Impacts of health of users with HIV/AIDS in a specialized service

Jucá, Maria Augusta Cunha Lima; Silva, Luciano Bairros da; Silva, Ivisson Alexandre Pereira da; Queiroga, Danlyne Eduarda Ulisses De; Carvalho, Ana Márcia Agra Lemos de; Ferreira, Sônia Maria Soares

doi:10.1590/0034-7167-2018-0649

Cited by 3 publications

(2 citation statements)

References 29 publications

(46 reference statements)

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“…One emerging explanation for this association is interpersonal discrimination; however, scholarly work linking discriminatory experiences with oral health is still scant and fragmented. Based on previous reviews 16,25 we identified the publications summarized in Table 1 10,26–45 . All studies have addressed interpersonal discrimination, and only one study tested specific hypotheses based on an intersectional perspective.…”

Section: Existing Research Exploring Oppression and Oral Health Inequ...mentioning

confidence: 99%

“…Based on previous reviews 16,25 we identified the publications summarized in Table 1. 10,[26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] All studies have We argue, then, that the persistence of oral health inequities over time and across space has much to do with how we employ these categories in our scientific, clinical and policy endeavours. 30,46 Understanding oppression in its structural forms requires attention to how the social, political, commercial/corporate and behavioural determinants intersect and impact oral health outcomes.…”

Section: E Xis Ting Re S E Arch E Xploring Oppre Ss I On and Or Al He...mentioning

confidence: 99%

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Conceptualizing inequities and oppression in oral health research

Fleming

Bastos

Jamieson

et al. 2023

Comm Dent Oral Epid

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Major sociohistorical processes have profound effects on oral health, with impacts experienced through structural oppression manifested in policies and practices across the lifespan. Structural oppression drives oral health inequities and impacts population‐level oral health. In this global perspective paper, we challenge old assumptions about oral health inequities, address misleading conceptualizations in their description and operation and reframe oral health through the lens of intersecting systems of oppression. Furthermore, we emphasize the need for oral health researchers to explore causal pathways through which oppression harms oral health and engage in social science concepts to understand the root causes of oral health inequities fully. Finally, we call on policymakers, dental scholars and decision makers to consider health equity in all policies and to take a systems‐oriented approach to effectively address oral health inequities.

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Section: Existing Research Exploring Oppression and Oral Health Inequ...mentioning

confidence: 99%

Section: E Xis Ting Re S E Arch E Xploring Oppre Ss I On and Or Al He...mentioning

confidence: 99%

Conceptualizing inequities and oppression in oral health research

Fleming

Bastos

Jamieson

et al. 2023

Comm Dent Oral Epid

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Advancing racial equity in oral health (research): more of the same is not enough

Bastos

Constante

Celeste

et al. 2020

European J Oral Sciences

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By critically appraising the literature on the oral health effects of race-based oppression, this focus article makes four recommendations that may both facilitate more nuanced research on the topic and mitigate racial/ethnic inequities in (oral) health. The first is recognizing that science itself may perpetuate racial/ethnic injustice, such that adopting a 'neutral' position must be replaced with actively fostering anti-racist narratives. The second is to not imply that racial oppression is bad because it harms oral health. Rather, studies should help build a fairer world, wherein oral health inequities would not abound. The third recommendation is encouraging initiatives that understand systems of oppression as conjointly operating to shape oral health. The fourth and final recommendation is taking race-based oppression as a multilevel system that operates on three interrelated conceptual levelsintra-personal, inter-personal, and structural. The extent to which scholars, practitioners, and policymakers are willing to follow these recommendations may determine how successful attempts to eradicate (oral) health inequities might be. Learning from, and avoiding mistakes made in, previous publications is one ethical pathway towards this end.

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Clinical Assessment and Management in Improving the Quality of Life of HIV/AIDS Patients with Oral Candidiasis: A Case Series

Novianti,

Sufiawati

2023

HIV

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Introduction: Oral candidiasis is the most prevalent opportunistic infection in patients with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS), impacting their quality of life. This report aims to emphasize the importance of clinical assessment and management of HIV/AIDS patients with oral candidiasis to improve their quality of life. Case: Five male patients, aged between 32 and 71 years, came to the HIV clinic and complained of white plaques in their mouths and painful swallowing. The World Health Organization's (WHO) clinical staging of all patients was 4. Three patients had not yet received antiretroviral therapy (ART), and their total lymphocyte counts (TLC) of <1.170 cells/mm 3 . Two patients had dropped out of ART with CD4 counts were <40 cells/mm 3 . The body mass index of two patients was underweight, while the others were normal. The oral hygiene index simplified (OHI-S) of the patients was fair to poor. The quality of life assessment using the oral health impact profile 14 (OHIP-14) questionnaires before therapy showed values from 6-20. Clinical examination defined the diagnosis as oral candidiasis, exfoliative cheilitis, oral hairy leukoplakia, and a cytomegalovirus-related ulcer. Case Management: The patients were treated with fluconazole, 0.2% chlorhexidine gluconate mouthwash, 2% miconazole cream, diphenhydramine, and multivitamins. The oral lesions were improved within 14 days to a month of treatment, and OHIP-14 scores were significantly reduced (0-3). Conclusion: Clinical assessment is important in managing HIV/AIDS patients with oral candidiasis, which improves the patient's quality of life. Therefore, routine clinical assessment and management of HIV/AIDS patients are strongly recommended.

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Impacts of health of users with HIV/AIDS in a specialized service

Cited by 3 publications

References 29 publications

Conceptualizing inequities and oppression in oral health research

Conceptualizing inequities and oppression in oral health research

Advancing racial equity in oral health (research): more of the same is not enough

Clinical Assessment and Management in Improving the Quality of Life of HIV/AIDS Patients with Oral Candidiasis: A Case Series

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