Journal of public health dentistry最新文献

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Dental Therapy in the United States as a Public Health Imperative: Perspectives From the Front Lines 牙科治疗在美国作为公共卫生的当务之急:从前线的观点。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70025
Kari Ann Kuntzelman, Andrea Jordan, Elizabeth Branca, Arielle Anastasia Cawston Colville
{"title":"Dental Therapy in the United States as a Public Health Imperative: Perspectives From the Front Lines","authors":"Kari Ann Kuntzelman,&nbsp;Andrea Jordan,&nbsp;Elizabeth Branca,&nbsp;Arielle Anastasia Cawston Colville","doi":"10.1111/jphd.70025","DOIUrl":"10.1111/jphd.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Millions of people across the US—especially in rural, Tribal, underserved, and under-represented communities—continue, historically, to face unnecessary barriers to basic preventive and emergency oral healthcare. Dental therapy, a proven, community-centered oral healthcare provider model utilized in over 50 countries for more than 100 years has been legislatively authorized in 14 states across the US. For over 20 years, however, dental therapy in the U.S. has repeatedly been opposed by the American Dental Association and state dental boards, despite clear, documented evidence that dental therapists provide safe, high-quality, and in most cases culturally specific care, with a focus on prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the role of dental therapists, summarize the evidence supporting their saftey and effectiveness and explore reasons for limited adoption of dental therapy in the U.S. despite documented benefits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This abstract unifies available historical, legislative and workforce literature on dental therapy, highlights the voices of dental therapists, elevating clinical practice outcomes, community impact and documented oposition from the American Dental Association and state dental boards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Evidence shows that dental therapy has diversified the oral healthcare workforce, elevating the voices of those that have been oppressed historically in the United States Black, Indigenous, and People of Color (BIPOC) communities that continue to suffer because of structural racism. Dental therapists have been practicing for over 20 years in the United States, and over 100 years worldwide. Who are dental therapists and why are they not embraced with the clear evidence in the United States? Despite the clear evidence, national adoption of dental therapy remains slow due to political, regulatory and professional opposition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Significant institutional opposition continues to slow national acceptance and implemnation of dental therapy. Dental therapy represents an effective, evidence based community driven solution to persistent oral health inequities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"72-75"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Equitable Data Collection in Dental Public Health 公平的牙科公共卫生数据收集。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70015
Katherine Chung-Bridges, Lisa J. Heaton, Kaz Rafia, Kelly L. Schroeder, Eric P. Tranby
{"title":"Equitable Data Collection in Dental Public Health","authors":"Katherine Chung-Bridges,&nbsp;Lisa J. Heaton,&nbsp;Kaz Rafia,&nbsp;Kelly L. Schroeder,&nbsp;Eric P. Tranby","doi":"10.1111/jphd.70015","DOIUrl":"10.1111/jphd.70015","url":null,"abstract":"","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"60-64"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Charity: Systems-Change Philanthropy for Structural Health Equity in Oral Health 超越慈善:系统-改变慈善事业在口腔健康结构健康公平。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 Epub Date: 2025-09-11 DOI: 10.1111/jphd.70008
John Gabelus, Trenae Simpson
{"title":"Beyond Charity: Systems-Change Philanthropy for Structural Health Equity in Oral Health","authors":"John Gabelus,&nbsp;Trenae Simpson","doi":"10.1111/jphd.70008","DOIUrl":"10.1111/jphd.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Health philanthropy has traditionally emphasized downstream service delivery rather than addressing structural and policy-level determinants of health. In light of widening health disparities and increasing political threats to public health and civil rights, there is a pressing need for philanthropy to evolve. This commentary introduces and explores an equity-centered philanthropic model as a framework for driving systems change, building community power, and advancing long-term transformation in oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>CareQuest Institute's philanthropic approach is grounded in the lived realities of racial, economic, and geographic oral health disparities, and the historical exclusion of oral health from broader equity agendas. The model prioritizes funding community-led organizations, centering lived experience, supporting multi-year partnerships, and embedding oral health within cross-sector health justice movements. Two grantee case studies are used to illustrate this approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The case examples include: 1) Families USA's grassroots-informed federal policy advocacy and 2) Community Catalyst's capacity-building for BIPOC-led and community-rooted health justice campaigns. These examples demonstrate how equity-centered philanthropy can support structural change and amplify community leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Equity-focused philanthropy faces practical challenges, including the need for new evaluation frameworks, sustainable capacity-building, and resisting extractive or paternalistic dynamics. To truly advance health equity, philanthropy must move beyond transactional funding and become an active partner in redistributing power, elevating community voice, and sustaining systemic transformation across the oral health ecosystem.