Difficulties noticed by patients living with HIV/AIDS in obtaining dentistry treatment
Keywords:
HIV, Health Services Accessibility, Dental care for chronicallyAbstract
The objective of this study was to identify difficulties confronted by patients infected by HIV/ AIDS in obtaining dental treatment. Interviews were carried out with 45 patients undergoing medical treatment at the Health Clinic of the Clemente de Faria University Hospital in Montes Claros, MG Brazil. The difficulty in obtaining dental treatment was reported by 31% of the patients. Aimed at clarifying what possible explanations might exist for this type of difficulty, a bivariate logistic analysis of regression was carried out for each of the co- variables. The odds Ratio (OR), estimated with a confidence interval of 95% (CI 95%), demonstrated that patients who admitted to the dentist that they were carriers of the HIV/AIDS virus presented an 11.7 times greater chance of having difficulties in obtaining dental treatment, regardless of the patients’ gender, age, education level, and income level; of the date of their last diagnosis; of the time elapsed between the diagnosis of the disease and the search for dental treatment; or even of the dentist’s gender.
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Brasil. Ministério da Saúde. Boletim Epidemiológico-Aids. Disponível em: <http://www.aids.gov.br/>. Acesso: 12 dez. 2007.
Depaola LG. Human immunodeficiency virus disease: Natural history and management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 90:266-70.
Souza L B, Pereira Pinto L, Medeiros A M C, Araújo Jr. F, Mesquita O J X. Manifestações orais em pacientes com AIDS em uma população brasileira. Pesq Odont Bras. 2000; 14:79-85.
Greenspam D, Overby G, Feigal DW, Macphail L, Miyasaki S, Greenspan JS. Sites and relative prevalence of hairy leukoplakia, pseudomembranous candidiasis and erytematous candidiasis. 5th. Int Conf. AIDS; 1989; Montreal. Abstr ThBP 320.
Samaranayake LP. Oral mycoses in HIV infection. Oral Surg Oral Med Oral Pathol. 1992; 73:171-80.
Mabruk MJ, Flint SR, Toner M, Balluz I, Coleman D, Sullivan D, Atkins GJ. In situ hybridization and the polymerase chain reaction (PCR) in the analysis of biopsies and exfoliative cytology specimens for definitive diagnosis of oral hairy leucoplakia (OHL). J Oral Pathol Med. 1994; 23:302-08.
Rohrmus B, Thoma-Greber EM, Bogner JR, Röcken M. Outlook in oral and cutaneous Kaposi’s sarcoma. Lancet. 2000; 356:2160 (letters).
Husak R, Tebbe B, Goerdt S, Wolfer LU, Zeichardt H, Stöffler-Meilicke M, Orfanos CE. Pseudotumour of the tongue caused by herpes simplex virus type 2 in an HIV-1 infected immunosupressed patient. Br J Dermatol. 1998; 139:118-21.
Reichart PA, Langford-Kuntz A, Pohle HD. Epidemic oro-facial Kaposi’s sarcoma (eKS)-report on 124 cases. Oral Oncol. 1993: 29B;187-89.
Flaitz CM, Nichols M, Hicks MJ. Herpesviridaeassociated persistent mucocutaneous ulcers in acquired immunodeficiency syndrome: a clinicolpathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 81:433-41.
Tukutuku K, Muyembe-Tamfum L, Kayembe K, Odio W, Kandi K, Ntumba M. Oral manifestation of AIDS in a heterosexual population in a Zaire hospital. J Oral Pathol. Med.1990; 19:232-34.
Senna MI, Guimarães MD, Pordeus IA. Atendimento odontológico de portadores de HIV/AIDS: fatores associados à disposição de cirurgiões-dentistas do Sistema Único de Saúde de Belo Horizonte, Minas Gerais, Brasil. Belo Horizonte, MG. Cad Saúde Pública. 2004; 21:217-25.
Terry SD, Jones JE, Brown RH. Dental-care experiences of people living with HIV/AIDS in Aotearoa, New Zealand. N Z Dent J. 1994; 90:49-55.
Sheldon J, Murray E, Johnson A, Haines A. The involvement of general practitioners in the care of patients with human immunodeficiency virus infection: current practice and future implications. Fam Pract. 1993; 10:396-9.
Godin G, Naccache H, Brodeur JM, Alary M. Understanding the intention of dentists to provide dental care to HIV+ and AIDS patients. Community Dent Oral Epidemiol. 1999; 27:221-7.
Greene VA, Chu SY, Diaz T, Schable B. Oral health problems and use of dental services among HIVinfected. J Am Dent Assoc. 1997; 128:1417-22.
Shiboski CH, Palacio H, Neuhaus JM, Greenblatt RM. Dental care access and use among HIV-infected women. Am J Public Health. 1999; 89:818-9.
Hastreiter RJ, Jiang P.Do regular dental visits affect the oral health care provided to people with HIV? J Am Dent Assoc. 2002; 133(10):1343-50.
Robinson P, Zakrzewska JM, Maini M, Williamson D, Croucher R. Dental visiting behaviour and experiences of men with HIV. Br Dent J. 1994; 176:175-9.
MCCarthy GM, Haji FS, Mackie ID. Attitudes and behavior of HIV-infected patients concerning dental care. J Can Dent Assoc. 1996; 62:63-9.
Gallagher PD, Gealer M, Birnbaum W. Resource implications for oral care of patients with HIV. Oral Dis. 1998; 4:22-5.
Charbonneau A, Maheux B, Beland F. Do people with HIV/AIDS disclose their HIV-positivity to dentists? AIDS Care 1999; 11:61-70.
Scheutz F. HIV infection and dental care: views and experiences among HIV soropositivity. AIDS Care 1990; 2:37-42.
Discacciati JA, Pordeus IA. Você está disposto a tratar pacientes com AIDS? Rev CROMG. 1997; 3:31-6.
Bennett ME, Weyant RJ, Wallisch JM, Green G. Dentists’ attitudes toward the treatment of HIVpositive patients. J Am Dent Assoc. 1995; 126:509-14.
