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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Dental Anxiety and the Use of Oral Health Services Among People Attending Two HIV Primary Care Clinics in Miami</title><author><name sortKey="Singer, Richard" sort="Singer, Richard" uniqKey="Singer R" first="Richard" last="Singer">Richard Singer</name><affiliation><nlm:aff id="aff1">Nova Southeastern University, College of Dental Medicine, Department of Orthodontics, Fort Lauderdale-Davie, FL</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Cardenas, Gabriel" sort="Cardenas, Gabriel" uniqKey="Cardenas G" first="Gabriel" last="Cardenas">Gabriel Cardenas</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Xavier, Jessica" sort="Xavier, Jessica" uniqKey="Xavier J" first="Jessica" last="Xavier">Jessica Xavier</name><affiliation><nlm:aff id="aff3">Health Resources and Services Administration, HIV/AIDS Bureau, Division of Science Policy, Demonstration and Evaluation Branch, Special Projects of National Significance, Washington, DC</nlm:aff></affiliation></author><author><name sortKey="Jeanty, Yves" sort="Jeanty, Yves" uniqKey="Jeanty Y" first="Yves" last="Jeanty">Yves Jeanty</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Pereyra, Margaret" sort="Pereyra, Margaret" uniqKey="Pereyra M" first="Margaret" last="Pereyra">Margaret Pereyra</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Rodriguez, Allan" sort="Rodriguez, Allan" uniqKey="Rodriguez A" first="Allan" last="Rodriguez">Allan Rodriguez</name><affiliation><nlm:aff id="aff4">University of Miami, Miller School of Medicine, Division of Infectious Diseases, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Metsch, Lisa R" sort="Metsch, Lisa R" uniqKey="Metsch L" first="Lisa R." last="Metsch">Lisa R. Metsch</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22547875</idno><idno type="pmc">3314391</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314391</idno><idno type="RBID">PMC:3314391</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002542</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002542</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Dental Anxiety and the Use of Oral Health Services Among People Attending Two HIV Primary Care Clinics in Miami</title><author><name sortKey="Singer, Richard" sort="Singer, Richard" uniqKey="Singer R" first="Richard" last="Singer">Richard Singer</name><affiliation><nlm:aff id="aff1">Nova Southeastern University, College of Dental Medicine, Department of Orthodontics, Fort Lauderdale-Davie, FL</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Cardenas, Gabriel" sort="Cardenas, Gabriel" uniqKey="Cardenas G" first="Gabriel" last="Cardenas">Gabriel Cardenas</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Xavier, Jessica" sort="Xavier, Jessica" uniqKey="Xavier J" first="Jessica" last="Xavier">Jessica Xavier</name><affiliation><nlm:aff id="aff3">Health Resources and Services Administration, HIV/AIDS Bureau, Division of Science Policy, Demonstration and Evaluation Branch, Special Projects of National Significance, Washington, DC</nlm:aff></affiliation></author><author><name sortKey="Jeanty, Yves" sort="Jeanty, Yves" uniqKey="Jeanty Y" first="Yves" last="Jeanty">Yves Jeanty</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Pereyra, Margaret" sort="Pereyra, Margaret" uniqKey="Pereyra M" first="Margaret" last="Pereyra">Margaret Pereyra</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Rodriguez, Allan" sort="Rodriguez, Allan" uniqKey="Rodriguez A" first="Allan" last="Rodriguez">Allan Rodriguez</name><affiliation><nlm:aff id="aff4">University of Miami, Miller School of Medicine, Division of Infectious Diseases, Miami, FL</nlm:aff></affiliation></author><author><name sortKey="Metsch, Lisa R" sort="Metsch, Lisa R" uniqKey="Metsch L" first="Lisa R." last="Metsch">Lisa R. Metsch</name><affiliation><nlm:aff id="aff2">University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</nlm:aff></affiliation></author></analytic><series><title level="j">Public Health Reports</title><idno type="ISSN">0033-3549</idno><idno type="eISSN">1468-2877</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>We examined factors associated with dental anxiety among a sample of HIV primary care patients and investigated the independent association of dental anxiety with oral health care.</p></sec><sec><title>Methods</title><p>Cross-sectional data were collected in 2010 from 444 patients attending two HIV primary care clinics in Miami-Dade County, Florida. Corah Dental Anxiety Scores and use of oral health-care services were obtained from all HIV-positive patients in the survey.</p></sec><sec><title>Results</title><p>The prevalence of moderate to severe dental anxiety in this sample was 37.8%, while 7.9% of the sample was characterized with severe dental anxiety. The adjusted odds of having severe dental anxiety were 3.962 times greater for females than for males (95% confidence interval [CI] 1.688, 9.130). After controlling for age, ethnicity, gender, education, access to dental care, and HIV primary clinic experience, participants with severe dental anxiety had 69.3% lower adjusted odds of using oral health-care services within the past 12 months (vs. longer than 12 months ago) compared with participants with less-than-severe dental anxiety (adjusted odds ratio = 0.307, 95% CI 0.127, 0.742).