感染艾滋病毒女性的牙科护理可及性与使用情况
Dental care access and use among HIV-infected women.
作者信息
Shiboski C H, Palacio H, Neuhaus J M, Greenblatt R M
机构信息
Department of Stomatology, University of California, San Francisco 94143-0422, USA.
出版信息
Am J Public Health. 1999 Jun;89(6):834-9. doi: 10.2105/ajph.89.6.834.
OBJECTIVES
This study sought to identify predictors of dental care use in HIV-infected women.
METHODS
In a cross-sectional survey of HIV-infected women enrolled in the northern California site of the Women's Interagency HIV Study, dental care use and unmet need were assessed in relation to selected variables.
RESULTS
Among 213 respondents, who were predominantly Black and younger than 45 years, 43% had not seen a dentist and 53% (among dentate women) reported no dental cleaning in more than a year (although 67% had dental insurance coverage, mainly state Medicaid). Nine percent were edentulous. Among nonusers of dental care, 78% reported that they wanted care but failed to get it. Barriers included fear of and discomfort with dentists, not getting around to making an appointment, and not knowing which dentist to visit. Multivariate analysis showed that lack of past-year dental care was associated mainly with unemployment, a perception of poor oral health, and edentulism.
CONCLUSIONS
HIV-positive women appear to be underusing dental care services. Fear and lack of information regarding available resources, in addition to unemployment and perception of poor oral health, may be important barriers.
目的
本研究旨在确定感染艾滋病毒女性的牙科护理使用情况的预测因素。
方法
在一项针对参与女性机构间艾滋病毒研究北加利福尼亚站点的感染艾滋病毒女性的横断面调查中，评估了牙科护理使用情况和未满足的需求与选定变量之间的关系。
结果
在213名主要为黑人且年龄小于45岁的受访者中，43%的人未看过牙医，53%（在有牙的女性中）报告一年多未进行过牙齿清洁（尽管67%有牙科保险，主要是州医疗补助）。9%的人无牙。在未使用牙科护理的人群中，78%报告她们想要护理但未能得到。障碍包括对牙医的恐惧和不适、没时间预约以及不知道该看哪位牙医。多变量分析表明，过去一年未接受牙科护理主要与失业、口腔健康状况差的认知以及无牙有关。
结论
艾滋病毒呈阳性的女性似乎未充分利用牙科护理服务。除了失业和口腔健康状况差的认知外，对可用资源的恐惧和信息缺乏可能是重要障碍。
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