{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:09:56Z","timestamp":1791356996537,"version":"4.3.1"},"reference-count":40,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"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":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Children with developmental delays face significant health challenges, including oral health problems, that disrupt dietary habits and contribute to food insufficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between oral health problems and food insufficiency among children with developmental delays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional design using the 2022 National Survey of Children\u2019s Health database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>National survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Participants were 1,483 children ages 3\u201317 yr with developmental delays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures<\/jats:title>\n                    <jats:p>\n                      Food insufficiency was rated on a 4-point scale and oral health problems as\n                      <jats:italic toggle=\"yes\">problem present<\/jats:italic>\n                      versus\n                      <jats:italic toggle=\"yes\">no problem<\/jats:italic>\n                      . The ordinal logistic regression models were adjusted for child, health, and socioeconomic variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among participants, 26.2% had oral health problems. Oral health problems were significantly associated with food insufficiency (adjusted odds ratio [AOR] = 1.72, 95% confidence interval [CI] [1.14, 2.60]). Poor maternal mental health (AOR = 4.14, 95% CI [2.24, 7.68]) and low-income households (AOR = 9.82, 95% CI [5.00, 19.36]) were strongly associated with food insufficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Findings demonstrate that oral health problems, maternal mental health, and socioeconomic disparities are interrelated determinants of food insufficiency among children with developmental delays. Occupational therapists can address these issues through caregiver training and advocacy to enhance access to oral health and nutritional resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2025.051339","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T14:05:40Z","timestamp":1765202740000},"page":"162-170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Oral Health Problems and Food Insufficiency Among Children With Developmental Delays"],"prefix":"10.1177","volume":"80","author":[{"given":"Minjung","family":"Kim","sequence":"first","affiliation":[{"name":"Minjung Kim, MPH, OT, is Doctoral Student, Department of Occupational Therapy, Graduate School, Yonsei University Mirae Campus, Wonju, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Persch","sequence":"additional","affiliation":[{"name":"Andrew C. Persch, PhD, OTR\/L, BCP, FAOTA, is Associate Professor, Department of Occupational Therapy, Colorado State University, Fort Collins."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunhye","family":"Seo","sequence":"additional","affiliation":[{"name":"Eunhye Seo, BS, OT, is Integrated Master\u2019s and Doctoral Course Student, Department of Occupational Therapy, Graduate School, Yonsei University Mirae Campus, Wonju, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyewon","family":"Oh","sequence":"additional","affiliation":[{"name":"Hyewon Oh, MS, OT, is Doctoral Student, Department of Occupational Therapy, Graduate School, Yonsei University Mirae Campus, Wonju, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ickpyo","family":"Hong","sequence":"additional","affiliation":[{"name":"Ickpyo Hong, PhD, OTR\/L, is Chair and Associate Professor, Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University Mirae Campus, Wonju, Republic of Korea;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph22010032"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.21.2.60"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470594001"},{"key":"e_1_3_1_5_1","first-page":"e53567","article-title":"The impact of socioeconomic factors on pediatric oral health: A review","volume":"16","author":"Almajed O. 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