Patient Perspectives on Improving Oral Health-care Practices Among People Living with HIV/AIDS

Overview

Journal Public Health Rep

Publisher Sage Publications

Specialty Public Health

Date 2012 May 2

PMID 22547879

Citations 10

Authors

Serena Rajabiun

Jane E Fox

Amanda McCluskey

Ernesto Guevara

Niko Verdecias

Yves Jeanty

Michael DeMayo

Mahyar Mofidi

Affiliations

Soon will be listed here.

Abstract

This qualitative study explored the impact on oral health-care knowledge, attitudes, and practices among 39 people living with HIV/AIDS (PLWHA) participating in a national initiative aimed at increasing access to oral health care. Personal values and childhood dental experiences, beliefs about the importance of oral health in relation to HIV health, and concerns for appearance and self-esteem were found to be determinants of oral health knowledge and practice. Program participation resulted in better hygiene practices, improved self-esteem and appearance, relief of pain, and better physical and emotional health. In-depth exploration of the causes for these changes revealed a desire to continue with dental care due to the dental staff and environmental setting, and a desire to maintain overall HIV health, including oral health. Our findings emphasize the importance of addressing both personal values and contextual factors in providing oral health-care services to PLWHA.

Citing Articles

Data set and methodology involving pedagogical approaches to teach mental health and substance use in dental education.

Brondani M, Alan R, Donnelly L BMC Res Notes. 2022; 15(1):70.

PMID: 35183240 PMC: 8857912. DOI: 10.1186/s13104-022-05960-1.

The role of an educational vignette to teach dental students on issues of substance use and mental health disorders in patients at the University of British Columbia: an exploratory qualitative study.

Brondani M, Alan R, Donnelly L BMC Med Educ. 2021; 21(1):360.

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An exploration of the oral health beliefs and behaviors of people living with HIV in Mangalore, India: a qualitative study.

Rodrigues A, Hegde V, Hegde A, Shastri S, Ravikumar D, Rodrigues R BMC Oral Health. 2021; 21(1):222.

PMID: 33931053 PMC: 8086078. DOI: 10.1186/s12903-021-01549-5.

Access to oral health care for people living with HIV/AIDS attending a community-based program.

Feng I, Brondani M, Bedos C, Donnelly L Can J Dent Hyg. 2020; 54(1):7-15.

PMID: 33240359 PMC: 7533800.

Chinese dental students' knowledge and attitudes toward HIV/AIDS.

Li R, Dong W, He W, Liu Y J Dent Sci. 2019; 11(1):72-78.

PMID: 30894949 PMC: 6395151. DOI: 10.1016/j.jds.2015.09.001.

References

Frazier P, Jenny J, Bagramian R, Robinson E, Proshek J . Provider expectations and consumer perceptions of the importance and value of dental care. Am J Public Health. 1977; 67(1):37-43. PMC: 1653595. DOI: 10.2105/ajph.67.1.37. View

Huff M, Kinion E, Kendra M, Klecan T . Self-esteem: a hidden concern in oral health. J Community Health Nurs. 2006; 23(4):245-55. DOI: 10.1207/s15327655jchn2304_5. View

Sabbah W, Tsakos G, Sheiham A, Watt R . The role of health-related behaviors in the socioeconomic disparities in oral health. Soc Sci Med. 2008; 68(2):298-303. DOI: 10.1016/j.socscimed.2008.10.030. View

Ronis D, Lang W, Antonakos C, Borgnakke W . Preventive oral health behaviors among African-Americans and whites in Detroit. J Public Health Dent. 1999; 58(3):234-40. DOI: 10.1111/j.1752-7325.1998.tb02999.x. View

Patton L, Strauss R, McKaig R, Porter D, Eron Jr J . Perceived oral health status, unmet needs, and barriers to dental care among HIV/AIDS patients in a North Carolina cohort: impacts of race. J Public Health Dent. 2003; 63(2):86-91. DOI: 10.1111/j.1752-7325.2003.tb03480.x. View

Macgregor I, Regis D, Balding J . Self-concept and dental health behaviours in adolescents. J Clin Periodontol. 1997; 24(5):335-9. DOI: 10.1111/j.1600-051x.1997.tb00766.x. View

Sanders A, John Spencer A, Slade G . Evaluating the role of dental behaviour in oral health inequalities. Community Dent Oral Epidemiol. 2006; 34(1):71-9. DOI: 10.1111/j.1600-0528.2006.00261.x. View

Hastreiter R, Jiang P . Do regular dental visits affect the oral health care provided to people with HIV?. J Am Dent Assoc. 2002; 133(10):1343-50. DOI: 10.14219/jada.archive.2002.0049. View

Freed J, Marcus M, Freed B, Der-Martirosian C, Maida C, Younai F . Oral health findings for HIV-infected adult medical patients from the HIV Cost and Services Utilization Study. J Am Dent Assoc. 2005; 136(10):1396-405. DOI: 10.14219/jada.archive.2005.0053. View

10.

Coulter I, Heslin K, Marcus M, Hays R, Freed J, Guzman-Becerra N . Associations of self-reported oral health with physical and mental health in a nationally representative sample of HIV persons receiving medical care. Qual Life Res. 2002; 11(1):57-70. DOI: 10.1023/a:1014443418737. View

11.

Mofidi M, Rozier R, King R . Problems with access to dental care for Medicaid-insured children: what caregivers think. Am J Public Health. 2002; 92(1):53-8. PMC: 1447388. DOI: 10.2105/ajph.92.1.53. View

12.

Fox J, Tobias C, Bachman S, Reznik D, Rajabiun S, Verdecias N . Increasing access to oral health care for people living with HIV/AIDS in the U.S.: baseline evaluation results of the Innovations in Oral Health Care Initiative. Public Health Rep. 2012; 127 Suppl 2:5-16. PMC: 3314388. DOI: 10.1177/00333549121270S203. View

13.

Riley 3rd J, Gilbert G, Heft M . Dental attitudes: proximal basis for oral health disparities in adults. Community Dent Oral Epidemiol. 2006; 34(4):289-98. DOI: 10.1111/j.1600-0528.2006.00280.x. View

14.

Kiyak H, Reichmuth M . Barriers to and enablers of older adults' use of dental services. J Dent Educ. 2005; 69(9):975-86. View

15.

Bedos C, Levine A, Brodeur J . How people on social assistance perceive, experience, and improve oral health. J Dent Res. 2009; 88(7):653-7. DOI: 10.1177/0022034509339300. View

16.

Rajabiun S, Bachman S, Fox J, Tobias C, Bednarsh H . A typology of models for expanding access to oral health care for people living with HIV/AIDS. J Public Health Dent. 2011; 71(3):212-9. View

17.

Ganss C, Schlueter N, Preiss S, Klimek J . Tooth brushing habits in uninstructed adults--frequency, technique, duration and force. Clin Oral Investig. 2008; 13(2):203-8. DOI: 10.1007/s00784-008-0230-8. View

18.

Carr A, Beebe T, Jenkins S . An assessment of oral health importance: results of a statewide survey. J Am Dent Assoc. 2009; 140(5):580-6. DOI: 10.14219/jada.archive.2009.0230. View

19.

Cherry-Peppers G, Daniels C, Meeks V, Sanders C, Reznik D . Oral manifestations in the era of HAART. J Natl Med Assoc. 2003; 95(2 Suppl 2):21S-32S. PMC: 2568277. View

20.

Davidson P, Rams T, Andersen R . Socio-behavioral determinants of oral hygiene practices among USA ethnic and age groups. Adv Dent Res. 1997; 11(2):245-53. DOI: 10.1177/08959374970110020701. View