{"id":{"repo_id":"bu","oai_identifier":"oai:open.bu.edu:2144/46380"},"canonical_url":"https://search.dev.ndltd.org/etd/bu/oai:open.bu.edu:2144/46380","repository":{"repo_id":"bu","name":"Boston University","base_url":"https://open.bu.edu/oai/request"},"display":{"title":"Association of oral health-related productivity loss and wealth among working-age adults from 2011-2018","abstract":"OBJECTIVES: To examine the association of oral health-related productivity loss (OHRPL) with wealth in 10,908 working-age adults (30-64 years old) using 2011-2018 National Health and Nutrition Examination Survey (NHANES) data. METHODS: This study measured the association of oral health-related productivity loss with wealth. The outcome, OHRPL, was categorized into “Never,” “Sometimes” (“Hardly ever” / “Somewhat often”) and “Always” (“Often” / “Always”). The exposure, wealth, used existing methodology: categorizing NHANES’ homeownership and family monthly income variables into low (<$2900 /not homeowners), middle (≥$2900 /not homeowners or homeowners/<$2900), and high-wealth (≥$2900/homeowners). Using masked variance pseudo-primary sampling units and variables with a full sample 2-year mobile examination center exam weight for the 2011-2018 cycles, descriptive statistical analysis and multinomial logistic regression was used. Regression outputs were converted to average probabilities of OHRPL by financial and education variables for Black participants. RESULTS: Between 2011-2018, 13,223,810 (weighted) US working-age adults experienced OHRPL and those with low-wealth had 1.5 times the odds (95% CI=1.2-1.8) of reporting OHRPL “sometimes” and 2.9 times the odds (95% CI=1.8-4.8) of reporting OHRPL “always” compared to their high-wealth counterparts. Black (95% CI=1.2-2.1) and Multi-Racial/Other (95% CI=1.4-2.9) groups had the strongest, significant positive associations with experiencing OHRPL “sometimes.” Black men with financial barriers to care were 26% more likely to experience OHRPL “sometimes,” and if they had low-wealth, 34% more likely. CONCLUSIONS: Including economic factors that represent resources and generational wealth can enhance understanding of these dynamics as drivers of oral health outcome disparities.","abstract_html":"OBJECTIVES: To examine the association of oral health-related productivity loss (OHRPL) with wealth in 10,908 working-age adults (30-64 years old) using 2011-2018 National Health and Nutrition Examination Survey (NHANES) data. METHODS: This study measured the association of oral health-related productivity loss with wealth. The outcome, OHRPL, was categorized into “Never,” “Sometimes” (“Hardly ever” / “Somewhat often”) and “Always” (“Often” / “Always”). The exposure, wealth, used existing methodology: categorizing NHANES’ homeownership and family monthly income variables into low (&lt;$2900 /not homeowners), middle (≥$2900 /not homeowners or homeowners/&lt;$2900), and high-wealth (≥$2900/homeowners). Using masked variance pseudo-primary sampling units and variables with a full sample 2-year mobile examination center exam weight for the 2011-2018 cycles, descriptive statistical analysis and multinomial logistic regression was used. Regression outputs were converted to average probabilities of OHRPL by financial and education variables for Black participants. RESULTS: Between 2011-2018, 13,223,810 (weighted) US working-age adults experienced OHRPL and those with low-wealth had 1.5 times the odds (95% CI=1.2-1.8) of reporting OHRPL “sometimes” and 2.9 times the odds (95% CI=1.8-4.8) of reporting OHRPL “always” compared to their high-wealth counterparts. Black (95% CI=1.2-2.1) and Multi-Racial/Other (95% CI=1.4-2.9) groups had the strongest, significant positive associations with experiencing OHRPL “sometimes.” Black men with financial barriers to care were 26% more likely to experience OHRPL “sometimes,” and if they had low-wealth, 34% more likely. CONCLUSIONS: Including economic factors that represent resources and generational wealth can enhance understanding of these dynamics as drivers of oral health outcome disparities.","abstract_has_math":true,"creators":["Williams, Jessica Clarke"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["McDonough, Robert","Scott, Thayer"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-24T01:26:20Z","subjects":["Dentistry"],"languages":["en_US"],"rights":["Attribution 4.0 International"],"rights_urls":["http://creativecommons.org/licenses/by/4.0/"],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2144/46380","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["McDonough, Robert","Scott, Thayer"]},{"key":"dc:creator","label":"Author","values":["Williams, Jessica Clarke"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-06-28T16:29:34Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-06-28T16:29:34Z"]},{"key":"dc:date.issued","label":"Date","values":["2023"]},{"key":"dc:type","label":"Dc Type","values":["Thesis/Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Dentistry"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_US"]},{"key":"dc:rights","label":"Dc Rights","values":["Attribution 4.0 International"]},{"key":"dc:rights.uri","label":"Rights URI","values":["http://creativecommons.org/licenses/by/4.