评估奥里萨邦 HIV 阳性跨性别者的口腔健康状况和治疗需求 - 一项横断面研究。
Assessment of oral health status and treatment needs of HIV positive transgenders in Odisha - a cross-sectional study.
机构信息
Department of Public Health Dentistry, Kalinga Institute of Dental Sciences, KIIT deemed to be University Bhubaneswar, Odisha, India.
出版信息
J Prev Med Hyg. 2022 Jul 31;63(2):E320-E324. doi: 10.15167/2421-4248/jpmh2022.63.2.2168. eCollection 2022 Jun.
INTRODUCTION
Human Immunodeficiency virus (HIV) causes the human immunodeficiency infection which is a major global health problem. Oral health status of people infected by HIV is also compromised. There is limited literature on oral health status of HIV/AIDS transgenders in Odisha.
AIM
This study was conducted to assess the oral health status of HIV-positive transgenders.
METHODOLOGY
A cross-sectional study was conducted among the HIV positive transgenders in Odisha. Snowball sampling technique was employed to reach the population. Oral health was recorded using modified WHO 2013 proforma. Clinical examination using disposable mouth mirror and explorer. Chi square statistics was used for finding the association between the socio-demographic variables and DMFT, CPI, and LOA scores.
RESULTS
The study included 153 participants out of which seventy participants belonged to the age group 18-30 years. Majority of the participants were unemployed and most of them had spent around 6-10 years in school. Majority of the participants used toothbrush for cleaning their teeth and the average duration of cleaning tooth was less than two minutes. Toothpick was the most common method used for cleaning interdental areas and none of the participants used dental floss or interdental brushes. The mean DMFT score which was recorded to be 1.424. Around 28.10% (43) inmates had pockets of depth 4 mm to 5 mm. Loss of attachment of 6 mm to 8 mm was found in majority (57, 37.25%) of the participants. Most of the participants did not require any prosthesis both in the upper and lower arches. Around 32 participants (20.91%) had very mild fluorosis, 29 participants (18.95%) exhibited signs of moderate fluorosis. Age was found to be significantly associated with loss of attachment score (p = 0.023). Occupation had an association with the DMFT score (p = 0.002) while years in school was found to be significantly associated with CPI score (p = 0.045).
CONCLUSION
The oral health status of transgenders is poor and needs immediate attention.
简介
人类免疫缺陷病毒（HIV）导致人类免疫缺陷感染，这是一个全球性的主要健康问题。感染 HIV 的人的口腔健康状况也受到影响。关于奥里萨邦 HIV/AIDS 跨性别者的口腔健康状况的文献有限。
目的
本研究旨在评估 HIV 阳性跨性别者的口腔健康状况。
方法
在奥里萨邦对 HIV 阳性跨性别者进行了横断面研究。采用雪球抽样技术接触到目标人群。使用 2013 年世界卫生组织修改后的表格记录口腔健康状况。使用一次性口腔镜和探针进行临床检查。使用卡方检验来发现社会人口统计学变量与 DMFT、CPI 和 LOA 评分之间的关联。
结果
研究包括 153 名参与者，其中 70 名参与者年龄在 18-30 岁之间。大多数参与者失业，大多数人在学校度过了 6-10 年。大多数参与者使用牙刷清洁牙齿，平均刷牙时间少于两分钟。牙签是最常用的清洁牙缝的方法，没有参与者使用牙线或牙间刷。记录的平均 DMFT 得分为 1.424。约 28.10%（43）的参与者有深度为 4-5 毫米的牙周袋。大多数参与者（57 人，占 37.25%）的附着丧失为 6-8 毫米。大多数参与者上下牙弓都不需要任何义齿。约有 32 名参与者（20.91%）有非常轻微的氟斑牙，29 名参与者（18.95%）有中度氟斑牙。年龄与附着丧失评分显著相关（p = 0.023）。职业与 DMFT 评分有关（p = 0.002），而在校年限与 CPI 评分显著相关（p = 0.045）。
结论
跨性别者的口腔健康状况较差，需要立即关注。
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