Oral health–related quality of life and unmet dental needs among women living with HIV

Carrigan L. Parish; Daniel J. Feaster; Margaret R. Pereyra; Maria L. Alcaide; Kathleen M. Weber; Mardge Cohen; Susanna Levin; Deborah Gustafson; Daniel Merenstein; Bradley E. Aouizerat; Jessica Donohue; Jennifer Webster-Cyriaque; Gina Wingood; Mirjam Colette Kempf; Lisa R. Metsch

doi:10.1016/j.adaj.2020.04.013

Oral health–related quality of life and unmet dental needs among women living with HIV

Carrigan L. Parish, Daniel J. Feaster, Margaret R. Pereyra, Maria L. Alcaide, Kathleen M. Weber, Mardge Cohen, Susanna Levin, Deborah Gustafson, Daniel Merenstein, Bradley E. Aouizerat, Jessica Donohue, Jennifer Webster-Cyriaque, Gina Wingood, Mirjam Colette Kempf, Lisa R. Metsch

Mailman School of Public Health

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Background: Oral health–related quality of life (OHRQoL) is a multidimensional, perception-based measure of how oral health affects social and physical functioning and self-image. OHRQoL is important for assessing women living with HIV (WLWH) who may have unmet dental needs and experience disparities that impact dental care accessibility. Methods: In 2016, the authors conducted an assessment of OHRQoL among a national sample of 1,526 WLWH in the Women's Interagency HIV Study using the Oral Health Impact Profile instrument, which assesses the frequency of 14 oral health impact items. OHRQoL was measured using multivariable linear regression with a negative binomial distribution to assess the association between report of a recent unmet dental need and OHRQoL. Results: “Fair or poor” oral health condition was reported by 37.8% (n = 576) of WLWH. Multivariable linear regression showed that unmet dental needs had the strongest positive association with poor OHRQoL (difference in Oral Health Impact Profile mean, 2.675; P <.001) compared with not having unmet needs. The frequency of dental care utilization was not associated with higher OHRQoL. Older age, fair or poor dental condition, smoking, symptoms of anxiety and loneliness, and poor OHRQoL were also associated with worse OHRQoL. Conclusion: Self-perceived impact of oral health on social and physical function and self-image, as measured by OHRQoL, may be an easily assessable but underrecognized aspect of OHRQoL, particularly among women aging with HIV. Practical Implications: Dentists should implement OHRQoL assessments in their management of the care of patients with HIV to identify those who do have significant oral health impacts.

Original language	English
Pages (from-to)	527-535
Number of pages	9
Journal	Journal of the American Dental Association
Volume	151
Issue number	7
DOIs	https://doi.org/10.1016/j.adaj.2020.04.013
Publication status	Published - Jul 2020