</p></sec><sec><title>Conclusion</title><p>A sizable number of patients living with HIV have anxiety associated with obtaining needed dental care. Routine screening for dental anxiety and counseling to reduce dental anxiety are supported by this study as a means of addressing the impact of dental anxiety on the use of oral health services among HIV-positive individuals.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Public Health Rep</journal-id><journal-id journal-id-type="iso-abbrev">Public Health Rep</journal-id><journal-id journal-id-type="publisher-id">ASPH</journal-id><journal-title-group><journal-title>Public Health Reports</journal-title></journal-title-group><issn pub-type="ppub">0033-3549</issn><issn pub-type="epub">1468-2877</issn><publisher><publisher-name>Association of Schools of Public Health</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22547875</article-id><article-id pub-id-type="pmc">3314391</article-id><article-id pub-id-type="publisher-id">7_Singer</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Dental Anxiety and the Use of Oral Health Services Among People Attending Two HIV Primary Care Clinics in Miami</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Singer</surname><given-names>Richard</given-names></name><degrees>DMD, MS</degrees><xref ref-type="aff" rid="aff1">a</xref><xref ref-type="aff" rid="aff2">b</xref></contrib><contrib contrib-type="author"><name><surname>Cardenas</surname><given-names>Gabriel</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="aff2">b</xref></contrib><contrib contrib-type="author"><name><surname>Xavier</surname><given-names>Jessica</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="aff3">c</xref></contrib><contrib contrib-type="author"><name><surname>Jeanty</surname><given-names>Yves</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">b</xref></contrib><contrib contrib-type="author"><name><surname>Pereyra</surname><given-names>Margaret</given-names></name><degrees>DrPH</degrees><xref ref-type="aff" rid="aff2">b</xref></contrib><contrib contrib-type="author"><name><surname>Rodriguez</surname><given-names>Allan</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff4">d</xref></contrib><contrib contrib-type="author"><name><surname>Metsch</surname><given-names>Lisa R.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">b</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Nova Southeastern University, College of Dental Medicine, Department of Orthodontics, Fort Lauderdale-Davie, FL</aff><aff id="aff2"><label>b</label>University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, Miami, FL</aff><aff id="aff3"><label>c</label>Health Resources and Services Administration, HIV/AIDS Bureau, Division of Science Policy, Demonstration and Evaluation Branch, Special Projects of National Significance, Washington, DC</aff><aff id="aff4"><label>d</label>University of Miami, Miller School of Medicine, Division of Infectious Diseases, Miami, FL</aff><author-notes><corresp>Address correspondence to: Richard Singer, DMD, MS,
<addr-line>University of Miami, Miller School of Medicine, Department of Epidemiology and Public Health, 1120 NW 14th St., Miami, FL 33136</addr-line><fax>305-243-6436</fax><email>rsinger@med.miami.edu</email>.</corresp></author-notes><pub-date pub-type="ppub"><season>May-Jun</season><year>2012</year></pub-date><volume>127</volume><issue>Suppl 2</issue><fpage>36</fpage><lpage>44</lpage><permissions><copyright-statement>© 2012 Association of Schools of Public Health</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><sec><title>Objectives</title><p>We examined factors associated with dental anxiety among a sample of HIV primary care patients and investigated the independent association of dental anxiety with oral health care.</p></sec><sec><title>Methods</title><p>Cross-sectional data were collected in 2010 from 444 patients attending two HIV primary care clinics in Miami-Dade County, Florida. Corah Dental Anxiety Scores and use of oral health-care services were obtained from all HIV-positive patients in the survey.</p></sec><sec><title>Results</title><p>The prevalence of moderate to severe dental anxiety in this sample was 37.8%, while 7.9% of the sample was characterized with severe dental anxiety. The adjusted odds of having severe dental anxiety were 3.962 times greater for females than for males (95% confidence interval [CI] 1.688, 9.130). After controlling for age, ethnicity, gender, education, access to dental care, and HIV primary clinic experience, participants with severe dental anxiety had 69.3% lower adjusted odds of using oral health-care services within the past 12 months (vs. longer than 12 months ago) compared with participants with less-than-severe dental anxiety (adjusted odds ratio = 0.307, 95% CI 0.127, 0.742).</p></sec><sec><title>Conclusion</title><p>A sizable number of patients living with HIV have anxiety associated with obtaining needed dental care. Routine screening for dental anxiety and counseling to reduce dental anxiety are supported by this study as a means of addressing the impact of dental anxiety on the use of oral health services among HIV-positive individuals.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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