Oral Health-related Quality of Life in HIV: A Systematic Review

Muralidharan, Shrikanth; Mahendrakar, Sangeeta; Talekar, Abhinav L; Nara, Asha; Kanitkar, Aditi Aneesh; Kanitkar, Aneesh; Kulkarni, Dinraj

doi:10.5005/jp-journals-10024-2833

Cited by 8 publications

(16 citation statements)

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“…Independent of HIV status, mothers who perceived good oral health status were less likely whereas those who presented with gingival bleeding and dental caries experience were marginally more likely to report any oral impacts on daily performances (OIDP > 0). This confirms the clinical gradient in oral health related quality of life that has been observed across HIV positive and negative populations worldwide [ 10 , 11 , 14 , 50 , 51 ]. Although, as shown by previous studies [ 11 , 14 ], the disease burden in terms of the prevalence of gingival bleeding and caries experience were higher in HIV positive compared to negative mothers, this gradient was not reflected in their reported impacts on daily performances.…”

Section: Discussionsupporting

confidence: 82%

“…This confirms the clinical gradient in oral health related quality of life that has been observed across HIV positive and negative populations worldwide [ 10 , 11 , 14 , 50 , 51 ]. Although, as shown by previous studies [ 11 , 14 ], the disease burden in terms of the prevalence of gingival bleeding and caries experience were higher in HIV positive compared to negative mothers, this gradient was not reflected in their reported impacts on daily performances. This draws attention to the conceptual difference between clinical- and subjective indicators of oral health [ 8 ].…”

Section: Discussionsupporting

confidence: 82%

“…As shown in Table 2 , and in accordance with previous reports from sub-Saharan Africa [ 10 , 47 – 49 ], physical aspects in terms of difficulty with eating, speaking and sleeping were the impacts most frequently reported in both groups of mothers investigated. A recent review of HIV patients showed, accordingly that the most affected aspects of oral health related quality of life were problems with eating followed by social disability in terms of difficulty doing usual job and being irritated that were less important [ 11 ]. In contrast, HIV positive people and individuals belonging to other marginalized groups such as drug abusers living in different cultural contexts have emphasized social impacts of their oral diseases as most disabling [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, discriminant and construct validity were demonstrated in that the OIDP scores varied systematically in the expected direction with missing teeth and self-report indicators of oral health status, respectively [ 9 ]. This scale has also been used to assess the impact on oral health related quality of life of periodontal disease focusing pregnant women in Uganda [ 10 ].Oral health related quality of life has been assessed among people living with HIV [ 11 ]. Australian studies, conducted before and after the implementation of the mass scaleup of ART, have reported more social impacts of oral diseases in HIV positive adults compared to HIV negative peers [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies considering OHRQoL among adults living with HIV have most frequently been conducted in high-and middle-income countries without inclusion of a HIV negative control group [ 11 , 13 , 15 , 17 , 20 , 24 – 26 ]. Few studies have evaluated impacts of HIV status on OHRQoL in the context of clinical and socio-behavioural factors of adult populations living in sub-Saharan African cultural contexts.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence and socio-behavioural and clinical covariates of oral health related quality of life in Ugandan mothers with and without HIV-1

Birungi

Engebretsen

Tumwine

et al. 2021

Health Qual Life Outcomes

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Background There is limited evidence regarding oral health related quality of life of HIV positive populations in sub-Saharan Africa. Focusing HIV positive- and HIV negative Ugandan mothers, this study assessed the influence of HIV status on oral health related quality of life in terms of oral impacts on daily performances, whilst adjusting for clinical- and socio-behavioural factors. We also examined whether any association of clinical and socio-behavioural factors with oral impacts on daily performances vary according to mothers’ HIV status. Methods This cross-sectional study used data from a trial (n = 164) and a comparison group (n = 181). The trial comprised of mothers with HIV-1 participating in the ANRS 121741-PROMISE-PEP-trial (NCT00640263) conducted between 2009 and 2013 and from the ANRS 12341-PROMISE-PEP-M&S follow-up study conducted in 2017. The comparison group comprised of HIV negative mothers recruited in 2017. Interviews and clinical oral examinations were performed. The oral health related quality of life was assessed using the oral impacts on daily performances frequency scale. Caries experience and gingival bleeding were assessed using the World Health Organization’s Decayed, Missed and Filled teeth indices and community periodontal index. Logistic and negative binomial regression analyses were performed. Results 29% of HIV-1 positive and 32% among the comparison reported any oral impact on daily performance. In adjusted logistic regression analysis, HIV status was not significantly associated with oral impacts on daily performances. Mother’s self-reported oral health, caries experience, gingival bleeding and oral health related quality of life of their children were independently associated with oral impacts on daily performances. Corresponding prevalence ratios and 95% confidence intervals were: 0.3 (0.2–0.6), 1.8 (1.0–3.2), 1.1 (1.0–1.1), and 2.1 (1.1–4.3). No significant interaction between HIV status and covariates were observed. Conclusions Oral health related quality of life was substantially impaired in Ugandan mothers but did not discriminate between HIV positive and negative participants. Mothers with impaired oral health related quality of life were more likely to have dental caries and children with impaired oral health related quality of life. HIV positive and negative mothers in Uganda deserve special attention regarding their oral disease and quality of life status.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The prevalence and socio-behavioural and clinical covariates of oral health related quality of life in Ugandan mothers with and without HIV-1