Bibliographical note

Publisher Copyright:
© 2020 American Dental Association

Funding

Data presented in this article were collected by the Women's Interagency HIV Study (WIHS). The contents of this publication are solely the responsibility of the authors and do not represent the official views of the National Institutes of Health. WIHS (principal investigators) are as follows: University of Alabama-Birmingham–Mississippi WIHS (Mirjam-Colette Kempf and Deborah Konkle-Parker), grant U01-AI-103401; Atlanta WIHS (Ighovwerha Ofotokun, Anandi Sheth, and Gina Wingood), grant U01-AI-103408; Bronx WIHS (Kathryn Anastos and Anjali Sharma), grant U01-AI-035004; Brooklyn WIHS (Deborah Gustafson and Tracey Wilson), grant U01-AI-031834; Chicago WIHS (Mardge Cohen and Audrey French), grant U01-AI-034993; Metropolitan Washington, DC WIHS (Seble Kassaye and Daniel Merenstein), grant U01-AI-034994; Miami WIHS (Maria Alcaide, Margaret Fischl, and Deborah Jones), grant U01-AI-103397; University of North Carolina WIHS (Adaora Adimora), grant U01-AI-103390; Connie Wofsy Women's HIV Study, Northern California (Bradley Aouizerat and Phyllis Tien), grant U01-AI-034989; WIHS Data Management and Analysis Center (Stephen Gange and Elizabeth Golub), grant U01-AI-042590; and Southern California WIHS (Joel Milam), grant U01-HD-032632 (WIHS I through WIHS IV). The WIHS is funded primarily by the National Institute of Allergy and Infectious Diseases, with additional co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Cancer Institute, the National Institute on Drug Abuse, and the National Institute on Mental Health. Targeted supplemental funding for specific projects is also provided by the National Institute of Dental and Craniofacial Research, the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Deafness and other Communication Disorders, and the National Institutes of Health Office of Research on Women's Health. WIHS data collection is also supported by grant UL1-TR000004 (University of California San Francisco Clinical and Translational Translational Science Award), grant P30-AI-050409 (Atlanta Center for AIDS Research [CFAR]), grant P30-AI-050410 (University of North Caroline CFAR), and grant P30-AI-027767 (University of Alabama CFAR). Data presented in this article were collected by the Women’s Interagency HIV Study (WIHS). The contents of this publication are solely the responsibility of the authors and do not represent the official views of the National Institutes of Health. WIHS (principal investigators) are as follows: University of Alabama-Birmingham–Mississippi WIHS (Mirjam-Colette Kempf and Deborah Konkle-Parker), grant U01-AI-103401; Atlanta WIHS (Ighovwerha Ofotokun, Anandi Sheth, and Gina Wingood), grant U01-AI-103408; Bronx WIHS (Kathryn Anastos and Anjali Sharma), grant U01-AI-035004; Brooklyn WIHS (Deborah Gustafson and Tracey Wilson), grant U01-AI-031834; Chicago WIHS (Mardge Cohen and Audrey French), grant U01-AI-034993; Metropolitan Washington, DC WIHS (Seble Kassaye and Daniel Merenstein), grant U01-AI-034994; Miami WIHS (Maria Alcaide, Margaret Fischl, and Deborah Jones), grant U01-AI-103397; University of North Carolina WIHS (Adaora Adimora), grant U01-AI-103390; Connie Wofsy Women’s HIV Study, Northern California (Bradley Aouizerat and Phyllis Tien), grant U01-AI-034989; WIHS Data Management and Analysis Center (Stephen Gange and Elizabeth Golub), grant U01-AI-042590; and Southern California WIHS (Joel Milam), grant U01-HD-032632 (WIHS I through WIHS IV). The WIHS is funded primarily by the National Institute of Allergy and Infectious Diseases, with additional co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Cancer Institute, the National Institute on Drug Abuse, and the National Institute on Mental Health. Targeted supplemental funding for specific projects is also provided by the National Institute of Dental and Craniofacial Research, the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Deafness and other Communication Disorders, and the National Institutes of Health Office of Research on Women’s Health. WIHS data collection is also supported by grant UL1-TR000004 (University of California San Francisco Clinical and Translational Translational Science Award), grant P30-AI-050409 (Atlanta Center for AIDS Research [CFAR]), grant P30-AI-050410 (University of North Caroline CFAR), and grant P30-AI-027767 (University of Alabama CFAR).

Funders	Funder number
Adaora Adimora	U01-AI-103390, U01-AI-034989
Atlanta Center for AIDS Research
Atlanta WIHS	U01-AI-103408, U01-AI-031834, U01-AI-034993, U01-AI-035004
DC WIHS	U01-AI-034994
Metropolitan Washington
Miami WIHS	U01-AI-103397
National Institutes of Health Office of Research on Women's Health
National Institutes of Health Office of Research on Women’s Health	UL1-TR000004, P30-AI-050409
Southern California WIHS	U01-HD-032632
University of Alabama CFAR
WIHS	U01-AI-103401
WIHS Data Management and Analysis Center	U01-AI-042590
National Institutes of Health
National Institute of Mental Health
National Institute on Drug Abuse
National Institute on Alcohol Abuse and Alcoholism
National Cancer Institute
National Institute on Deafness and Other Communication Disorders
National Institute of Allergy and Infectious Diseases	U01AI034994
National Institute of Dental and Craniofacial Research
University of North Carolina	P30-AI-027767
Center for AIDS Research, University of Washington	P30-AI-050410
University of Alabama at Birmingham
Eunice Kennedy Shriver National Institute of Child Health and Human Development

ASJC Scopus Subject Areas

General Dentistry

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.adaj.2020.04.013

Cite this

Parish, C. L., Feaster, D. J., Pereyra, M. R., Alcaide, M. L., Weber, K. M., Cohen, M., Levin, S., Gustafson, D., Merenstein, D., Aouizerat, B. E., Donohue, J., Webster-Cyriaque, J., Wingood, G., Kempf, M. C., & Metsch, L. R. (2020). Oral health–related quality of life and unmet dental needs among women living with HIV. Journal of the American Dental Association, 151(7), 527-535. https://doi.org/10.1016/j.adaj.2020.04.013

Parish, CL, Feaster, DJ, Pereyra, MR, Alcaide, ML, Weber, KM, Cohen, M, Levin, S, Gustafson, D, Merenstein, D, Aouizerat, BE, Donohue, J, Webster-Cyriaque, J, Wingood, G, Kempf, MC & Metsch, LR 2020, 'Oral health–related quality of life and unmet dental needs among women living with HIV', Journal of the American Dental Association, vol. 151, no. 7, pp. 527-535. https://doi.org/10.1016/j.adaj.2020.04.013

