Barriers and facilitators to dental care among HIV-Infected adults

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Carrigan ParishLisa R Metsch

Abstract

Oral health problems can significantly compromise HIV-infected individuals' general health and well-being, yet many of them experience an unmet need for oral care. The barriers and facilitators of obtaining dental care in a sample of HIV-infected adults, all of whom were eligible for Ryan White Part A funding for their treatment, were investigated through qualitative interviews with HIV-positive individuals who had not received dental services in the prior 12 months (n = 44). Identified barriers were as follows: (1) dental anxiety and fear, (2) cumbersome administrative procedures, (3) long waits at the dental office, (4) problem focused care-seeking behavior, (5) transportation difficulties, (6) dentists' reluctance to treat people like them, and (7) psychological issues. Identified facilitating factors were as follows: (1) coverage for dental care, (2) being treated with respect and acceptance, and (3) having an assigned case manager or social worker. Many of the barriers uncovered in this qualitative study can be addressed and overcome by case management services, but other approaches are needed to address the additional psychological and stigma-related factors that are impeding access to oral healthcare in this population.

References

Sep 1, 1992·American Journal of Public Health·N E KassJ Dudley
Feb 1, 1992·Oral Surgery, Oral Medicine, and Oral Pathology·G M McCarthy
Dec 16, 1988·JAMA : the Journal of the American Medical Association·B GerbertG Stone
Apr 1, 1996·Dermatologic Clinics·M S Greenberg
Jun 1, 1996·Journal of Community Health·K A BonuckC Maffeo
Sep 15, 1996·Annals of Internal Medicine·M WeinertD P Lynch
Sep 14, 1996·Lancet·D Greenspan, J S Greenspan
May 1, 1997·Oral Diseases·J A Phelan
Jun 8, 1999·American Journal of Public Health·C H ShiboskiR M Greenblatt
Jun 22, 2000·The Journal of the American Dental Association·G KugelP Lalicata
Jul 13, 2000·Journal of Dental Research·I D CoulterS A Bozzette
Aug 1, 2000·The Journal of the American Dental Association·L FisetM Del Aguila
Jan 18, 2002·Journal of Urban Health : Bulletin of the New York Academy of Medicine·UNKNOWN New York City Department of Health HIV Epidemiology Group
May 11, 2002·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·I D CoulterM F Shapiro
Jun 21, 2003·Journal of Public Health Dentistry·Aram DobalianMarvin Marcus
Mar 17, 2004·The American Journal of Cardiology·Alain G BertoniDavid C Goff
Dec 25, 2004·International Journal of Oral and Maxillofacial Surgery·C M Scott, S R Flint
Apr 13, 2005·Home Healthcare Nurse·Cynthia A Stegeman
May 7, 2005·The Pediatric Infectious Disease Journal·Susan SchuvalUNKNOWN Pediatric AIDS Clinical Trials Group Protocol 1028S Team
Jul 27, 2005·American Journal of Public Health·Susan E KellyBruce S Gale
Dec 20, 2007·Acta Odontologica Scandinavica·Ulrika Hallberg, Gunilla Klingberg
Dec 18, 2010·Professional Case Management·Barbara Jacobs
Mar 29, 2011·Advances in Dental Research·K R UmadeviP G Robinson
Oct 6, 2011·Journal of Public Health Dentistry·Serena RajabiunHelene Bednarsh
May 4, 2012·Public Health Reports·Carol R TobiasStephen N Abel
May 4, 2012·Public Health Reports·Sara S BachmanAmarachi Umez-Eronini
May 4, 2012·Public Health Reports·Serena RajabiunMahyar Mofidi
Aug 29, 2012·Health Services Research·Joel C CantorKristen Lloyd
Mar 5, 2013·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Celeste A LemayHoward J Cabral
Mar 4, 2014·Cell Death and Differentiation·T J PhesseO J Sansom
May 7, 2014·Pediatrics·Denise DarmawikartaUNKNOWN TARGet Kids! Collaboration
May 17, 2014·American Journal of Public Health·Lisa R MetschScott Tomar

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Citations

Aug 31, 2020·Oral Diseases·Paul CoulthardAmitha Ranauta
Aug 31, 2020·Oral Diseases·Anandi YuvarajJanine Doughty
Aug 8, 2020·Journal of Community Health·Anthony J SantellaLisa R Metsch
Apr 23, 2021·AIDS and Behavior·Gregory L GreenwoodPaul Gaist

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