Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos State.
Department of Preventive Dentistry, Lagos University Teaching Hospital, Idi Araba, Lagos State.
Afr Health Sci. 2021 Jun;21(2):566-575. doi: 10.4314/ahs.v21i2.11.
The human immunodeficiency virus infection remains a devastating disease of public health importance.
To assess the association between oral health and quality of life and the factors affecting the oral health related quality of life among HIV positive patients in Nigeria.
This was a cross sectional study of HIV positive patients attending two HIV outpatient clinics in Nigeria. Impact of oral health on quality of life was assessed using the OHIP-14. Oral health status was assessed by the DMFT and Simplified OHI indices. Level of significance was set at p< 0.05.
Three hundred and fifty-two patients were seen, 64.2% being females. Prevalence of impact was 8.5%; and the mean OHIP scores was 8.05±9.54. Highest impact was "painful aching" 67(19.1%) with the domain of physical pain scoring the highest mean impact of 2.32. Most patients (88.6%) were on HAART. Following logistic regression, after controlling for potential confounders, independent factors associated with poor OHRQoL were perceived need for dental treatment, HAART use, and higher DMFT (p<0.05).
The domain of physical pain had the highest impact, while perceived need for dental treatment, HAART use and higher caries index were contributory to poor OHRQoL.
人类免疫缺陷病毒感染仍然是一个具有公共卫生重要性的毁灭性疾病。
评估尼日利亚艾滋病毒阳性患者的口腔健康和生活质量之间的关系以及影响口腔健康相关生活质量的因素。
这是一项在尼日利亚两家艾滋病毒门诊诊所就诊的艾滋病毒阳性患者的横断面研究。使用 OHIP-14 评估口腔健康对生活质量的影响。通过 DMFT 和简化 OHI 指数评估口腔健康状况。显著性水平设置为 p<0.05。
共观察了 352 名患者，其中 64.2%为女性。影响的患病率为 8.5%；平均 OHIP 评分为 8.05±9.54。影响最大的是“疼痛”67(19.1%)，其中身体疼痛领域的平均影响最高为 2.32。大多数患者（88.6%）正在接受抗逆转录病毒治疗。在控制潜在混杂因素后，通过逻辑回归分析，与较差的 OHRQoL 相关的独立因素是对牙科治疗的感知需求、使用抗逆转录病毒治疗和更高的 DMFT（p<0.05）。
身体疼痛领域的影响最大，而对牙科治疗的感知需求、使用抗逆转录病毒治疗和更高的龋齿指数是导致较差的 OHRQoL 的原因。
