2023-09-28 14:46:10 +00:00
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abstract: 'Background. National data indicate that working-aged adults (20-64
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years) are more likely to report financial barriers to receiving needed
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oral health care relative to other age groups. The aim of this study was
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to examine the burden of untreated caries (UC) and its association with
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reporting an unmet oral health care need among working-aged adults.
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Methods. The authors used National Health and Nutrition Examination
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Survey data from 2011 through 2016 for 10,286 dentate adults to examine
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the prevalence of mild to moderate (1-3 affected teeth) and severe (>= 4
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affected teeth) UC. The authors used multivariable logistic regression
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to identify factors that were associated with reporting an unmet oral
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health care need.
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Results. Low-income adults had mild to moderate UC (26.2\%) 2 times more
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frequently and severe UC (13.2\%) 3 times more frequently than
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higher-income adults. After controlling for covariates, the variables
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most strongly associated with reporting an unmet oral health care need
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were UC, low income, fair or poor general health, smoking, and no
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private health insurance. The model-adjusted prevalence of reporting an
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unmet oral health care need among low-income adults with mild to
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moderate and severe UC were 35.7\% and 45.1\%, respectively.
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Conclusions. The burden of UC among low-income adults is high;
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prevalence was approximately 40\% with approximately 3 affected teeth
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per person on average. Reporting an unmet oral health care need appears
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to be capturing primarily differences in UC, health, and financial
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access to oral health care.
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Practical Implications. Data on self-reported unmet oral health care
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need can have utility as a surveillance tool for monitoring UC and
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targeting resources to decrease UC among low-income adults.'
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affiliation: 'Thornton-Evans, G (Corresponding Author), Ctr Dis Control \& Prevent,
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Div Oral Hlth, 4770 Buford Hwy,MS S107-8, Atlanta, GA 30341 USA.
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Williams, Shanele; Griffin, Susan O.; Thornton-Evans, Gina, Ctr Dis Control \& Prevent,
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Div Oral Hlth, 4770 Buford Hwy,MS S107-8, Atlanta, GA 30341 USA.
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Williams, Shanele, LECOM Sch Dent Med, Simulat Clin, Bradenton, FL USA.
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Wei, Liang, DB Consulting Grp, Atlanta, GA USA.'
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author: Williams, Shanele and Wei, Liang and Griffin, Susan O. and Thornton-Evans,
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Gina
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author-email: gdt4@cdc.gov
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author_list:
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- family: Williams
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given: Shanele
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- family: Wei
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given: Liang
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- family: Griffin
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given: Susan O.
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- family: Thornton-Evans
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given: Gina
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da: '2023-09-28'
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doi: 10.1016/j.adaj.2020.09.019
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eissn: 1943-4723
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files: []
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issn: 0002-8177
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journal: JOURNAL OF THE AMERICAN DENTAL ASSOCIATION
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keywords: 'National Health and Nutrition Examination Survey; untreated caries;
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self-reported oral health care need; unmet dental care need; oral health
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surveillance tool; oral health care for working-aged adults'
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keywords-plus: DENTAL-CARE; EMERGENCY-DEPARTMENTS; VISITS; POPULATION
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '28'
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pages: 55-64
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papis_id: 849f878956f05862125824e2f698494d
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ref: Williams2021untreatedcaries
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times-cited: '11'
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title: Untreated caries among US working-aged adults and association with reporting
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need for oral health care
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000605345700017
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '152'
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web-of-science-categories: Dentistry, Oral Surgery \& Medicine
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year: '2021'
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