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HIV-positive patients' discussion of oral health with their HIV primary care providers in Miami, Florida

机译：HIV阳性患者在佛罗里达州迈阿密与HIV初级保健提供者讨论口腔健康

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Over 90% of HIV-positive persons will have at least one oral manifestation of HIV disease during the course of infection. Clinical guidelines suggest that examination of the oral cavity should be included in initial and interim physical examinations of all HIV-infected patients by their HIV care providers. Clinically significant manifestations of oral disease may impact prescribed treatment regimens. The objective of this analysis was to describe HIV-positive patients' discussion of oral health and dental health with their HIV primary care providers and the correlates of this discussion. We used cross-sectional data from the baseline of a randomized trial testing the efficacy of a risk reduction intervention. Participants were HIV-positive male and female patients attending five HIV primary care clinics in Miami-Dade County, Florida, USA. Overall, 37% of patients did not discuss oral health with their provider. After controlling for age, gender, education, and clinic, odds of discussion of oral health for respondents with five or more primary care visits in the past year were half the odds of those with fewer visits (odds ratio (OR) =0.525, 95% confidence interval (CI): 0.336, 0.821). Odds of discussion for men reporting illicit drag use were 35% of that for non-drug using men (OR =0.353, 95% CI: 0.186, 0.671). Odds of discussion were 1.4 times greater for each additional health topic discussed (e.g., nutrition and smoking) (95% CI: 1.317, 1.544). Given that more than one-third of patients reported no discussion of oral health with HIV primary care providers in the past year, there is a need to increase the focus on oral health in the HIV primary care setting.
机译：超过90％的HIV阳性者在感染过程中将至少有一种HIV疾病的口腔表现。临床指南建议，在所有由HIV感染者提供的HIV感染患者的初始和中期体格检查中均应包括口腔检查。口腔疾病的临床显着表现可能会影响处方治疗方案。该分析的目的是描述HIV阳性患者与其HIV初级保健提供者对口腔健康和牙齿健康的讨论及其相关性。我们使用来自随机试验基线的横截面数据来测试降低风险干预措施的有效性。参加者是在美国佛罗里达州迈阿密戴德县的5家HIV初级保健诊所就诊的HIV阳性男性和女性患者。总体而言，有37％的患者没有与提供者讨论口腔健康状况。在控制了年龄，性别，教育程度和诊所后，过去一年中有五次或以上初级保健就诊的受访者讨论口腔健康的几率是很少就诊的受访者的几率（优势比（OR）= 0.525，95） ％置信区间（CI）：0.336、0.821）。报告使用非法药物的男性讨论的几率是使用非药物男性的35％（OR = 0.353，95％CI：0.186，0.671）。对于讨论的每个其他健康主题（例如营养和吸烟），讨论的可能性要高1.4倍（95％CI：1.317，1.544）。鉴于在过去的一年中，超过三分之一的患者未报告与HIV初级保健提供者讨论口腔健康的问题，因此有必要在HIV初级保健环境中更加关注口腔健康。

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