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"98-101"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145035035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving Forward to Advance Health Equity: Elevating Best Practice in Science, Education, Public Health Practice, Workforce, and Advocacy 推进卫生公平:提升科学、教育、公共卫生实践、劳动力和宣传方面的最佳实践。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70028
Eleanor Fleming, Josefine Ortiz Wolfe
{"title":"Moving Forward to Advance Health Equity: Elevating Best Practice in Science, Education, Public Health Practice, Workforce, and Advocacy","authors":"Eleanor Fleming,&nbsp;Josefine Ortiz Wolfe","doi":"10.1111/jphd.70028","DOIUrl":"10.1111/jphd.70028","url":null,"abstract":"","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"5-7"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combating the Silent Othering in Dental Education, Dental Public Health, and Community Health Practice to Advance Health Equity 打击牙科教育、牙科公共卫生和社区卫生实践中的沉默他人,促进健康公平。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70021
An Nguyen, Carlos Stringer Smith
{"title":"Combating the Silent Othering in Dental Education, Dental Public Health, and Community Health Practice to Advance Health Equity","authors":"An Nguyen,&nbsp;Carlos Stringer Smith","doi":"10.1111/jphd.70021","DOIUrl":"10.1111/jphd.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Achieving oral health equity continues to be a goal with seemingly intractable challenges. While interprofessional education and practice (IPE/IPP) have been strategies employed to address barriers underlying persistent health disparities, there must be a recognition of the formation of dominant and subordinate cultures across learning and practice environments when diverse professionals are brought together to support diverse populations, creating an identity or professional othering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A review of settings that feature IPE/IPP, particularly dental education, dental public health residency settings, and community health centers, demonstrate the need to acknowledge that this othering occurs. Combating the systemic and social processes that contribute to othering in these environments is key to delivering a sustainable dental public health workforce and advancing health equity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Interprofessional collaboration is a requisite for modern population health initiatives, and dental public health practice must include skills for cultural fluency, complex system navigation across disciplines, and ethical engagement with diverse communities for greater impact on health disparities. In these fields where collaboration across disciplines is commonly articulated, yet often fails to fully deliver on its promise, the issue of othering frequently goes unspoken.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Commitments to health equity must make essential the acknowledgment of and address the subtle exclusion that persists across health disciplines. Without confronting the profound marginalization that othering permits across the oral health professions, efforts to improve oral health outcomes will fall short of their full potential in truly cultivating health equity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"43-47"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13006709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Oral Health in Puerto Rico: A Policy Success Story Featuring the Puerto Rico Oral Health Coalition 促进波多黎各口腔健康:以波多黎各口腔健康联盟为特色的政策成功故事。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 Epub Date: 2025-09-16 DOI: 10.1111/jphd.70010
Mónica Torres-Resto, Luis Rodriguez Reyes, Fernando Mercado, Elaine M. Pagán
{"title":"Advancing Oral Health in Puerto Rico: A Policy Success Story Featuring the Puerto Rico Oral Health Coalition","authors":"Mónica Torres-Resto,&nbsp;Luis Rodriguez Reyes,&nbsp;Fernando Mercado,&nbsp;Elaine M. Pagán","doi":"10.1111/jphd.70010","DOIUrl":"10.1111/jphd.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Puerto Rico has a higher prevalence of oral diseases compared to the U.S., underscoring the urgent need for preventive measures beyond the dentist's office. In response, the Puerto Rico Oral Health Coalition (PR-OHC) adopted a collaborative approach, bringing together public and private stakeholders to promote oral health across the archipelago.