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Published in: Health and Quality of Life Outcomes 1/2014

Open Access 01-12-2014 | Research

Oral health associated with quality of life of people living with HIV/AIDS in Brazil

Authors: Gabriella Barreto Soares, Cléa Adas Saliba Garbin, Tânia Adas Saliba Rovida, Artênio José Ísper Garbin

Published in: Health and Quality of Life Outcomes | Issue 1/2014

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Abstract

Background

The epidemic of HIV/AIDS enters into its fourth decade and is still considered an important public health problem in developed and developing countries. The purpose is verify the oral health and other factors that influence the quality of life of people living with HIV/AIDS attending a public service reference in Brazil.

Methods

The participants answered the questionnaire on socio-demographic conditions, issues related to HIV and daily habits. The quality of life was analyzed by the HIV/AIDS Targeted Quality of Life (HAT-QoL) instrument with 42 items divided into nine domains: General Activity, Sexual Activity, Confidentiality concerns, Health Concerns, Financial Concern, HIV Awareness, Satisfaction with Life Issues related to medication and Trust in the physician. The oral health data were collected by means of the DMFT index, use and need of dentures and the Community Periodontal Index, according to the criteria proposed by the World Health Organization, by a calibrated researcher. Bivariate and multiple linear regressions were performed.

Results

Of the participants, 53.1% were women and had a mean age of 42 years, 53.1% had eight years or less of schooling and 20.3% were not employed. In analyzing the quality of life domain of the HAT-QoL, with a lower average there was: Financial concern (39.4), followed by Confidentiality concern (43.2), Sexual activities (55.2) and Health concerns (62. 88). There was an association between the variables: do not have link to employment (p <0.001), is brown or black (p = 0.045), alcohol consumption (p = 0.041), did not make use of antiretroviral therapy (p = 0.006), high levels of viral load (p = 0.035) and need for dentures (p = 0.025), with the worse quality of life scores.

