u20135.47)], having a perceived prosthetic need [OR\u2009=\u20093.46, 95% CI (1.72\u20136.95)] and increased values of DMFT [OR\u2009=\u20091.15, 95% CI (1.08\u20131.22)]. Risk indicators for not using interdental devices were increased values of OHI-S [OR\u2009=\u20092.41, 95% CI (1.71\u20133.40)], being male [OR\u2009=\u20092.31, 95% CI (1.38\u20133.89)] and the presence of chronic diseases [OR\u2009=\u20091.87, 95% CI (1.03\u20133.39)]. Risk indicators for treatment being the reason for the last dental appointment were prosthetic presence [OR\u2009=\u20093.23, 95% CI (1.79\u20135.82)] and increased values of DMFT [OR\u2009=\u20091.06, 95% CI (1.01\u20131.11)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Assessment of oral health behaviors and associated factors should be considered to guide future public health strategies to improve compliance with oral health care among older adults and to prevent oral diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/froh.2025.1716964","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T07:57:47Z","timestamp":1768204667000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral health behaviors and associated factors in older adults: a cross-sectional study"],"prefix":"10.3389","volume":"6","author":[{"given":"In\u00eas","family":"Caetano-Santos","sequence":"first","affiliation":[]},{"given":"Giancarlo De la Torre","family":"Canales","sequence":"additional","affiliation":[]},{"given":"Lu\u00eds","family":"Proen\u00e7a","sequence":"additional","affiliation":[]},{"given":"M\u00e1rio","family":"Polido","sequence":"additional","affiliation":[]},{"given":"Jos\u00e9 Jo\u00e3o","family":"Mendes","sequence":"additional","affiliation":[]},{"given":"Helena","family":"Canh\u00e3o","sequence":"additional","affiliation":[]},{"given":"Ana Cristina","family":"Manso","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"B1","year":"2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e521","DOI":"10.1016\/S2666-7568(21)00142-2","article-title":"Oral health for healthy ageing","volume":"2","author":"Patel","year":"2021","journal-title":"Lancet Healthy Longev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1186\/s12903-019-0840-3","article-title":"The impact of poor oral health on the oral health-related quality of life (OHRQoL) in older adults: the oral health status through a latent class analysis","volume":"19","author":"Ort\u00edz-Barrios","year":"2019","journal-title":"BMC Oral Health"},{"key":"B4","first-page":"661","article-title":"The global burden of oral diseases and risks to oral health","volume":"83","author":"Petersen","year":"2005","journal-title":"Bull World Health Organ"},{"key":"B5","doi-asserted-by":"publisher","first-page":"461","DOI":"10.2147\/CIA.S54630","article-title":"Oral health in the elderly patient and its impact on general well-being: a nonsystematic review","volume":"10","author":"Gil-Montoya","year":"2015","journal-title":"Clin Interv Aging"},{"key":"B6","doi-asserted-by":"publisher","first-page":"4558","DOI":"10.3390\/ijerph16224558","article-title":"Oral health status and need for oral care in an aging population: a systematic review","volume":"16","author":"Lauritano","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1111\/scs.12801","article-title":"The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients","volume":"34","author":"Tuuliainen","year":"2020","journal-title":"Scand J Caring Sci"},{"key":"B8","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1016\/j.jebdp.2014.04.011","article-title":"Elder\u2019s oral health crisis","volume":"14","author":"Yellowitz","year":"2014","journal-title":"J Evid Based Dent Pract"},{"key":"B9","doi-asserted-by":"publisher","first-page":"CD012018","DOI":"10.1002\/14651858.CD012018.pub2","article-title":"Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries","volume":"4","author":"Worthington","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"B10","doi-asserted-by":"publisher","first-page":"CD002281","DOI":"10.1002\/14651858.CD002281.pub3","article-title":"Powered versus manual toothbrushing for oral health","volume":"6","author":"Yaacob","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"B11","doi-asserted-by":"publisher","first-page":"88","DOI":"10.3390\/healthcare12010088","article-title":"Oral health knowledge, self-assessed oral health behavior, and oral hygiene practices among the adult general population in