Format

Send to

Choose Destination
J Public Health Dent. 2019 Jan 9. doi: 10.1111/jphd.12304. [Epub ahead of print]

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada.

Author information

1
Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.
2
School of Nursing, and Vice-Dean Governance and Secretary of the Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
3
Division of Oral Health and Society at the Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.
4
Dental Public Health Program at the Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

OBJECTIVES:

To identify the predisposing, enabling, and need factors of the Andersen and Newman (A&N) model and their associations with the pattern of dental service utilization in a sample of people living with HIV (PLHIV) in British Columbia.

METHODS:

Participants responded anonymously to a 40-item online questionnaire to explore the patterns of dental service utilization. Following the descriptive statistics, the associations between A&N model factors and main outcome variables (having a dental visit in the last year and reasons for the dental visit) were evaluated using simple and multiple logistic regression analyses.

RESULTS:

Out of 600 potential PLHIV participants, 210 responded to the survey and 186 met the inclusion criteria. The experience of being discriminated against by dental professionals (P = 0.005), having dental anxiety (P < 0.001), not having dental insurance (P = 0.001), and having living condition difficulties (P = 0.004) were significantly associated with nonemergency dental visits. In multiple logistic regression analysis, dental anxiety (OR = 0.1; 95 percent CI 0.0; 0.4), having a regular dentist (OR = 3.7; 95 percent CI 1.1; 12.6), and visiting a dental office in the last year (OR = 21.6; 95 percent CI 6.1; 76.5) were the strongest predictors of dental service utilization in this study.

CONCLUSIONS:

Several predisposing, enabling, and need factors from the A&N model were associated with dental service utilization by PLHIV. In addition to various psychosocial barriers, a significant number of respondents reported experiencing stigma and discrimination from their oral care providers.

KEYWORDS:

HIV; dental service utilization; dental services; enabling factors; marginalized population people living with HIV; need factors; predisposing factors

PMID:
30624773
DOI:
10.1111/jphd.12304

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center