ArticleCommunity dentistry and oral epidemiology2025
Early Life Violent Victimisation and Dental Care Use From Adolescence Through Adulthood.
Article in Community dentistry and oral epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study examined the relationship between early-life violent victimisation and dental care utilisation patterns from adolescence to middle adulthood (ages 11-43).
methodsData were from Waves I through V of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Group-based trajectory modelling (GBTM) was used to examine patterns of dental care use across five waves, spanning ages 11-43. Multinomial logistic regression was used to assess the relationship between violent victimisation experiences in adolescence and dental care use trajectory group membership, adjusting for demographic, socioeconomic and health-related covariates.
resultsFour dental care trajectories were identified: High Dental Care Use (22.8%), Intermittent Decreasing Dental Care Use (38.6%), Intermittent Increasing Dental Care Use (21.8%) and Low Dental Care Use (16.9%). Higher violent victimisation in adolescence was associated with an increased relative risk of belonging to the Intermittent Dental Care Use (RRR = 1.09, 95% CI = 1.02-1.41) and Low Dental Care Use (RRR = 1.21, 95% CI = 1.01-1.46) compared to the High Dental Care Use group.
conclusionsEarly-life violent victimisation serves as a risk factor for less regular dental care use over the life course. Addressing the cumulative effects of violent victimisation through trauma-informed care and targeted interventions may improve dental care access and mitigate disparities over the life course.
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