Croatia","volume":"12","author":"Tadin","year":"2023","journal-title":"Healthcare"},{"key":"B12","doi-asserted-by":"publisher","first-page":"3045","DOI":"10.2147\/PPA.S385386","article-title":"Oral health behaviours and oral health-related quality of life among dental patients in China: a cross-sectional study","volume":"16","author":"An","year":"2022","journal-title":"Patient Prefer Adherence"},{"key":"B13","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1111\/prd.12131","article-title":"The aging mouth: differentiating normal aging from disease","volume":"72","author":"Lamster","year":"2016","journal-title":"Periodontol 2000"},{"key":"B14","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1016\/j.healthpol.2018.07.013","article-title":"Ten years since the 2008 introduction of dental vouchers in the Portuguese NHS","volume":"122","author":"Sim\u00f5es","year":"2018","journal-title":"Health Policy"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1047","DOI":"10.1177\/0022034520916151","article-title":"Flossing is associated with improved oral health in older adults","volume":"99","author":"Marchesan","year":"2020","journal-title":"J Dent Res"},{"key":"B16","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1186\/s12903-023-03089-6","article-title":"Linking the demographic, socio-economic and oral health status to oral health-related quality of life of the Sudanese older adults: a cross sectional study","volume":"23","author":"Salih","year":"2023","journal-title":"BMC Oral Health"},{"key":"B17","doi-asserted-by":"publisher","first-page":"33","DOI":"10.3290\/j.ohpd.a39685","article-title":"Association between self-perceived oral health and clinical indicators","volume":"16","author":"Guevara-Canales","year":"2018","journal-title":"Oral Health Prev Dent"},{"key":"B18","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1186\/1472-6831-14-140","article-title":"Self-rated oral health status, oral health service utilization, and oral hygiene practices among adult Nigerians","volume":"14","author":"Olusile","year":"2014","journal-title":"BMC Oral Health"},{"key":"B19","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1111\/ger.12611","article-title":"Oral health status and associated factors among Sudanese older adults: a cross-sectional study","volume":"39","author":"Salih","year":"2022","journal-title":"Gerodontology"},{"key":"B20","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1136\/bmj.39335.541782.AD","article-title":"Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"335","author":"von Elm","year":"2007","journal-title":"Br Med J"},{"key":"B21","first-page":"1","article-title":"BMI Classification percentile and cut off points","volume-title":"StatPearls","author":"Weir","year":"2024"},{"key":"B22","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1111\/cdoe.12673","article-title":"Factors associated with self-perceived oral health in different age groups","volume":"50","author":"Fagundes","year":"2022","journal-title":"Community Dent Oral Epidemiol"},{"key":"B23","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.rpsp.2013.10.002","article-title":"Translation and validation of the Portuguese version of geriatric oral health assessment Index (GOHAI)","volume":"31","author":"Carvalho","year":"2013","journal-title":"RPSP"},{"key":"B24","year":"2013"},{"key":"B25","doi-asserted-by":"publisher","first-page":"7","DOI":"10.14219\/jada.archive.1964.0034","article-title":"The simplified oral hygiene index","volume":"68","author":"Greene","year":"1964","journal-title":"J Am Dent Assoc"},{"key":"B26","doi-asserted-by":"publisher","first-page":"2881","DOI":"10.3390\/jcm12082881","article-title":"Association between oral hygiene information sources and daily dental and denture care practices in urban community-dwelling older adults","volume":"12","author":"Konstantopoulou","year":"2023","journal-title":"J Clin Med"},{"key":"B27","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1111\/idj.12273","article-title":"Portuguese self-reported oral-hygiene habits and oral status","volume":"67","author":"Melo","year":"2017","journal-title":"Int Dent J"},{"key":"B28","doi-asserted-by":"publisher","first-page":"2511","DOI":"10.3390\/ijerph20032511","article-title":"Caries experience and risk indicators in a Portuguese population: a cross-sectional