Resumen
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.
Idioma original | English |
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Páginas (desde-hasta) | 527-535 |
Número de páginas | 9 |
Publicación | Journal of the American Dental Association |
Volumen | 151 |
N.º | 7 |
DOI | |
Estado | Published - jul. 2020 |
Financiación
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).
Financiadores | Número del financiador |
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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