@article{5895f12b354949ce90b94dcc6bfdd87a,

title = "Oral health–related quality of life and unmet dental needs among women living with HIV",

abstract = "Background: Oral health–related quality of life (OHRQoL) is a multidimensional, perception-based measure of how oral health affects social and physical functioning and self-image. OHRQoL is important for assessing women living with HIV (WLWH) who may have unmet dental needs and experience disparities that impact dental care accessibility. Methods: In 2016, the authors conducted an assessment of OHRQoL among a national sample of 1,526 WLWH in the Women's Interagency HIV Study using the Oral Health Impact Profile instrument, which assesses the frequency of 14 oral health impact items. OHRQoL was measured using multivariable linear regression with a negative binomial distribution to assess the association between report of a recent unmet dental need and OHRQoL. Results: “Fair or poor” oral health condition was reported by 37.8% (n = 576) of WLWH. Multivariable linear regression showed that unmet dental needs had the strongest positive association with poor OHRQoL (difference in Oral Health Impact Profile mean, 2.675; P <.001) compared with not having unmet needs. The frequency of dental care utilization was not associated with higher OHRQoL. Older age, fair or poor dental condition, smoking, symptoms of anxiety and loneliness, and poor OHRQoL were also associated with worse OHRQoL. Conclusion: Self-perceived impact of oral health on social and physical function and self-image, as measured by OHRQoL, may be an easily assessable but underrecognized aspect of OHRQoL, particularly among women aging with HIV. Practical Implications: Dentists should implement OHRQoL assessments in their management of the care of patients with HIV to identify those who do have significant oral health impacts.",

author = "Parish, {Carrigan L.} and Feaster, {Daniel J.} and Pereyra, {Margaret R.} and Alcaide, {Maria L.} and Weber, {Kathleen M.} and Mardge Cohen and Susanna Levin and Deborah Gustafson and Daniel Merenstein and Aouizerat, {Bradley E.} and Jessica Donohue and Jennifer Webster-Cyriaque and Gina Wingood and Kempf, {Mirjam Colette} and Metsch, {Lisa R.}",

note = "Publisher Copyright: {\textcopyright} 2020 American Dental Association",

year = "2020",

month = jul,

doi = "10.1016/j.adaj.2020.04.013",

language = "English",

volume = "151",

pages = "527--535",

journal = "Journal of the American Dental Association",

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T1 - Oral health–related quality of life and unmet dental needs among women living with HIV

AU - Parish, Carrigan L.

AU - Feaster, Daniel J.

AU - Pereyra, Margaret R.

AU - Alcaide, Maria L.

AU - Weber, Kathleen M.

AU - Cohen, Mardge

AU - Levin, Susanna

AU - Gustafson, Deborah

AU - Merenstein, Daniel

AU - Aouizerat, Bradley E.

AU - Donohue, Jessica

AU - Webster-Cyriaque, Jennifer

AU - Wingood, Gina

AU - Kempf, Mirjam Colette

AU - Metsch, Lisa R.

PY - 2020/7

Y1 - 2020/7

N2 - Background: Oral health–related quality of life (OHRQoL) is a multidimensional, perception-based measure of how oral health affects social and physical functioning and self-image. OHRQoL is important for assessing women living with HIV (WLWH) who may have unmet dental needs and experience disparities that impact dental care accessibility. Methods: In 2016, the authors conducted an assessment of OHRQoL among a national sample of 1,526 WLWH in the Women's Interagency HIV Study using the Oral Health Impact Profile instrument, which assesses the frequency of 14 oral health impact items. OHRQoL was measured using multivariable linear regression with a negative binomial distribution to assess the association between report of a recent unmet dental need and OHRQoL. Results: “Fair or poor” oral health condition was reported by 37.8% (n = 576) of WLWH. Multivariable linear regression showed that unmet dental needs had the strongest positive association with poor OHRQoL (difference in Oral Health Impact Profile mean, 2.675; P <.001) compared with not having unmet needs. The frequency of dental care utilization was not associated with higher OHRQoL. Older age, fair or poor dental condition, smoking, symptoms of anxiety and loneliness, and poor OHRQoL were also associated with worse OHRQoL. Conclusion: Self-perceived impact of oral health on social and physical function and self-image, as measured by OHRQoL, may be an easily assessable but underrecognized aspect of OHRQoL, particularly among women aging with HIV. Practical Implications: Dentists should implement OHRQoL assessments in their management of the care of patients with HIV to identify those who do have significant oral health impacts.

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Oral health–related quality of life and unmet dental needs among women living with HIV

Abstract

Bibliographical note

Funding

ASJC Scopus Subject Areas

UN SDGs

Access to Document

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