Journal of public health dentistry最新文献

{"title":"The Relationship Between Incarceration History and Dental Care and Oral Health in the United States: A Scoping Review.","authors":"Alexander Testa, Chelsea Carriker, Yojana Vadnerkar, Sandra Desjardins, Chantal Fahmy, Dylan B Jackson, Ana C Neumann, Rahma Mungia","doi":"10.1111/jphd.70080","DOIUrl":"https://doi.org/10.1111/jphd.70080","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a scoping review of observational quantitative studies examining the association between prior incarceration and (1) dental care use, (2) dental insurance coverage, and (3) oral health outcomes among US adults.</p><p><strong>Methods: </strong>A search strategy was implemented across 5 electronic databases (MEDLINE, PsycINFO, CINAHL, Web of Science, and Embase). Additional manual searches of Google Scholar and reference lists were conducted. Screening and study selection followed PRISMA guidelines. Studies were included if they examined US community-dwelling adults (≥ 18 years), compared individuals with and without a history of incarceration, and reported dental care or oral health outcomes.</p><p><strong>Results: </strong>The search identified 2006 articles; 12 studies met the inclusion criteria. Eight studies examined dental care utilization, 2 examined dental insurance coverage, and 4 examined oral health outcomes. Across studies, prior incarceration was consistently associated with lower dental care use, higher unmet dental need, lower likelihood of dental insurance coverage, and poorer self-reported oral health. Several associations were attenuated after adjustment for socioeconomic status, health insurance, wealth, health behaviors, or chronic disease.</p><p><strong>Conclusions: </strong>The published evidence to date indicates that formerly incarcerated adults experience substantial disparities in dental care access and oral health. Future research should incorporate clinical oral health assessments, leverage administrative and electronic health records, and test policy and practice interventions to reduce oral health disparities among formerly incarcerated populations.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key Predictors of Oral Health Service Utilization Among Working-Age Adults With and Without Depression in the United States.","authors":"McKing Izeiza Amedari, Lisa J Heaton, Thomas Dobbs, Bernadette Grayson, Osayande Agbonlahor, Benjamin Walker","doi":"10.1111/jphd.70077","DOIUrl":"https://doi.org/10.1111/jphd.70077","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to determine the key factors that predict oral health care utilization among persons with and without depression.</p><p><strong>Methods: </strong>Data from 17,525 working-age adults from the 2022 National Health Interview Survey were analyzed. Survey-weighted Poisson regression models estimated the population-level associations between sociodemographic factors (e.g., income, education, last medical visit) and a report of no past-year dental visit and Delayed Dental Care due to cost (DDC), while Random Forest (RF) permutation importance quantified each variable's contribution to predictive discrimination for individuals with or without depression.</p><p><strong>Results: </strong>The adjusted prevalence (aPR) of no past-year dental visit and DDC was greater among those with depression compared to those without depression (39.6% vs. 35.3% aPR = 1.12; 95% confidence interval (CI), 1.06 to 1.18) and (26.6% vs. 17.8%, aPR = 1.47, 95% CI, 1.35, 1.59), respectively. Our RF models demonstrated an acceptable range of discrimination for both outcomes (AUC range: 0.67-0.73) across the subgroups by depression status. Income was the most important variable contributing most to all four models' discrimination, regardless of depression status, suggesting a cross-cutting impact on oral health service utilization regardless of depression status.</p><p><strong>Conclusion: </strong>Individuals with depression were less likely to visit the dentist and more likely to report cost-related delayed dental care than those without depression. Further, income was an important factor impacting oral health care-seeking behavior.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Framework to Guide Basic Denture Services Provision in Selected Public Health Districts of KwaZulu-Natal, South Africa.","authors":"Yonela Bandezi, Shenuka Singh","doi":"10.1111/jphd.70073","DOIUrl":"https://doi.org/10.1111/jphd.70073","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to develop a framework to guide the provision of basic denture services within public oral health facilities in selected districts of KwaZulu-Natal, South Africa. The study addressed gaps in oral rehabilitation services, particularly the dominance of tooth extractions, limited prosthodontic capacity, and the lack of systematic, evidence-based planning for denture service delivery in underserved communities.</p><p><strong>Methods: </strong>A multi-stage qualitative synthesis integrating four data sources was undertaken: a 5-year review of district-level oral health service statistics, semi-structured interviews with provincial executives, oral health managers, clinicians, and private providers, and a patient survey on tooth loss and oral health-related quality of life. Findings were triangulated and interpreted using Health Needs Assessment Theory, Public-Private Partnership Theory, the Universal Health Coverage framework, and principles of social justice and quality of life.</p><p><strong>Results: </strong>Analysis revealed persistently high extraction rates, minimal denture provision, rural-urban disparities, and inadequate laboratory and human resources. Stakeholders reported limited financial capacity, infrastructure constraints, and inconsistent understanding of National Health Insurance requirements. Patient responses demonstrated substantial functional and psychosocial impacts of missing teeth and highlighted unmet rehabilitative needs. These insights informed the development of a three-stage framework comprising evidence production, stakeholder engagement, and enactment of program changes.</p><p><strong>Conclusions: </strong>The resulting framework offers a context-responsive, evidence-informed approach to improving denture services at district level. By integrating needs-based planning, collaborative implementation, and continuous monitoring, the framework supports equitable access to oral rehabilitation and aligns with national priorities for universal health coverage and improved oral health-related quality of life.