Premium
Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada
Author(s) -
Jessani Abbas,
Aleksejuniene Jolanta,
Donnelly Leeann,
Craig Phillips J.,
Nicolau Belinda,
Brondani Mario
Publication year - 2019
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/jphd.12304
Subject(s) - psychosocial , logistic regression , medicine , anxiety , dental insurance , descriptive statistics , family medicine , human immunodeficiency virus (hiv) , dental care , gerontology , demography , psychiatry , statistics , mathematics , sociology
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.