Correlation of HIV-infection and HIV/HCV Co-infection with Oral Health Status of Inner-City Sub-population in Saskatchewan, Canada

Jessani, Abbas; Hsin-Fang,; Phillips, Gill; Levac, Cameron; Choi, Jonghm; Bednarsh, Helene

doi:10.1353/hpu.2021.0172

Cited by 3 publications

(2 citation statements)

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“…Additionally, 2SLGBTQ+ people are particularly at risk for HIV infection ( HIV.gov 2022 ). Jessani et al (2021) found that injection drug use and HIV infection were significantly associated with decayed teeth and that the odds of having decayed, missing, and filled teeth were twice as high for people living with HIV and hepatitis C virus (HCV) ( Jessani et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of Oral Health Outcomes and Oral Health Service Utilization of 2SLGBTQ+ People

Fakhrjahani,

Tiwari,

Jessani

2023

JDR Clinical & Translational Research

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Background: Oral health is an integral aspect of overall well-being and quality of life. Population groups such as two-spirit, lesbian, gay, bisexual, transgender, and queer, including other sexual and gender minorities (2SLGBTQ+), have reported poor oral health outcomes. Therefore, the aim of this review was to investigate the extent and scope of the literature describing 2SLGBTQ+ oral health outcomes, including unmet oral health needs and patterns of oral health care service utilization, as well as the risk factors affecting both. Methods: A comprehensive search strategy was developed to review the scope of the literature pertinent to unmet oral health needs and factors affecting access to oral health care among 2SLGBTQ+ members, globally. In total, 6 databases were searched with a combination of keywords relevant to 2SLGBTQ+ oral health status and oral health care utilization. Results: Our review identified 10 studies that met the eligibility criteria. Five out of 10 studies were based in India, 4 in the United States, and 1 in Brazil. Two studies reported poorer oral health outcomes among transgender people as compared with cisgender people, while 2 studies reported similar patterns of dental service utilization between their transgender and cisgender participants. Five studies explored the personal and structural risk factors associated with poor oral health outcomes, including financial affordability and income level and perceived discrimination, including instances of misgendering in health care settings. However, further comprehensive studies must be conducted to validate the trends and findings reported by the studies in the review and to generate data from diverse regional contexts. Conclusions: Our review identified that the extent of the literature in this research area is sparse and scarce. The evidence indicates poorer oral health status among 2SLGBTQ+ communities. Wider studies with diverse, representative samples are required to gain a comprehensive understanding of 2SLGBTQ+ oral health outcomes. Knowledge Transfer Statement: The results of this review will undoubtedly be important for many years to come as 2SLGBTQ+ oral health equity is prioritized by experts in public health dentistry. This review will allow other researchers to understand and fill literature gaps regarding 2SLGBTQ+ oral health outcomes, furthering this area of research.

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Section: Introductionmentioning

confidence: 99%

A Scoping Review of Oral Health Outcomes and Oral Health Service Utilization of 2SLGBTQ+ People

Fakhrjahani,

Tiwari,

Jessani

2023

JDR Clinical & Translational Research

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“…The prevalence of local endemic conditions such as HIV infection, along with the experience of HIV-related stigma was also re ected on by the learners. Given that people living with HIV are often stigmatized by their oral health providers and often face high unmet oral healthcare need, it is important to expose learners to vulnerable populations as it provides an opportunity to understand the bene ts associated with diminishing misconceptions about conditions such as HIV and provide culturally safe care(Vitsupakorn et al, 2023;Donnelly et al, 2016;Jessani et al, 2019;Jessani et al, 2021; Shah et al, 2014).The exposure to global oral health disparities garnered numerous a rmations by the learners, with many re ecting on their motivation and dedication to engage in future outreach initiatives after graduation. Previous studies have revealed that CSL-whether in a local or global context-exempli es an approach that greatly improve learners' awareness to community oral health needs, positively impacting their attitude towards community service and willingness to provide care to underserved populations as part of the community service(Coe et al, 2015;Bahammam & Bahammam, 2023;Anand et al, 2017;Volvovsky et al, 2014).…”

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confidence: 99%

“A life-changing experience and the beginning of a lifelong commitment”: Experiences and Impact of Global Health Community Service-Learning in Undergraduate Dental Curriculum