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This article showcases the impact of PR-OHC's efforts in reducing oral health disparities, promoting preventive services for children, and improving access to care by implementing Law No. 63-2017 and the Oral Exam Certificate (OEC) Program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PR-OCH analyzed oral health needs and formulated a mission that included identifying disparities, expanding preventive services, and advocating for evidence-based public health policies. Efforts culminated in legislative action, elevating oral health as a public health issue. The law tasked the Department of Health with the implementation and tracking of an obligatory OEC for students in public and private schools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The law's implementation resulted in increased preventive dental visits among 1 to 16-year-old children who are beneficiaries of the Government Health Plan (Medicaid funds), the creation of an available and adequate oral health education delivery system, collaborative policy initiatives, and collaborations among stakeholders. After 7 years, 357,867 OEC's have been submitted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PR-OHC's initiatives tackled oral health disparities by promoting routine exams—ensuring early detection, prevention, and treatment—and highlighting the importance of dental homes among school-aged children. The Coalition remains actively engaged in advocating for this policy and maintains a leadership role in advancing oral health, fostering interagency collaboration, and improving access for underserved communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"65-71"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Perceived Racial Discrimination, Socioeconomic Status, and Oral Health Among Children: Evidence From the National Survey of Children's Health 2016–2022 感知种族歧视、社会经济地位和儿童口腔健康之间的关系:来自2016-2022年全国儿童健康调查的证据
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70016
Linnea A. Evans, Catria Gadwah-Meaden, Kimberley H. Geissler, Ashley M. Kranz
{"title":"Association Between Perceived Racial Discrimination, Socioeconomic Status, and Oral Health Among Children: Evidence From the National Survey of Children's Health 2016–2022","authors":"Linnea A. Evans,&nbsp;Catria Gadwah-Meaden,&nbsp;Kimberley H. Geissler,&nbsp;Ashley M. Kranz","doi":"10.1111/jphd.70016","DOIUrl":"10.1111/jphd.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Examine the association between perceived racial discrimination and children's oral health outcomes by race–ethnicity and socioeconomic status (SES).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the National Survey of Children's Health (2016–2022), we examined the relationship between perceived racial discrimination (caregiver-reported child exposure) and two outcomes: a child's receipt of a dental visit and the presence of any oral health problem in the past year. Logistic regression models were estimated, stratified by race–ethnicity (Black, Hispanic, White), and adjusted for SES using the federal poverty level (FPL). We also interacted perceived racial discrimination and FPL to observe how associations differ by SES.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Perceived racial discrimination was associated with lower rates of dental visits for White and Hispanic children, with no significant association for Black children. Perceived racial discrimination was associated with a higher likelihood of having an oral health problem for all three racial-ethnic groups. In interaction models, associations with dental visits were inconsistent. The association between perceived racial discrimination and having an oral health problem in the past year was primarily isolated to the lowest SES strata (&lt; 200% FPL), with higher likelihoods of having an oral health problem for all three racial-ethnic groups among those who perceived racial discrimination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Perceived racial discrimination is associated with worse oral health and inconsistently with having a dental visit. The stronger association with oral health problems among children in the lowest SES strata highlights the need for targeted interventions addressing both racial discrimination and SES disparities to improve child oral health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"8-19"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13006725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Equity—A Commentary 部分股权评论。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70029
Caswell A. Evans
{"title":"Equity—A Commentary","authors":"Caswell A. Evans","doi":"10.1111/jphd.70029","DOIUrl":"10.1111/jphd.70029","url":null,"abstract":"<div>\u0000 \u0000 <p>This editorial is an invited contribution to the JPHD Supplement focused on health equity. This editorial draws on scholarly and lived experience as well as critical insights related to health equity and future directions in dental public health. This editorial aims to support the specialty in work that is needed now more than ever.</p>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"102-103"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transforming Public Health Dentistry: Incorporating Social Mission Into Dental Education 转变公共卫生牙科:将社会使命纳入牙科教育。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70017
Toyese Oyeyemi, Candace L. H. Owen, Sadiyah Anderson, Ed Salsberg