Birungi

Engebretsen

Tumwine

et al. 2021

Health Qual Life Outcomes

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Dental care utilization in Massachusetts before and after initiation of medication for opioid use disorder: A cross‐sectional study of a state all‐payer claims database

Simon

Choudhary

Ticku

et al. 2021

J Public Health Dent

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Background Individuals with opioid use disorder (OUD) are at higher risk of poor oral health. Medication for opioid use disorder (MOUD) has been shown to improve outcomes for patients with OUD, but it is unknown how initiation of MOUD affects access to oral health services. Methods This was a retrospective analysis of all individuals in the Massachusetts All‐Payer Claims Database prescribed oral buprenorphine‐naloxone or injectable naltrexone from 2013 to 2016. We evaluated dental utilization in the year before and after beginning MOUD. A logistic regression predicting dental utilization was conducted. Results Among the 54,791 individuals, rates of dental utilization were low both before and after MOUD (10.5% and 10% with a dental visit, respectively). Of those who did not have a dental visit in the year before starting MOUD, 95.1% did not have a dental visit in the year after. Rates of various procedure types were comparable before and after MOUD. In a logistic regression, a prior dental visit was associated with 9.82 times the odds (95% CI 9.14–10.55) of having a dental visit after starting MOUD; increasing age, being prescribed naltrexone, having a mood disorder or HIV, year of initiation or being on Medicaid were also associated with having a dental visit. Male patients and those with Medicare or private insurance were less likely to have a dental visit. Conclusions Initiating MOUD did not substantially result in increased dental access or substantial changes in dental procedures received. Patients receiving treatment for OUD may require additional support to access dental care.

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Dental caries in HIV‐infected children and adolescents: A systematic review with meta‐analysis

et al. 2023

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This study aimed to evaluate and compare the risk of dental caries in between human immunodeficiency virus (HIV)‐infected and uninfected children and adolescents. An electronic search was performed on PubMed/MEDLINE, Web‐of‐Science, Scopus, LILACS, ProQuest, and ClinicalTrials.gov up to May 2022. The critical appraisal checklist developed by the Joanna Briggs Institute was used to evaluate the quality of the included studies. Meta‐analysis was performed using the RevMan 5.4. Sixteen studies were included. A total of 3231 participants were evaluated, including 1701 and 1530 HIV‐infected and uninfected children and adolescents, respectively. The meta‐analysis revealed a higher risk of dental caries for primary dentitions in HIV‐infected children and adolescents by decayed, missing, filled tooth (dmft) (SMD:0.34; p = 0.006) and decayed, missing, filled surface (dmfs) scores (SMD:0.37; p = 0.001). Similar results were observed for permanent dentition, with increased dental caries in HIV‐infected children and adolescents with DMFT (SMD:0.32; p = 0.003) and DMFS (SMD:1.78; p < 0.0001) scores. Regarding the quality assessment, most of the included studies were moderate or good quality. However, the certainty of the evidence of the outcomes was very low. This systematic review and meta‐analysis showed higher caries severity in permanent and deciduous teeth among HIV‐infected children and adolescents.

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Oral Health-related Quality of Life in HIV: A Systematic Review

Cited by 8 publications

References 0 publications

The prevalence and socio-behavioural and clinical covariates of oral health related quality of life in Ugandan mothers with and without HIV-1

The prevalence and socio-behavioural and clinical covariates of oral health related quality of life in Ugandan mothers with and without HIV-1

Dental care utilization in Massachusetts before and after initiation of medication for opioid use disorder: A cross‐sectional study of a state all‐payer claims database

Dental caries in HIV‐infected children and adolescents: A systematic review with meta‐analysis

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