{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:23:20Z","timestamp":1787840600039,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J Int Soc Prev Community Dent"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>bstract<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To investigate the impact of self-reported oral health morbidity and the use of health services on the quality of life of adults, users of a drug addiction treatment service, verifying the moderating effect of chemical dependence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The research instrument covered socioeconomic characteristics, severity of chemical dependency, morbidity in oral health, use of health services, and oral health-related quality of life. The analysis was performed through the decision tree using the chi-squared automatic interaction detector algorithm and regression analysis with moderation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The results suggested an association between the high impact on quality of life and the self-perceived need for extraction at the time of self-assessment. In addition, an association was found between the intensity of orofacial pain felt in the last 6 months and quality of life. The moderated regression model, including health service use, age at first substance abuse, and their interaction term, explained 66.15% of the variance in quality of life impact (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0.6615,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0101). The significant interaction term shows that the association between health service use and quality of life impact varies according to the age at first substance abuse, highlighting a meaningful moderating effect.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Self-reported oral morbidity is associated with a greater impact on quality of life. For individuals with substance dependence, early initiation of substance use alone is sufficient to negatively affect oral health-related quality of life, regardless of health service utilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jispcd.jispcd_80_25","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T07:01:03Z","timestamp":1772089263000},"page":"78-87","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Health Services: The Persistent Impact of Early Substance Abuse on Oral Health-related Quality of Life"],"prefix":"10.4103","volume":"16","author":[{"given":"Waleska Fernanda","family":"Souto N\u00f3brega","sequence":"first","affiliation":[{"name":"Department of Social and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo Correia Basto","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena Edite Cas\u00e9","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Garanhuns, PE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9rgio d\u00b4\u00c1vila Lins Bezerra","family":"Cavalcanti","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Universidade Estadual da Para\u00edba, UEPB, Campina Grande, PB, 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