{"id":"https://openalex.org/W7204011627","doi":"https://doi.org/10.1186/s12903-026-09669-6","title":"Differences in self-reported orofacial pain and daily activities between children surveyed in metropolitan and provincial areas of Japan: a school-based cross-sectional survey","display_name":"Differences in self-reported orofacial pain and daily activities between children surveyed in metropolitan and provincial areas of Japan: a school-based cross-sectional survey","publication_year":2026,"publication_date":"2026-08-22","ids":{"openalex":"https://openalex.org/W7204011627","doi":"https://doi.org/10.1186/s12903-026-09669-6"},"language":"en","primary_location":{"id":"doi:10.1186/s12903-026-09669-6","doi":"https://doi.org/10.1186/s12903-026-09669-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12903-026-09669-6","pdf_url":null,"source":{"id":"https://openalex.org/S60760007","display_name":"BMC Oral Health","issn_l":"1472-6831","issn":["1472-6831"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Oral Health","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7204011627"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12903-026-09669-6","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080909687","display_name":"Hiroyuki Karibe","orcid":"https://orcid.org/0000-0003-3197-5604","observed_orcids":["https://orcid.org/0000-0003-3197-5604"]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Hiroyuki Karibe","raw_affiliation_strings":["Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan","institution_ids":["https://openalex.org/I35552710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020998054","display_name":"Ayuko Okamoto","orcid":"https://orcid.org/0009-0004-7674-816X","observed_orcids":["https://orcid.org/0009-0004-7674-816X"]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ayuko Okamoto","raw_affiliation_strings":["Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan","institution_ids":["https://openalex.org/I35552710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064839048","display_name":"Kisaki Shimazu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kisaki Shimazu","raw_affiliation_strings":["Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan","institution_ids":["https://openalex.org/I35552710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102144223","display_name":"Tomomi Kawakami","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomomi Kawakami","raw_affiliation_strings":["Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan","institution_ids":["https://openalex.org/I35552710"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043048930","display_name":"Satoshi Tanaka","orcid":"https://orcid.org/0000-0002-7391-8010","observed_orcids":["https://orcid.org/0000-0002-7391-8010"]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoshi Tanaka","raw_affiliation_strings":["Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan","institution_ids":["https://openalex.org/I35552710"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5080909687"],"corresponding_institution_ids":["https://openalex.org/I35552710"],"apc_list":{"value":3190,"currency":"USD","value_usd":3190},"apc_paid":{"value":3190,"currency":"USD","value_usd":3190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10852","display_name":"Temporomandibular Joint Disorders","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10852","display_name":"Temporomandibular Joint Disorders","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/orofacial-pain","display_name":"orofacial pain","score":0.9919999837875366},{"id":"https://openalex.org/keywords/temporomandibular-disorders","display_name":"temporomandibular disorders","score":0.9599999785423279},{"id":"https://openalex.org/keywords/headache","display_name":"headache","score":0.7459999918937683},{"id":"https://openalex.org/keywords/neck-pain","display_name":"neck pain","score":0.9990000128746033},{"id":"https://openalex.org/keywords/dental-pain","display_name":"dental pain","score":0.972000002861023},{"id":"https://openalex.org/keywords/daily-activities","display_name":"daily activities","score":0.8560000061988831},{"id":"https://openalex.org/keywords/trait-anxiety","display_name":"trait anxiety","score":0.8349999785423279},{"id":"https://openalex.org/keywords/geographic-differences","display_name":"geographic differences","score":0.6899999976158142},{"id":"https://openalex.org/keywords/japanese-children","display_name":"Japanese children","score":0.6069999933242798}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8867999911308289},{"id":"https://openalex.org/C158739034","wikidata":"https://www.wikidata.org/wiki/Q1907114","display_name":"Metropolitan area","level":2,"score":0.6439999938011169},{"id":"https://openalex.org/C2777165788","wikidata":"https://www.wikidata.org/wiki/Q143925","display_name":"Toothache","level":2,"score":0.6244999766349792},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5968000292778015},{"id":"https://openalex.org/C2781463296","wikidata":"https://www.wikidata.org/wiki/Q17149257","display_name":"Orofacial pain","level":2,"score":0.5701000094413757},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5392000079154968},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.4788999855518341},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.41260001063346863},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3970000147819519},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.3646000027656555},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.33970001339912415},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.3239000141620636},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3131999969482422},{"id":"https://openalex.org/C2778636310","wikidata":"https://www.wikidata.org/wiki/Q504033","display_name":"Oral and maxillofacial