Factors associated with preventive dental care‐seeking behavior among people living with HIV

Tobias, Carol; Lemay, Celeste A.; Jeanty, Yves; Umez-Eronini, Amarachi A.; Reznik, David

doi:10.1111/j.1752-7325.2011.00284.x

Cited by 4 publications

(4 citation statements)

References 20 publications

(42 reference statements)

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“…The sociodemographic variables were able to identify the PLWHA with bad oral health conditions where respondents who had links to employment, more than 9 years of schooling, and were of younger age, were less likely to have high levels of DMFT. This is also observed in studies of the general population, in which the socioeconomic status is a determining factor in health with improved access to information and demand for a healthier life …”

Section: Discussionmentioning

confidence: 62%

“…This is also observed in studies of the general population, in which the socioeconomic status is a determining factor in health with improved access to information and demand for a healthier life. [23][24][25] The abandonment of antiretroviral therapy for reasons of discouragement, not accepting the disease, use of drugs and alcohol, were also risk factors for decayed and missing teeth. One explanation for this is that with nonadherence to treatment, the viral load increases and CD4 cells decrease, which causes the decrease of immunity, which appear as a result of opportunistic diseases, including oral disorders.…”

Section: Discussionmentioning

confidence: 99%

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Oral health status of people living with HIV/AIDS attending a specialized service in Brazil

Soares

Garbín

Moimaz

et al. 2013

Special Care in Dentistry

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Oral health status of people living with HIV/AIDS attending a specialized service in Brazil

Soares

Garbín

Moimaz

et al. 2013

Special Care in Dentistry

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“…According to a 2016 HIV surveillance report, there has been an increase in the national diagnosis rate of HIV in Canada from 5.8 per 100,000 people in 2015 to 6.4 per 100,000 people, which is the highest number of cases reported since 2009 . The introduction of highly active antiretroviral drugs (HAART) has positively impacted PLHIV, who are now living as long as the general population . Although antiretroviral drugs substantially reduced oral manifestations of HIV, PLHIV still experience oral diseases that negatively impact their oral‐health‐related quality‐of‐life .…”

Section: Introductionmentioning

confidence: 99%

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada

Jessani

Aleksejūnienė

Donnelly

et al. 2019

J Public Health Dent

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Objectives To identify the predisposing, enabling, and need factors of the Andersen and Newman (A&N) model and their associations with the pattern of dental service utilization in a sample of people living with HIV (PLHIV) in British Columbia. Methods Participants responded anonymously to a 40‐item online questionnaire to explore the patterns of dental service utilization. Following the descriptive statistics, the associations between A&N model factors and main outcome variables (having a dental visit in the last year and reasons for the dental visit) were evaluated using simple and multiple logistic regression analyses. Results Out of 600 potential PLHIV participants, 210 responded to the survey and 186 met the inclusion criteria. The experience of being discriminated against by dental professionals (P = 0.005), having dental anxiety (P < 0.001), not having dental insurance (P = 0.001), and having living condition difficulties (P = 0.004) were significantly associated with nonemergency dental visits. In multiple logistic regression analysis, dental anxiety (OR = 0.1; 95 percent CI 0.0; 0.4), having a regular dentist (OR = 3.7; 95 percent CI 1.1; 12.6), and visiting a dental office in the last year (OR = 21.6; 95 percent CI 6.1; 76.5) were the strongest predictors of dental service utilization in this study. Conclusions Several predisposing, enabling, and need factors from the A&N model were associated with dental service utilization by PLHIV. In addition to various psychosocial barriers, a significant number of respondents reported experiencing stigma and discrimination from their oral care providers.

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“…This is in contrast to other conditions that are often stigmatised in society, like HIV infection or mental health disorders, which are often hidden unless they are openly recognized. HIV stigma is a result of negative attitudes and beliefs towards people living with HIV [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Shining a Spotlight on Stigma: Exploring Its Impact on Oral Health-Seeking Behaviours Through the Lenses of Patients and Caregivers

Zain Ul Abideen,

Ali Bushara,

Nadeem Baig

et al. 2024

Cureus

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Introduction The unique nature of a lack of good oral health, coupled with the lack of discussion and recognition surrounding the associated stigma, highlights it as a distinct issue. This stigma causes discomfort, devalues individuals, and necessitates urgent care and intervention. In Pakistan, a variety of reasons, including cultural beliefs, socioeconomic gaps, and poor access to dental care services, tend to exacerbate the stigma that is associated with dental care. This study aimed to determine the impact of stigma on oral health-seeking behaviours amongst the population of South Punjab in Pakistan. Methodology The study employed a qualitative design with a phenomenological approach, and the data collection was preceded by the administration of semi-structured interview guides and discussion guides to the patients and the consultant group, respectively. The targeted population was composed of patients who had reported stigmatization and a focus group of 10 dental consultants from various specialisations in dentistry. Data was collected until saturation from 16 patients who were recruited through the purposive convenience sampling technique. Results The study identified three themes, including perceived stigma impact on health-seeking behaviours and coping mechanisms; 10 subthemes emerged. Results showed social attitudes and unhealthy perceptions of oral conditions that lead to shame, loss of self-esteem, and lack of confidence among affected individuals. Behavioural reactions like mockery and discrimination further made it difficult for the participants who sought dental care and treatment. The study highlighted that stigma resulted in the avoidance of dental care, deterioration of oral health, and a tendency towards self-medication. People also used coping strategies such as hiding dental issues by avoiding social gatherings and seeking help from close friends to manage oral health stigma. Dental consultants had the strong opinion that care quality could be enhanced by utilising compassionate communication and patient education campaigns. Conclusions The experiences of patients and consultants related to dental stigma highlighted the complex interplay of sociocultural norms and healthcare practices. The study demonstrated that perceived stigma impacted the health-seeking behaviours of patients. Social support and education about oral health helped patients overcome this stigma. The study revealed that patients avoided dental treatments due to stigmatised behaviour from health professionals, a lack of affordability, and a feeling of shame to show and discuss the condition of their teeth, which got even worse due to self-remedy. The experiences of patients and consultants highlighted the need for increased advocacy, educational campaigns, and policies that can reduce inequalities in oral health and improve health equity. The study recommends specific intervention strategies and policy formulation to address oral health inequali...

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Factors associated with preventive dental care‐seeking behavior among people living with HIV

Abstract: Many HIV-positive adults may seek preventive care when it is offered at no cost. Interventions that address unmet needs and target individuals who are not taking HIV medications or have poorer oral health may improve preventive practices.

Cited by 4 publications

References 20 publications

Oral health status of people living with HIV/AIDS attending a specialized service in Brazil

Oral health status of people living with HIV/AIDS attending a specialized service in Brazil

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada

Shining a Spotlight on Stigma: Exploring Its Impact on Oral Health-Seeking Behaviours Through the Lenses of Patients and Caregivers

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