Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran

Saravani, Shirin; Zehi, Tahereh Nosrat; Kadeh, Hamideh; Mir, Sarvar

doi:10.5812/ijhrba.29149

Cited by 9 publications

(16 citation statements)

References 35 publications

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“…Our data are according to a previous study that reported females have significant lower MCS score, but not PCS [ 31 ]. Our male patients presented significantly lower mean of missing teeth than the females, differing of the results reported by in an Iranian study [ 28 ].…”

Section: Discussioncontrasting

confidence: 99%

“…In Brazil, DMFT means of 16.9, 17.64 and 18.8 have been reported [ 25 – 27 ]. These differences in DMFT means can be attributed to hygienic behavioral, access to dental services and socioeconomic status [ 28 , 29 ]. A multivariate linear regression identified age ( P < 0.001) and depression ( P < 0.004) as good and independent predictors of DMFT, even after adjusting for mental health and comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…A multivariate linear regression identified age ( P < 0.001) and depression ( P < 0.004) as good and independent predictors of DMFT, even after adjusting for mental health and comorbidities. Correlation between age and the mean DMFT index have also been reported not only in HIV/AIDS patients [ 28 ], but also in non-HIV/AIDS patients [ 30 ]. Older age is associated with greater frequency of dental extraction due to caries, periodontal disease, and presence of comorbidities such as diabetes, hypertension or hyperlipidemia [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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Oral health and health-related quality of life in HIV patients

Vieira¹,

Lins²,

Sarmento³

et al. 2018

BMC Oral Health

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BackgroundOral health care may improve the health-related quality of life (HRQoL) of HIV/AIDS patients. We aimed to evaluate oral health and HRQoL of HIV/AIDS patients using antiretroviral therapy.MethodsA cross-sectional study included 120 HIV-infected patients, aged ≥18 years, from February, 2016 to September, 2017. The 36-Item Short Form Health Survey (SF-36) was used to evaluate the HRQoL. We assessed dental caries status using the Decayed, Missing and Filled Teeth (DMFT) index. Information about demographic, socioeconomic status, depression, and other comorbidities were collected. All patients with depression had a medical diagnosis. Comorbidities were defined as medical diagnoses of arterial hypertension, type-2 diabetes, tuberculosis, syphilis, cardiopathy, chronic renal failure, lymphoma, HCV infection, HBV infection and fatty liver disease. Independent t-tests were used to compare differences between mean levels of HRQoL, age, and DMFT and its components according to groups of sex, comorbidities and depression. Simple linear regression was used to analyze the relationship between the Mental Component Summary (MCS) and DMFT, and a multiple regression equation investigated depression, age, MCS, and comorbidities as predictors of DMFT.ResultsThe mean DMFT index was 12.4 ± 8.2. A linear regression equation estimated a significant (p = 0.022) decrease of 0.25 unit (%) in MCS for each unit increase in DMFT. Among depressed patients, a significant (p = 0.008) decrease of 0.67% in MCS for each unity increase in DMFT was estimated. Depressed patients showed worse oral health indicators (DFMT index; p ≤ 0.001; and mean Missing Teeth; p ≤ 0.052) and lower HRQoL domains than non-depressed patients. DMFT remained associated with depression (P < 0.005) after controlling for age, MCS, and comorbidities.ConclusionsWe found association between poorer oral health (higher DMFT index) and lower Mental Health Component Summary in HIV-infected patients with depression. Patients with depression deserve especial attention to their HRQoL and oral care.

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confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Oral health and health-related quality of life in HIV patients

Vieira¹,

Lins²,

Sarmento³

et al. 2018

BMC Oral Health

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“…Though the incidence of HIV-related oral lesions are known to have been reduced from 50% to 10% due to the use of Anti Retroviral Treatment (ART), several studies have shown an increase in the prevalence of dental diseases such as dental caries, periodontitis and tooth wear [6,7]. The Decayed, Missing, Filled Teeth (DMFT) index in PLWHIV ranges from 8.7 to 18.8, depending on the regional, cultural and demographic differences, along with oral health behaviors and preventive practices, nutrition and access to dental services [10].…”

Section: Introductionmentioning

confidence: 99%

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

Rodrigues¹,

Hegde

Hegde³

et al. 2021

BMC Oral Health

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Introduction People living with HIV (PLWHIV) have increased oral healthcare needs due to an increase in the prevalence of oral and dental diseases. Their oral health is influenced by psychosocial, behavioral and biologic factors. The aim of this study was to explore and obtain a deeper understanding of the oral health beliefs and behaviors of PLWHIV that could potentially affect their oral health. Methods We have used the Health Belief Model (HBM) and qualitative methods using in-depth interviews with 16 PLWHIV. Content analysis of the transcribed data was done. The data was grouped under the constructs of the HBM. Findings The perceived susceptibility to oral diseases and awareness on the importance of good oral health was low. Regular tooth brushing and traditional methods for oral hygiene maintenance were considered beneficial. Regular dental visits were not considered important. Psychosocial issues, time and financial constraints were the barriers. Participants believed that information on oral health should be provided by the health providers in hospitals and dental clinics. Conclusion The findings on the oral health beliefs and behaviors support the need for education on oral health and preventive healthcare practices among PLWHIV. Oral health promotion should include behavioral change as one of its components.

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“…In a study carried out to investigate the dental status of HIV-positive patients, the overall dental health was poor. Also, a correlation has been found between the age and duration of HIV involvement with the overall dental health status of the participants 10. Barriers that PLWH face in dental settings include complicated administrative work, long waiting times, unwillingness to provide treatment, difficulty to find treating dentists, and having previous psychological problems related to the dental experience 9.…”

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confidence: 98%

Human immunodeficiency virus related discrimination in general dentistry

Alshouibi

AlAlyani

2018

SMJ

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Objectives:To investigate HIV related discrimination among general dentists in Jeddah, Saudi Arabia; and to list factors affecting or causing healthcare providers to discriminate people living with HIV (PLWH).Methods:The current study takes place in Jeddah, western Saudi Arabia. The duration for accepting all responses was between March and November, 2017. In this cross-sectional study, we used a self-administered, structured questionnaire. The sample size was 430 general dentists practicing in Jeddah, Saudi Arabia. Descriptive statistics, mean, and standard deviation were calculated. Bivariate and multivariate analysis was carried out at p<0.05 level of significance. The Statistical Package for the Social Sciences (SPSS) version 22 (IBM Corp., Armonk, NY, USA) was used for data analysis.Results:In our study population, the total HIV related discrimination was 67.4%. Approximately 98.1% defer PLWH to the last appointment of the day, while 84.7% refer them to specialists. Furthermore,100% reported wearing double gloves, and 94.7% where wearing protective eye shields if they encounter HIV-patient in the clinic. Male participants were found to be 23% more likely to be discriminative compared to female participants, Moreover, participants who are confident to provide both surgical and non-surgical dental treatment for PLWH were found to be 52% less likely to be discriminative towards PLWH. Also, HIV discrimination is 33% higher in the private practice compared to the governmental practice.Conclusion:Human immunodeficiency virus related discrimination in the study population was affected by dentists’ gender, type of practice, and self-protective attitudes.

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Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran

Cited by 9 publications

References 35 publications

Oral health and health-related quality of life in HIV patients

Oral health and health-related quality of life in HIV patients

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

Human immunodeficiency virus related discrimination in general dentistry

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