Jessani,

Athanasakos,

Kachwinya

2024

Preprint

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Background Global health community-service learning (GHCSL) can have a profound professional and personal impact on learners. This pedagogy provides understanding of unfamiliar environments and challenges them to step out of their comfort zones, adapt to new cultures, and navigate unique situations. Yet, there are relatively few qualitative studies exploring the experiences of learners participating in community service-learning placements in global regions. This current investigation aimed to explore the experiences and impact of the GHCSL program in East Africa among undergraduate dental students at Schulich Dentistry.Methods Eight undergraduate dental learners were enrolled in GHCSL pilot placements. Placement agreements were established with Makerere University in Kampala, Uganda, and the University of Rwanda in Kigali, Rwanda for the summer of 2022. The stakeholders from both institutions were engaged in the development and implementation of these placements. The learners were encouraged to engage in weekly reflection through a ‘storytelling and incident-based narrative’ while carrying out their placement. An inductive interpretive approach was utilized to thematically analyze the learners’ reflective essays.Results Five major themes emerged from the learners’ reflective essays: (1) experiential clinical learning; (2) enhanced cultural and social integration; (3) awareness of contrasting healthcare systems; (4) commitment to service; and (5) personal and professional growth. Most learners reflected on their engagement with diverse communities, being exposed to unique patient cases, and witnessing the adaptability exuded in resource-constrained environments. These experiences presented the learners with an opportunity to develop cultural competence and gain a newfound motivation and dedication to mitigate global oral health disparities in populations beyond that of their local communities. Learners also reflected on enhanced social integration experiences and the awareness of contrasting healthcare systems in Canada and their placements, which encouraged the development of empathy, communication, and compassion skills, as well as an understanding of the disproportionate burden of conditions in resource-constrained communities.Conclusion The reflective essays concluded that the GHCSL placements had a positive impact on the learners, encouraging many to develop a heightened desire for lifelong learning to address oral health disparities within a global context.

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“A life-changing experience and the beginning of a lifelong commitment”: experiences and impact of Global Health Community Service-Learning in undergraduate dental curriculum in Canada

Jessani,

Athanasakos,

Kachwinya

2024

BMC Oral Health

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Background Global Health Community Service-Learning (GHCSL) can have a profound professional and personal impact on learners. This pedagogy provides understanding of unfamiliar environments and challenges learners to step out of their comfort zones, adapt to new cultures, and navigate unique situations. Yet, there are relatively few studies exploring the experiences of learners participating in community service-learning placements in global regions as part of undergraduate dental curriculum. This study aimed to explore the experiences and impact of the GHCSL program in East Africa among undergraduate dental learners at the Schulich School of Dentistry. Methods Eight undergraduate dental learners were enrolled in GHCSL pilot placements. Placement agreements were established with Makerere University in Kampala, Uganda, and the University of Rwanda in Kigali, Rwanda for the summer of 2022. Stakeholders from both institutions were engaged in the development and implementation of these placements. Learners were required to engage in weekly reflection through a ‘storytelling and incident-based narrative’ while carrying out their placement. A qualitative study design was employed, and an inductive interpretive approach was utilized to thematically analyze the learners’ reflective essays. Results Five major themes emerged from the learners’ reflective essays: (1) experiential clinical learning; (2) cultural humility and social awareness; (3) awareness of contrasting healthcare systems; (4) commitment to service; and (5) personal and professional growth. Most learners reflected on their engagement with diverse communities, being exposed to unique patient cases, and witnessing the adaptability exuded in resource-constrained environments. These experiences presented the learners with an opportunity to develop cultural humility and gain a newfound motivation to mitigate global oral health disparities in populations beyond that of their local communities. Learners also reflected on enhanced social awareness experiences and the awareness of contrasting healthcare systems in Canada and their placements, which encouraged the development of empathy, communication, and compassion skills, as well as an understanding of the disproportionate burden of conditions in low-resource settings. Conclusion The reflective essays concluded that the GHCSL placements had a positive impact on the learners, encouraging many to develop a heightened desire for lifelong learning to address oral health disparities within a global context.

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Correlation of HIV-infection and HIV/HCV Co-infection with Oral Health Status of Inner-City Sub-population in Saskatchewan, Canada

Cited by 3 publications

References 0 publications

A Scoping Review of Oral Health Outcomes and Oral Health Service Utilization of 2SLGBTQ+ People

A Scoping Review of Oral Health Outcomes and Oral Health Service Utilization of 2SLGBTQ+ People

“A life-changing experience and the beginning of a lifelong commitment”: Experiences and Impact of Global Health Community Service-Learning in Undergraduate Dental Curriculum

“A life-changing experience and the beginning of a lifelong commitment”: experiences and impact of Global Health Community Service-Learning in undergraduate dental curriculum in Canada

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