{"title":"Transforming Public Health Dentistry: Incorporating Social Mission Into Dental Education","authors":"Toyese Oyeyemi,&nbsp;Candace L. H. Owen,&nbsp;Sadiyah Anderson,&nbsp;Ed Salsberg","doi":"10.1111/jphd.70017","DOIUrl":"10.1111/jphd.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This article examines how dental education and workforce development can be leveraged to advance health equity in oral health. Persistent disparities in access to dental care, particularly in underserved areas, highlight the urgency of transforming public health dentistry. The concept of social mission provides a framework to align institutional strategies with equitable outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This article synthesizes data on dental workforce composition, enrollment trends, and representative case examples from U.S. dental schools. It reviews how dental education institutions have implemented comprehensive programs to diversify the workforce and improve care delivery in socioeconomically deprived communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Despite incremental increases in enrollment of learners from underrepresented communities in healthcare, the dental workforce remains insufficiently diverse relative to population demographics. Schools/programs integrating admissions reforms, community-based training, socially accountable leadership, inclusive environments for faculty and students, and culturally responsive curricula demonstrated measurable outcomes, including increased provider representation in underserved areas and improved patient engagement. However, recent shifts in legislative policy have already been associated with threats to social mission areas in some programs, such as declining school diversity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Transforming public health dentistry requires intentional strategies that embed social mission into the core functions of dental schools. Institutional leadership, innovative partnerships, and policy advocacy are critical to building a workforce capable of addressing structural inequities in oral health. Comprehensive, data-driven approaches can guide institutional progress toward more equitable dental care access and outcomes through the power of dental education reform.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"31-35"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combating Misinformation in the Digital Age: A Machine Learning Approach to Protect Community Water Fluoridation and Promote Oral Health Equity 打击数字时代的错误信息:保护社区饮水氟化和促进口腔健康公平的机器学习方法。
IF 1.5 4区 医学
Journal of public health dentistry Pub Date : 2026-03-22 DOI: 10.1111/jphd.70020
Nilesh Torwane, Nithin Manchery, Ratilal Lalloo, Diep Ha, Loc Do
{"title":"Combating Misinformation in the Digital Age: A Machine Learning Approach to Protect Community Water Fluoridation and Promote Oral Health Equity","authors":"Nilesh Torwane,&nbsp;Nithin Manchery,&nbsp;Ratilal Lalloo,&nbsp;Diep Ha,&nbsp;Loc Do","doi":"10.1111/jphd.70020","DOIUrl":"10.1111/jphd.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Community water fluoridation (CWF) is an effective public health intervention for preventing dental caries. However, the widespread dissemination of misinformation on social media platforms, such as Twitter (now “X”), threatens public acceptance and may exacerbate oral health inequities. This study aimed to develop, evaluate, and deploy machine learning (ML) and deep learning (DL) models to identify misinformation about CWF on Twitter and assess implications for public health communication and surveillance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We collected 19,960 English-language tweets about CWF posted between 2014 and 2024 using keyword-based queries. Tweets originated globally; however, only US-based geotagged tweets were used for sociodemographic analysis because reliable demographic and oral health surveillance data (e.g., US Census, BRFSS, NHANES) were available for linkage. Veracity was determined using authoritative public health criteria from the CDC, WHO, and ADA, with a subset of tweets manually annotated as factually correct or misinformation. Six machine learning and deep learning models were trained and evaluated. Additional analyses included sentiment scoring, thematic content coding, and geospatial-demographic comparisons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Support Vector Classifier achieved the highest accuracy (91.6%). A hybrid BERT + XGBoost model (89.9% accuracy) was selected for deployment due to its strong performance and interpretability. Overall, 78.8% of tweets were classified as misinformation, with dominant themes including fluoride toxicity, distrust of government, and individual autonomy. Misinformation tweets were shorter, more engaging, and concentrated in socioeconomically disadvantaged areas with a high prevalence of misinformation tweets, where poverty rates and untreated dental caries were also greater. Sentiment analysis showed pro-CWF tweets were, on average, more positive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ML and DL models can effectively detect CWF-related misinformation on social media. Integrated with equity-focused communication strategies, these tools may help sustain public trust in CWF and reduce misinformation-related oral health inequities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 S1","pages":"20-30"},"PeriodicalIF":1.5,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147501251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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