Conclusion

Socioeconomic and inadequate health conditions had a negative impact on the quality of life of people with HIV/AIDS.
Literature
1.
go back to reference World Health Organization&UNAIDS: AIDS Epidemic Update. Geneva: Joint United Nations Programme on HIV/AIDS and World Health Organization; 2009. World Health Organization&UNAIDS: AIDS Epidemic Update. Geneva: Joint United Nations Programme on HIV/AIDS and World Health Organization; 2009.
2.
go back to reference Brasil Ministério da Saúde: Boletim Epidemiológico Aids – DST: versão preliminar. Brasília: Ministério da Saúde; 2012. Brasil Ministério da Saúde: Boletim Epidemiológico Aids – DST: versão preliminar. Brasília: Ministério da Saúde; 2012.
3.
go back to reference Weiss RA: Special anniversary review: twenty-five years of human immunodeficiency virus research: successes and challenges. Clin Exp Immunol 2008, 15: 201–210.CrossRef Weiss RA: Special anniversary review: twenty-five years of human immunodeficiency virus research: successes and challenges. Clin Exp Immunol 2008, 15: 201–210.CrossRef
4.
go back to reference The Antiretroviral Therapy Cohort Collaboration: Life expectancy of individuals on combination antiretroviral therapy in high-income countries: a collaborative analysis of 14 cohort studies. Lancet 2008, 372: 293–299.PubMedCentralCrossRef The Antiretroviral Therapy Cohort Collaboration: Life expectancy of individuals on combination antiretroviral therapy in high-income countries: a collaborative analysis of 14 cohort studies. Lancet 2008, 372: 293–299.PubMedCentralCrossRef
5.
go back to reference Locker D: Concepts of oral health, disease and the quality of life. In Measuring oral health and quality of life (Edited by: Slade GD). Chapel Hill: University of North Carolina: Dental Ecolog; 1997:11–24. Locker D: Concepts of oral health, disease and the quality of life. In Measuring oral health and quality of life (Edited by: Slade GD). Chapel Hill: University of North Carolina: Dental Ecolog; 1997:11–24.
6.
go back to reference Allen PF: Assessment of oral health related quality of life. Health Qual Life Outocomes 2003, 1: 40. 10.1186/1477-7525-1-40CrossRef Allen PF: Assessment of oral health related quality of life. Health Qual Life Outocomes 2003, 1: 40. 10.1186/1477-7525-1-40CrossRef
7.
go back to reference Locker D, Gibson B: Discrepancies between self-ratings of and satisfaction with oral health in two older adult populations. Community Dent Oral Epidemiol 2005, 33: 280–288. 10.1111/j.1600-0528.2005.00209.xCrossRefPubMed Locker D, Gibson B: Discrepancies between self-ratings of and satisfaction with oral health in two older adult populations. Community Dent Oral Epidemiol 2005, 33: 280–288. 10.1111/j.1600-0528.2005.00209.xCrossRefPubMed
8.
go back to reference Kotzer RD, Lawrence HP, Clovis JB, Matthews DC: Oral health-related quality of life in an aging Canadian population. Health Qual Life Outcomes 2012, 10: 50. 10.1186/1477-7525-10-50PubMedCentralCrossRefPubMed Kotzer RD, Lawrence HP, Clovis JB, Matthews DC: Oral health-related quality of life in an aging Canadian population. Health Qual Life Outcomes 2012, 10: 50. 10.1186/1477-7525-10-50PubMedCentralCrossRefPubMed
9.
go back to reference Heslin KC, Cunningham WE, Marcus M, Coulter I, Freed J, Der-Martirosian C, Bozzette SA, Shapiro MF, Morton SC, Andersen RM: A comparison of unmet needs for dental and medical care among persons with HIV infection receiving care in the United States. J Public Health Dent 2001, 61: 14–21. 10.1111/j.1752-7325.2001.tb03350.xCrossRefPubMed Heslin KC, Cunningham WE, Marcus M, Coulter I, Freed J, Der-Martirosian C, Bozzette SA, Shapiro MF, Morton SC, Andersen RM: A comparison of unmet needs for dental and medical care among persons with HIV infection receiving care in the United States. J Public Health Dent 2001, 61: 14–21. 10.1111/j.1752-7325.2001.tb03350.xCrossRefPubMed
10.
go back to reference Shiboski CH, Cohen M, Weber K, Shansky A, Malvin K, Greenblatt RM: Factors associated with use of dental services among HIV-infected and high-risk uninfected women. J Am Dent Assoc 2005, 136: 1242–1255. 10.14219/jada.archive.2005.0340CrossRefPubMed Shiboski CH, Cohen M, Weber K, Shansky A, Malvin K, Greenblatt RM: Factors associated with use of dental services among HIV-infected and high-risk uninfected women. J Am Dent Assoc 2005, 136: 1242–1255. 10.14219/jada.archive.2005.0340CrossRefPubMed
11.
