Municipal water fluoridation, adolescent IQ, and cognition across the life course: Evidence from the Wisconsin Longitudinal Study

J John Robert Warren (Institute for Social Research and Data Innovation, University of Minnesota) G Gina Rumore (Institute for Social Research and Data Innovation, University of Minnesota) K Kamil Sicinski (Center for Demography of Health and Aging, University of Wisconsin) P Pamela Herd (Gerald Ford School of Public Policy, University of Michigan) M Michal Engelman (Center for Demography of Health and Aging, University of Wisconsin)

Abstract

We investigate associations between community water fluoridation (CWF), adolescent IQ, and cognition across the life course using representative data from the US state of Wisconsin. Exposure is inferred from historical records on community water fluoridation; adolescent IQ is ascertained from state testing records; and cognition in later life is assessed as part of the Wisconsin Longitudinal Study [P. Herd et al. , Int. J. Epidemiol. 43 , 34–41 (2014).]. In contrast to studies cited in recent decisions to end CWF in Utah, Florida, and elsewhere, we find no evidence that CWF is negatively associated with adolescent IQ or adult cognitive functioning.

Article Details

Volume / Issue Vol. 123, Issue 16
Published April 21, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (5)

J

John Robert Warren

Institute for Social Research and Data Innovation, University of Minnesota

G

Gina Rumore

Institute for Social Research and Data Innovation, University of Minnesota

K

Kamil Sicinski

Center for Demography of Health and Aging, University of Wisconsin

P

Pamela Herd

Gerald Ford School of Public Policy, University of Michigan

M

Michal Engelman

Center for Demography of Health and Aging, University of Wisconsin