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/2144/46380"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["OBJECTIVES: To examine the association of oral health-related productivity loss (OHRPL) with wealth in 10,908 working-age adults (30-64 years old) using 2011-2018 National Health and Nutrition Examination Survey (NHANES) data. METHODS: This study measured the association of oral health-related productivity loss with wealth. The outcome, OHRPL, was categorized into “Never,” “Sometimes” (“Hardly ever” / “Somewhat often”) and “Always” (“Often” / “Always”). The exposure, wealth, used existing methodology: categorizing NHANES’ homeownership and family monthly income variables into low (<$2900 /not homeowners), middle (≥$2900 /not homeowners or homeowners/<$2900), and high-wealth (≥$2900/homeowners). Using masked variance pseudo-primary sampling units and variables with a full sample 2-year mobile examination center exam weight for the 2011-2018 cycles, descriptive statistical analysis and multinomial logistic regression was used. Regression outputs were converted to average probabilities of OHRPL by financial and education variables for Black participants. RESULTS: Between 2011-2018, 13,223,810 (weighted) US working-age adults experienced OHRPL and those with low-wealth had 1.5 times the odds (95% CI=1.2-1.8) of reporting OHRPL “sometimes” and 2.9 times the odds (95% CI=1.8-4.8) of reporting OHRPL “always” compared to their high-wealth counterparts. Black (95% CI=1.2-2.1) and Multi-Racial/Other (95% CI=1.4-2.9) groups had the strongest, significant positive associations with experiencing OHRPL “sometimes.” Black men with financial barriers to care were 26% more likely to experience OHRPL “sometimes,” and if they had low-wealth, 34% more likely. CONCLUSIONS: Including economic factors that represent resources and generational wealth can enhance understanding of these dynamics as drivers of oral health outcome disparities."]},{"key":"dc:title","label":"Title","values":["Association of oral health-related productivity loss and wealth among working-age adults from 2011-2018"]}]}],"canonical_facts":{"dc:contributor.advisor":["McDonough, Robert","Scott, Thayer"],"dc:creator":["Williams, Jessica Clarke"],"dc:date.accessioned":["2023-06-28T16:29:34Z"],"dc:date.available":["2023-06-28T16:29:34Z"],"dc:date.issued":["2023"],"dc:description.abstract":["OBJECTIVES: To examine the association of oral health-related productivity loss (OHRPL) with wealth in 10,908 working-age adults (30-64 years old) using 2011-2018 National Health and Nutrition Examination Survey (NHANES) data. METHODS: This study measured the association of oral health-related productivity loss with wealth. The outcome, OHRPL, was categorized into “Never,” “Sometimes” (“Hardly ever” / “Somewhat often”) and “Always” (“Often” / “Always”). The exposure, wealth, used existing methodology: categorizing NHANES’ homeownership and family monthly income variables into low (<$2900 /not homeowners), middle (≥$2900 /not homeowners or homeowners/<$2900), and high-wealth (≥$2900/homeowners). Using masked variance pseudo-primary sampling units and variables with a full sample 2-year mobile examination center exam weight for the 2011-2018 cycles, descriptive statistical analysis and multinomial logistic regression was used. Regression outputs were converted to average probabilities of OHRPL by financial and education variables for Black participants. RESULTS: Between 2011-2018, 13,223,810 (weighted) US working-age adults experienced OHRPL and those with low-wealth had 1.5 times the odds (95% CI=1.2-1.8) of reporting OHRPL “sometimes” and 2.9 times the odds (95% CI=1.8-4.8) of reporting OHRPL “always” compared to their high-wealth counterparts. Black (95% CI=1.2-2.1) and Multi-Racial/Other (95% CI=1.4-2.9) groups had the strongest, significant positive associations with experiencing OHRPL “sometimes.” Black men with financial barriers to care were 26% more likely to experience OHRPL “sometimes,” and if they had low-wealth, 34% more likely. CONCLUSIONS: Including economic factors that represent resources and generational wealth can enhance understanding of these dynamics as drivers of oral health outcome disparities."],"dc:identifier.uri":["https://hdl.handle.net/2144/46380"],"dc:language.iso":["en_US"],"dc:rights":["Attribution 4.0 International"],"dc:rights.uri":["http://creativecommons.org/licenses/by/4.0/"],"dc:subject":["Dentistry"],"dc:title":["Association of oral health-related productivity loss and wealth among working-age adults from 2011-2018"],"dc:type":["Thesis/Dissertation"]},"updated_at":"2026-07-24T01:26:20Z"}