Journal of public health dentistry最新文献

{"title":"Periodontal Disease Among People Living With Diabetes: Examining Social Determinants of Health in an All of Us Study Sample","authors":"Mary Elizabeth Miller,&nbsp;Mercedes M. Morales-Aleman,&nbsp;Ambar M. Marrero-Sierra,&nbsp;Hui Wang,&nbsp;Lilanta J. Bradley","doi":"10.1111/jphd.70056","DOIUrl":"10.1111/jphd.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Approximately 12% of the American population live with a form of diabetes mellitus (DM). People living with DM (PLD) are at a significantly higher risk of developing comorbid conditions, such as periodontal disease (PD). The pathological link between DM and PD is well documented, but the social factors, or social determinants of health (SDH) which may contribute to the link between the diseases are less understood. Our objective is to examine the SDH factors associated with PD among PLD using a national database with the aim of informing intervention strategies for affected subpopulations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Utilizing the All of Us national database, we drew a sample of PLD, including those with and without PD, that completed surveys regarding SDH, their overall health, and healthcare utilization. We calculated marginal odds ratios between each variable and PD diagnosis. Analyses were performed using the All of Us Workbench and R 4.3.1.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The total cohort consisted of 7971 participants; 342 participants had PD. Significant variables found to increase PLD's risk of PD included male gender, being a current smoker, reporting inability to afford healthcare, and perceived discrimination in healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Using a large, national cohort, we demonstrate the association between specific SDH and PD among PLD. Our work underscores the importance of considering these variables for intervention strategies and emphasizes the need for preventative oral care programs for PLD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 2","pages":"240-249"},"PeriodicalIF":1.5,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847996","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}

{"title":"A National Review of the Interim Canada Dental Benefit: Analyzing the Uptake Among Uninsured Children Under 12","authors":"Saif Goubran,&nbsp;Carol Youssef,&nbsp;Anil Menon,&nbsp;Vivianne Cruz de Jesus,&nbsp;Olubukola O. Olatosi,&nbsp;Victor H. K. Lee,&nbsp;Robert J. Schroth","doi":"10.1111/jphd.70053","DOIUrl":"10.1111/jphd.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The Interim Canada Dental Benefit (CDB) provided financial support for the dental needs of children &lt; 12 years old, from low-income families in Canada. Funds were distributed during two periods, Regular Period 1 (October 2022 through June 2023) and the Regular Period 2 (July 2023 through June 2024). This study evaluated the adjusted rate of child participation across provinces and territories, proportionally for children aged 0–11 who lack dental insurance, from households with a net annual income &lt; $90,000 (Canadian).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Publicly available data were sourced from the Government of Canada Open Data Portal. Variables of interest were presented as distributions by provinces and territories, age grouping of children, and family net income. Child participation rates were calculated based on Statistics Canada data (2025).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 452,460 applications were accepted, with $440.7 million distributed. The adjusted national rate of participation for children without private and public dental insurance from low-income households was 267.3/1000 children in Regular Period 1 and 273.2/1000 in Regular Period 2. The provinces and territories with the highest adjusted rates were Nova Scotia, Saskatchewan, Newfoundland and Labrador, and the Northwest Territories. Families earning less than $30,000 annually made up the largest share of applicants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Government-funded programs, like the Interim CDB, have the capacity to improve access to dental care for Canadians. The results show clear regional differences, with higher participation often found in regions where public dental programs for children are limited or absent.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"86 2","pages":"220-231"},"PeriodicalIF":1.5,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jphd.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679736","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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}