Dental care access and use among HIV-infected women.
Identifieur interne : 001048 ( Pmc/Curation ); précédent : 001047; suivant : 001049Dental care access and use among HIV-infected women.
Auteurs : C H Shiboski ; H. Palacio ; J M Neuhaus ; R M GreenblattSource :
- American Journal of Public Health [ 0090-0036 ] ; 1999.
Abstract
OBJECTIVES: This study sought to identify predictors of dental care use in HIV-infected women. METHODS: In a cross-sectional survey of HIV-infected women enrolled in the northern California site of the Women's Interagency HIV Study, dental care use and unmet need were assessed in relation to selected variables. RESULTS: Among 213 respondents, who were predominantly Black and younger than 45 years, 43% had not seen a dentist and 53% (among dentate women) reported no dental cleaning in more than a year (although 67% had dental insurance coverage, mainly state Medicaid). Nine percent were edentulous. Among nonusers of dental care, 78% reported that they wanted care but failed to get it. Barriers included fear of and discomfort with dentists, not getting around to making an appointment, and not knowing which dentist to visit. Multivariate analysis showed that lack of past-year dental care was associated mainly with unemployment, a perception of poor oral health, and edentulism. CONCLUSIONS: HIV-positive women appear to be underusing dental care services. Fear and lack of information regarding available resources, in addition to unemployment and perception of poor oral health, may be important barriers.
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PubMed: 10358671
PubMed Central: 1508645
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Dental care access and use among HIV-infected women.</title><author><name sortKey="Shiboski, C H" sort="Shiboski, C H" uniqKey="Shiboski C" first="C H" last="Shiboski">C H Shiboski</name></author><author><name sortKey="Palacio, H" sort="Palacio, H" uniqKey="Palacio H" first="H" last="Palacio">H. Palacio</name></author><author><name sortKey="Neuhaus, J M" sort="Neuhaus, J M" uniqKey="Neuhaus J" first="J M" last="Neuhaus">J M Neuhaus</name></author><author><name sortKey="Greenblatt, R M" sort="Greenblatt, R M" uniqKey="Greenblatt R" first="R M" last="Greenblatt">R M Greenblatt</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">10358671</idno><idno type="pmc">1508645</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1508645</idno><idno type="RBID">PMC:1508645</idno><date when="1999">1999</date><idno type="wicri:Area/Pmc/Corpus">001048</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001048</idno><idno type="wicri:Area/Pmc/Curation">001048</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001048</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Dental care access and use among HIV-infected women.</title><author><name sortKey="Shiboski, C H" sort="Shiboski, C H" uniqKey="Shiboski C" first="C H" last="Shiboski">C H Shiboski</name></author><author><name sortKey="Palacio, H" sort="Palacio, H" uniqKey="Palacio H" first="H" last="Palacio">H. Palacio</name></author><author><name sortKey="Neuhaus, J M" sort="Neuhaus, J M" uniqKey="Neuhaus J" first="J M" last="Neuhaus">J M Neuhaus</name></author><author><name sortKey="Greenblatt, R M" sort="Greenblatt, R M" uniqKey="Greenblatt R" first="R M" last="Greenblatt">R M Greenblatt</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="1999">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>OBJECTIVES: This study sought to identify predictors of dental care use in HIV-infected women. METHODS: In a cross-sectional survey of HIV-infected women enrolled in the northern California site of the Women's Interagency HIV Study, dental care use and unmet need were assessed in relation to selected variables. RESULTS: Among 213 respondents, who were predominantly Black and younger than 45 years, 43% had not seen a dentist and 53% (among dentate women) reported no dental cleaning in more than a year (although 67% had dental insurance coverage, mainly state Medicaid). Nine percent were edentulous. Among nonusers of dental care, 78% reported that they wanted care but failed to get it. Barriers included fear of and discomfort with dentists, not getting around to making an appointment, and not knowing which dentist to visit. Multivariate analysis showed that lack of past-year dental care was associated mainly with unemployment, a perception of poor oral health, and edentulism. CONCLUSIONS: HIV-positive women appear to be underusing dental care services. Fear and lack of information regarding available resources, in addition to unemployment and perception of poor oral health, may be important barriers.</p></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">Am J Public Health</journal-id><journal-title>American Journal of Public Health</journal-title><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn></journal-meta><article-meta><article-id pub-id-type="pmid">10358671</article-id><article-id pub-id-type="pmc">1508645</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Dental care access and use among HIV-infected women.</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Shiboski</surname><given-names>C H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Palacio</surname><given-names>H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Neuhaus</surname><given-names>J M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Greenblatt</surname><given-names>R M</given-names></name></contrib></contrib-group><aff>Department of Stomatology, University of California, San Francisco 94143-0422, USA. caro@nanook.ucsf.edu</aff><pub-date pub-type="ppub"><month>6</month><year>1999</year></pub-date><volume>89</volume><issue>6</issue><fpage>834</fpage><lpage>839</lpage><abstract><p>OBJECTIVES: This study sought to identify predictors of dental care use in HIV-infected women. METHODS: In a cross-sectional survey of HIV-infected women enrolled in the northern California site of the Women's Interagency HIV Study, dental care use and unmet need were assessed in relation to selected variables. RESULTS: Among 213 respondents, who were predominantly Black and younger than 45 years, 43% had not seen a dentist and 53% (among dentate women) reported no dental cleaning in more than a year (although 67% had dental insurance coverage, mainly state Medicaid). Nine percent were edentulous. Among nonusers of dental care, 78% reported that they wanted care but failed to get it. Barriers included fear of and discomfort with dentists, not getting around to making an appointment, and not knowing which dentist to visit. Multivariate analysis showed that lack of past-year dental care was associated mainly with unemployment, a perception of poor oral health, and edentulism. CONCLUSIONS: HIV-positive women appear to be underusing dental care services. Fear and lack of information regarding available resources, in addition to unemployment and perception of poor oral health, may be important barriers.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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