Dental Care Utilization of Hospitalized Persons Living with HIV and Substance Use

Oral health‐care needs among clients receiving alcohol and other drugs treatment—A scoping review

“…In the first focus area, 23 studies were identified that included 3611 participants with a mean age ranging from 27.9 to 44 years [ 19 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. The studies were conducted in Australia ( n = 2), Brazil ( n = 3), India ( n = 2), Indonesia ( n = 1), Iran ( n = 1), Ireland ( n = 2), Italy ( n = 2), Lithuania ( n = 1), Norway ( n = 1), Portugal ( n = 1), Serbia ( n = 1), South Africa ( n = 1), United Kingdom ( n = 1) and the United States ( n = 4).…”

“…The studies were conducted in Australia ( n = 2), Brazil ( n = 3), India ( n = 2), Indonesia ( n = 1), Iran ( n = 1), Ireland ( n = 2), Italy ( n = 2), Lithuania ( n = 1), Norway ( n = 1), Portugal ( n = 1), Serbia ( n = 1), South Africa ( n = 1), United Kingdom ( n = 1) and the United States ( n = 4). About half of the studies were of cross‐sectional design ( n = 14) [ 32 , 33 , 35 , 36 , 39 , 40 , 41 , 43 , 46 , 47 , 48 , 50 , 51 , 52 ]; few studies used a qualitative design ( n = 3) [ 19 , 38 , 53 ]; and the designs of remaining six studies were cohort ( n = 3) [ 42 , 44 , 45 ], case–control ( n = 1) [ 34 ], prospective longitudinal ( n = 1) [ 49 ] and pre‐post quasi‐experimental ( n = 1) [ 37 ]. In the second focus area, the guidelines identified were developed for application in Australia ( n = 2), Canada ( n = 2), Ireland ( n = 1), United Kingdom ( n = 1) and the United States ( n = 1).…”

“…None of the papers reported on oral health knowledge, attitudes or practices of AOD clinicians. Of the 23 studies [ 19 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], 5 reported on their oral health knowledge [ 19 , 38 , 40 , 46 , 53 ]; 5 explored their oral health attitudes [ 19 , 35 , 40 , 46 , 53 ] and all reported on oral health practices [ 19 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ...…”

“…Eight studies reported the frequency of dental visits in the last year, which ranged between 18% and 57% [ 33 , 35 , 36 , 37 , 40 , 48 , 49 , 50 ]. However, one of these studies found that, of those having seen a dentist in the last year, only 10% attended for a routine dental check‐up [ 40 ].…”

“…Some studies reported on participants accessing dental services; however, the frequency of access in these studies was not clearly specified [ 38 , 39 , 42 , 43 , 47 , 53 ]. In the United States, Santella et al [ 49 ] reported that greater dental care utilisation was associated with being non‐Black, having insurance coverage and greater food security. The study by Van Hout and Hearne [ 53 ] identified that some participants applied toothpaste directly on the cavity or self‐treated dental plaque and stains to manage oral health issues, and employed other alternative management strategies for dental emergencies, such as self‐medicating to manage dental pain, consuming excess levels of AOD, and in some cases, attempting self‐extraction of the tooth.…”