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral-Health Equity Must Include Supported Oral-Care Occupations in Serious Mental Illness: A Response to Fosse et al.","authors":"San-Ping Wang, Lien-Chung Wei","doi":"10.1111/jphd.70076","DOIUrl":"10.1111/jphd.70076","url":null,"abstract":"","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health Needs Assessment of Non-Institutionalized Older Adults in South Texas.","authors":"Sohini Dhar, Rochisha S Marwaha, Pankil Shah, Shikha Puri, Suman Challa","doi":"10.1111/jphd.70071","DOIUrl":"10.1111/jphd.70071","url":null,"abstract":"<p><p>Older adults bear a heavy burden of oral disease, but data on their needs in areas like South Texas are limited. Assessing oral health and sociodemographic influences is key to guiding targeted public health efforts.</p><p><strong>Objectives: </strong>This study assessed oral health needs among non-institutionalized older adults in South Texas. It also examined associations between sociodemographic factors, including access to care and dental insurance-and oral health outcomes.</p><p><strong>Methods: </strong>A cross-sectional pilot study was conducted with 103 older adults recruited through community outreach events. Participants completed surveys on demographics, oral health behaviors, insurance status, and access to care, and received oral health screenings. Descriptive statistics, logistic regression, and Poisson regression were used to identify factors associated with dental utilization and oral disease outcomes.</p><p><strong>Results: </strong>Participants were primarily aged 75 years or older (44%), female (68%), and Caucasian (42.7%). Nearly one-third (32%) lacked dental insurance, 31.1% had visited a dentist within the past 6 months, and 36.9% reported difficulty accessing needed care. Tooth loss of one to five teeth was reported by 44.7%. Adults aged 75 years or older were significantly less likely to access dental care than those aged 55-64 (OR = 0.15, p = 0.030). Non-Hispanic White participants were more likely than Hispanic participants to have had a recent dental visit (OR = 4.96, p = 0.013). Lack of dental insurance was strongly associated with lower dental visit rates (OR = 0.11, p = 0.001).</p><p><strong>Conclusions: </strong>This research highlights the need to expand accessible dental services and the scope of practice for the dental workforce.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing an Essential Basket of Services for a Federal Dental Program for Children: A Survey of Canadian Pediatric Dentists.","authors":"Kelsey Cale, Jill Oxner, Amir Azarpazhooh, Sonica Singhal","doi":"10.1111/jphd.70074","DOIUrl":"10.1111/jphd.70074","url":null,"abstract":"<p><strong>Purpose: </strong>The Canadian Dental Care Plan aims to reduce affordability barriers to oral health care for low- and middle-income families, including children. The selection of covered services is critical to ensure that both immediate needs and long-term oral health outcomes are adequately addressed. This study identified services considered essential for children by pediatric dentists and compared them with those included in the CDCP.</p><p><strong>Methods: </strong>A cross-sectional survey was electronically distributed by the Canadian Association of Pediatric Dentists/Académie Canadienne de Dentisterie Pédiatrique to certified and retired pediatric dentists in Canada (n = 297). The survey collected demographic, practice, and perspectives on essential services. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>The response rate was 35% (n = 104; 78 complete). Most respondents were women, and aged 30-39 years (33%). Participants emphasized the equal importance of primary and permanent teeth and supported comprehensive care. While perspectives generally aligned with CDCP service grids, key gaps were identified in preventive services, including oral hygiene instruction, nutritional counseling, mouth guards, space maintainers, smoking cessation counseling, and primary tooth root canals.</p><p><strong>Conclusions: </strong>Although the CDCP aligns with many professional priorities, omissions in preventive services limit its comprehensiveness. An upstream approach could support more sustainable oral health care for children and reduce long-term burdens.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Marginalization: Quantifying Intersectional Inequalities in Utilization of Dental Care.","authors":"Nasir Z Bashir, Gustavo H Soares, Fabio Leite, Gustavo G Nascimento","doi":"10.1111/jphd.70068","DOIUrl":"https://doi.org/10.1111/jphd.70068","url":null,"abstract":"<p><strong>Objectives: </strong>Inequitable utilization of regular dental care is known to be a key driver for inequalities in oral health outcomes. The aim of this study was to investigate inequalities in adolescent dental care, at the intersections of sex, race and ethnicity, and sexual identity.</p><p><strong>Methods: </strong>We analyzed pooled data from the 2021 to 2023 national Youth Risk Behavior Survey, comprising 27,692 participants. A multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) was performed, defining 20 intersectional strata by sex, race and ethnicity, and sexual identity. Two binary outcomes pertaining to dental service utilization were assessed: (i) not having visited a dentist in past 12 months, and (ii) never having visited a dentist.</p><p><strong>Results: </strong>There was evidence of modest between-stratum heterogeneity with regards to dental visits in the past 12 months, and substantial heterogeneity for never having visited a dentist. The fixed effects of sex, race and ethnicity, and sexual identity explained approximately 93% to 97% of the between-stratum variance. The median odds ratio indicated that, depending on intersectional identity, the odds increased by 35% for not having visited a dentist in the past 12 months and 108% for never having visited a dentist. Discriminatory accuracy was poor for both outcomes.</p><p><strong>Conclusions: </strong>Inequalities in adolescent dental attendance may be substantial, particularly among Black and sexual minority individuals. Under specific MAIHDA modeling assumptions, we find that the inequalities across intersectional strata appear to be largely additive in nature.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148451036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}