Dental Care Access and Use Among HIV-infected Women

Overview

Journal Am J Public Health

Specialty Public Health

Date 1999 Jun 8

PMID 10358671

Citations 17

Authors

C H Shiboski

H Palacio

J M Neuhaus

R M Greenblatt

Affiliations

Soon will be listed here.

Abstract

Objectives: This study sought to identify predictors of dental care use in HIV-infected women.

Methods: In a cross-sectional survey of HIV-infected women enrolled in the northern California site of the Women's Interagency HIV Study, dental care use and unmet need were assessed in relation to selected variables.

Results: Among 213 respondents, who were predominantly Black and younger than 45 years, 43% had not seen a dentist and 53% (among dentate women) reported no dental cleaning in more than a year (although 67% had dental insurance coverage, mainly state Medicaid). Nine percent were edentulous. Among nonusers of dental care, 78% reported that they wanted care but failed to get it. Barriers included fear of and discomfort with dentists, not getting around to making an appointment, and not knowing which dentist to visit. Multivariate analysis showed that lack of past-year dental care was associated mainly with unemployment, a perception of poor oral health, and edentulism.

Conclusions: HIV-positive women appear to be underusing dental care services. Fear and lack of information regarding available resources, in addition to unemployment and perception of poor oral health, may be important barriers.

Citing Articles

Use of dental care services among adolescents living with HIV on antiretroviral treatment in Kampala, Uganda: a cross-sectional study.

Nakyonyi M, Birungi N, Mwesigwa C, Astrom A BMC Oral Health. 2024; 24(1):654.

PMID: 38835044 PMC: 11149271. DOI: 10.1186/s12903-024-04426-z.

Oral health status and treatment needs among HIV/AIDS patients attending antiretroviral therapy center in Western India: A cross-sectional study.

Chaudhary P, Manral K, Gupta R, Bengani A, Chauhan B, Arora D J Family Med Prim Care. 2020; 9(7):3722-3728.

PMID: 33102357 PMC: 7567282. DOI: 10.4103/jfmpc.jfmpc_411_20.

Women's HIV disclosure to the dentist: Does frequent contact matter?.

Parish C, Feaster D, Pereyra M, Alcaide M, Weber K, Cohen M J Public Health Dent. 2020; 81(1):65-76.

PMID: 33049081 PMC: 8820452. DOI: 10.1111/jphd.12403.

Parish C, Feaster D, Pereyra M, Alcaide M, Weber K, Cohen M J Am Dent Assoc. 2020; 151(7):527-535.

PMID: 32593355 PMC: 7337358. DOI: 10.1016/j.adaj.2020.04.013.

Dental insurance, dental care utilization, and perceived unmet dental needs in women living with HIV: Results from the Women's Interagency HIV Study.

Parish C, Feaster D, Pereyra M, Alcaide M, Cohen M, Levin S J Public Health Dent. 2019; 79(4):343-351.

PMID: 31418877 PMC: 10876047. DOI: 10.1111/jphd.12336.

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