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

Abstract

Objective: to understand the perception of users of a Specialized Care Service (SAE- Serviço de Assistência Especializada) in HIV/AIDS about their oral health. Method: qualitative research that used the techniques of participant observation and focal group. For the analysis of the material produced, categories of analysis, construction of dialogical map and identification of linguistic repertoires were used. Results: impacts arising from oral health problems such as: inability to eat properly, feeling ashamed due to tooth loss, inability to perform physical exercises and, as the main barrier to access to dental treatment, fear of exposure to practices of discrimination and prejudice. Final considerations: we need the implementation of policies of Permanent Education to all professionals involved in the care for this population, to ensure users’ rights, ensure qualified care, and create security and trust relationships with individuals living with HIV/AIDS, in access to services.

Conceptualizing inequities and oppression in oral health research

“…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.…”

“…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.…”

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

“…Oral candidiasis interferes negatively with the quality of life (QoL) of people living with HIV/AIDS. [18][19][20]61,62…”

“…One commonly used tool is the Oral Health Impact Profile 14 (OHIP-14). [17][18][19][20][21][22] The 14 questions were grouped into seven functional domains: limitations, physical pain, psychological discomfort, physical disabilities, psychological disabilities, social disabilities, and handicaps, and were analyzed for each domain. The answer options for each item were: hardly ever, very often, fairly often, sometimes, and never/ do not know, and were coded as 4, 3, 2, 1, and 0.…”

“…17 The maximum calculated score is 56, with a good category of 0-18, a moderate category of 19-37, and a poor category of 38-56. 18 Clinical assessment of HIV/AIDS patients could prevent fatal complications of oral candidiasis. 24 Therefore, a comprehensive clinical assessment must be done early and routinely.…”