study","volume":"20","author":"Guerreiro","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"B29","year":"2023"},{"key":"B30","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1038\/s41432-022-0818-x","article-title":"Dental floss as an adjuvant of the toothbrush helps gingival health","volume":"23","author":"Shamsoddin","year":"2022","journal-title":"Evid Based Dent"},{"key":"B31","doi-asserted-by":"publisher","first-page":"104157","DOI":"10.1016\/j.jdent.2022.104157","article-title":"Comparing oral health behaviours of men and women in the United States","volume":"122","author":"Su","year":"2022","journal-title":"J Dent"},{"key":"B32","first-page":"2050","article-title":"Evaluation of oral health status based on the decayed, missing and filled teeth (DMFT) Index","volume":"48","author":"Moradi","year":"2019","journal-title":"Iran J Public Health"},{"key":"B33","doi-asserted-by":"publisher","first-page":"56","DOI":"10.3390\/dj7020056","article-title":"An overview of different interdental cleaning aids and their effectiveness","volume":"7","author":"Ng","year":"2019","journal-title":"Dent J"},{"key":"B34","doi-asserted-by":"publisher","first-page":"933","DOI":"10.1002\/JPER.17-0572","article-title":"Prevalence of daily flossing among adults by selected risk factors for periodontal disease-United States, 2011\u20132014","volume":"89","author":"Fleming","year":"2018","journal-title":"J Periodontol"},{"key":"B35","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.adaj.2024.04.001","article-title":"Minimal changes in daily flossing behavior among US adults from 2009 through 2020","volume":"155","author":"Liang","year":"2024","journal-title":"J Am Dent Assoc"},{"key":"B36","doi-asserted-by":"publisher","first-page":"4275","DOI":"10.3390\/ijerph20054275","article-title":"Effectiveness of individual oral health care training in hospitalized inpatients in geriatric wards","volume":"20","author":"Viebranz","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"B37","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1186\/s12903-024-04025-y","article-title":"Oral health assessment in institutionalized elderly: a scoping review","volume":"24","author":"Bakker","year":"2024","journal-title":"BMC Oral Health"},{"key":"B38","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1111\/cdoe.12690","article-title":"Effect of interdental cleaning devices on proximal caries","volume":"50","author":"Kim","year":"2022","journal-title":"Community Dent Oral Epidemiol"},{"key":"B39","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6831-13-61","article-title":"The impact of frailty on oral care behavior of older people: a qualitative study","volume":"13","author":"Niesten","year":"2013","journal-title":"BMC Oral Health"},{"key":"B40","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1007\/s00103-021-03376-z","article-title":"Self-perceived oral health and associated factors among adults in Germany. Results from GEDA 2019\/2020-EHIS","volume":"64","author":"Krause","year":"2021","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"B41","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1922\/CDH_00089Shariati05","article-title":"Adults\u2019 estimated prevalence of healthy behavior in society and self-reported oral health status and behaviours","volume":"40","author":"Shariati","year":"2023","journal-title":"Community Dent Health"},{"key":"B42","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1111\/ipd.12664","article-title":"Determinants of self-perceived oral health in adolescents: a cross-sectional study","volume":"31","author":"Nascimento","year":"2021","journal-title":"Int J Paediatr Dent"},{"key":"B43","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.archger.2011.04.017","article-title":"Self-perceived oral health status in institutionalized elderly in Brazil","volume":"55","author":"Piuvezam","year":"2012","journal-title":"Arch Gerontol Geriatr"}],"container-title":["Frontiers in Oral Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2025.1716964\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T07:57:49Z","timestamp":1768204669000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2025.1716964\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,12]]},"references-count":43,"alternative-id":["10.3389\/froh.2025.1716964"],"URL":"https:\/\/doi.org\/10.3389\/froh.2025.1716964","relation":{},"ISSN":["2673-4842"],"issn-type":[{"value":"2673-4842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,12]]},"article-number":"1716964"}}