surgery","level":2,"score":0.301800012588501},{"id":"https://openalex.org/C2778541695","wikidata":"https://www.wikidata.org/wiki/Q133823","display_name":"Migraine","level":2,"score":0.3012000024318695},{"id":"https://openalex.org/C2992367442","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Trait anxiety","level":3,"score":0.2928999960422516},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2854999899864197},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C3018411727","wikidata":"https://www.wikidata.org/wiki/Q3867488","display_name":"Head and neck","level":2,"score":0.27140000462532043},{"id":"https://openalex.org/C2777417529","wikidata":"https://www.wikidata.org/wiki/Q7602980","display_name":"State-Trait Anxiety Inventory","level":3,"score":0.2696000039577484},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.26460000872612},{"id":"https://openalex.org/C2777942821","wikidata":"https://www.wikidata.org/wiki/Q166907","display_name":"Cluster headache","level":3,"score":0.25209999084472656},{"id":"https://openalex.org/C186079640","wikidata":"https://www.wikidata.org/wiki/Q719602","display_name":"Prevalence","level":3,"score":0.25060001015663147}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12903-026-09669-6","doi":"https://doi.org/10.1186/s12903-026-09669-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12903-026-09669-6","pdf_url":null,"source":{"id":"https://openalex.org/S60760007","display_name":"BMC Oral Health","issn_l":"1472-6831","issn":["1472-6831"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Oral Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12903-026-09669-6","doi":"https://doi.org/10.1186/s12903-026-09669-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12903-026-09669-6","pdf_url":null,"source":{"id":"https://openalex.org/S60760007","display_name":"BMC Oral Health","issn_l":"1472-6831","issn":["1472-6831"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Oral Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2104761526","https://openalex.org/W2085507442","https://openalex.org/W2995407120","https://openalex.org/W289721781","https://openalex.org/W2249867985","https://openalex.org/W2054465675","https://openalex.org/W2626833155","https://openalex.org/W7220163950","https://openalex.org/W1967541036","https://openalex.org/W2017260677"],"abstract_inverted_index":{"Orofacial":[0],"pain":[1,141,192,224,258,274],"(OFP)":[2],"in":[3,26,53,61,77,96,157,197,202,225,266,280,334],"children":[4,34,51,69],"may":[5,17],"be":[6,300,328],"associated":[7,219,289],"with":[8,137,161,220,290],"daily":[9,30,45,216,286],"activities":[10,31,108,217,287],"and":[11,28,47,57,85,105,115,139,146,172,179,190,210,242,272,319,331],"psychological":[12],"factors;":[13],"however,":[14],"these":[15,296,325],"characteristics":[16],"vary":[18],"across":[19],"geographical":[20,24,187,248,309,323],"settings.":[21],"Evidence":[22],"regarding":[23],"differences":[25,127],"OFP":[27,43],"related":[29],"among":[32],"Japanese":[33],"remains":[35],"limited.":[36],"This":[37,63],"study":[38],"aimed":[39],"to":[40,307],"compare":[41],"self-reported":[42,99,176,285,317],"characteristics,":[44],"activities,":[46],"trait":[48,116],"anxiety":[49,117],"between":[50,185,236,246],"surveyed":[52,265,279],"one":[54,58],"metropolitan":[55,79,268],"area":[56,60,80,88,151,269],"provincial":[59,87,282],"Japan.":[62],"school-based":[64],"cross-sectional":[65,313],"survey":[66],"included":[67],"923":[68],"aged":[70],"11\u201312":[71],"years":[72],"from":[73,321],"selected":[74,322],"elementary":[75],"schools":[76],"a":[78,86,112,239],"(MA;":[81],"n":[82,90],"=":[83,91,208,212],"480)":[84],"(PA;":[89],"443).":[92],"Data":[93],"were":[94,109,128,142,155,193,218,288],"collected":[95],"2011\u20132012.":[97],"Participants":[98],"TMD-related":[100],"symptoms,":[101],"headache,":[102],"neck":[103,140,191,223,257,273,293],"pain,":[104,294],"toothache.":[106],"Daily":[107],"assessed":[110],"using":[111,118,130,144],"15-item":[113],"questionnaire":[114],"the":[119,158,173,186,198,203,234,247,267,281,312],"State-Trait":[120],"Anxiety":[121],"Inventory":[122],"for":[123,256],"Children\u2013Trait":[124],"(STAIC-T).":[125],"Group":[126],"examined":[129,143],"t-tests,":[131],"chi-square":[132],"or":[133,304],"exact":[134],"tests.":[135],"Associations":[136],"headache":[138,221,243,271,291],"univariable":[145],"multivariable":[147,227],"logistic":[148],"regression.":[149],"Geographical":[150],"\u00d7":[152],"daily-activity":[153,254],"interactions":[154],"tested":[156],"pooled":[159],"sample":[160,200,205],"false":[162],"discovery":[163],"rate":[164],"(FDR)":[165],"correction.":[166,263],"Age,":[167],"sex":[168],"distribution,":[169],"STAIC-T":[170],"scores,":[171],"prevalence":[174],"of":[175,238],"TMD":[177],"symptoms":[178],"toothache":[180],"did":[181],"not":[182,299],"differ":[183],"significantly":[184,245],"samples.":[188],"Headache":[189],"reported":[194,270],"more":[195,275],"frequently":[196,276],"MA":[199],"than":[201,277],"PA":[204],"(":[206],"p":[207,211],"0.035":[209],"0.002,":[213],"respectively).":[214],"Several":[215,284],"and/or":[222,292],"area-stratified":[226],"analyses.":[228],"In":[229],"formal":[230],"interaction":[231,255],"analyses,":[232],"only":[233],"association":[235],"use":[237],"high":[240],"pillow":[241],"differed":[244],"samples":[249],"after":[250,261],"FDR":[251,262],"correction;":[252],"no":[253],"remained":[259],"significant":[260],"Children":[264],"those":[278],"area.":[283,310],"although":[295],"associations":[297],"should":[298,327],"interpreted":[301,329],"as":[302],"causal":[303],"necessarily":[305],"specific":[306],"either":[308],"Given":[311],"design,":[314],"reliance":[315],"on":[316],"measures,":[318],"sampling":[320],"areas,":[324],"findings":[326],"cautiously":[330],"require":[332],"confirmation":[333],"contemporary":[335],"longitudinal":[336],"studies.":[337]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-08-23T00:00:00"}