go back to reference Dobalian A, Andersen RM, Stein JA, Hays RD, Cunningham WE, Marcus M: The impact of HIV on oral health and subsequent use of dental services. J Public Health Dent 2003, 63: 78–85.CrossRefPubMed Dobalian A, Andersen RM, Stein JA, Hays RD, Cunningham WE, Marcus M: The impact of HIV on oral health and subsequent use of dental services. J Public Health Dent 2003, 63: 78–85.CrossRefPubMed
12.
go back to reference Sanders AE, Spencer AJ, Slade GD: Evaluating the role of dental behaviour in oral health inequalities. Community Dent Oral Epidemiol 2006, 34: 71–79. 10.1111/j.1600-0528.2006.00261.xCrossRefPubMed Sanders AE, Spencer AJ, Slade GD: Evaluating the role of dental behaviour in oral health inequalities. Community Dent Oral Epidemiol 2006, 34: 71–79. 10.1111/j.1600-0528.2006.00261.xCrossRefPubMed
13.
go back to reference Diz DP, Scully C: Antiretroviral therapy: effects on orofacial health and health care. Oral Dis 2013. doi:10.1111/odi.12093 Diz DP, Scully C: Antiretroviral therapy: effects on orofacial health and health care. Oral Dis 2013. doi:10.1111/odi.12093
14.
go back to reference Wang TF, Chou C, Shu Y: Assessing the effects of oral health-related variables onquality of lifein Taiwanese adults. Qual Life Res 2013, 22: 811–825. 10.1007/s11136-012-0205-8CrossRefPubMed Wang TF, Chou C, Shu Y: Assessing the effects of oral health-related variables onquality of lifein Taiwanese adults. Qual Life Res 2013, 22: 811–825. 10.1007/s11136-012-0205-8CrossRefPubMed
15.
go back to reference Massarente DB, Domaneschi C, Marques HH, Andrade SB, Goursand D, Antunes JL: Oral health related quality of life of paediatric patients with AIDS. BMC Oral Health 2011, 11: 2. 10.1186/1472-6831-11-2PubMedCentralCrossRefPubMed Massarente DB, Domaneschi C, Marques HH, Andrade SB, Goursand D, Antunes JL: Oral health related quality of life of paediatric patients with AIDS. BMC Oral Health 2011, 11: 2. 10.1186/1472-6831-11-2PubMedCentralCrossRefPubMed
16.
go back to reference Holmes WC, Shea JA: Performance of a new, HIV/AIDS-targeted quality of life (HAT-QoL) instrument in asymptomatic seropositive individuals. Qual Life Res 1997, 6: 561–571. 10.1023/A:1018464200708CrossRefPubMed Holmes WC, Shea JA: Performance of a new, HIV/AIDS-targeted quality of life (HAT-QoL) instrument in asymptomatic seropositive individuals. Qual Life Res 1997, 6: 561–571. 10.1023/A:1018464200708CrossRefPubMed
17.
go back to reference Galvão MTG, Cerqueira ATAR, Marcondes-Machadon J: Evaluation of quality of life among women with HIV/AIDS using HAT-Qol. Cad Saúdepública 2004, 20: 430–437. Galvão MTG, Cerqueira ATAR, Marcondes-Machadon J: Evaluation of quality of life among women with HIV/AIDS using HAT-Qol. Cad Saúdepública 2004, 20: 430–437.
18.
go back to reference World Health Organization: Oral Health Surveys: Basic Methods. 4th edition. Geneva: World Health Organization; 1997. World Health Organization: Oral Health Surveys: Basic Methods. 4th edition. Geneva: World Health Organization; 1997.
19.
go back to reference Brasil. Ministério da Saúde: Projeto SB Brasil 2010: Nota Para a Imprensa. Brasília: Ministério da Saúde; 2010. Brasil. Ministério da Saúde: Projeto SB Brasil 2010: Nota Para a Imprensa. Brasília: Ministério da Saúde; 2010.
20.
go back to reference Reisine ST: The impact of dental conditions on social functioning and the quality of life. Ann Rev Public Health 1988, 9: 1–19. 10.1146/annurev.pu.09.050188.000245CrossRef Reisine ST: The impact of dental conditions on social functioning and the quality of life. Ann Rev Public Health 1988, 9: 1–19. 10.1146/annurev.pu.09.050188.000245CrossRef
21.
go back to reference Fontanive V, Abegg C, Tsakos G, Oliveira M: The association between clinical oral health and general quality of life: a population-based study of individuals aged 50–74 in Southern Brazil. Community Dent Oral Epidemiol 2013, 41: 154–162. 10.1111/j.1600-0528.2012.00742.xCrossRefPubMed Fontanive V, Abegg C, Tsakos G, Oliveira M: The association between clinical oral health and general quality of life: a population-based study of individuals aged 50–74 in Southern Brazil. Community Dent Oral Epidemiol 2013, 41: 154–162. 10.1111/j.1600-0528.2012.00742.xCrossRefPubMed
22.
go back to reference Brennan DS: Oral Health Impact Profile, EuroQol, and assessment of quality of life instruments as quality of life and health-utility measures of oral health. Eur J Oral Sci 2013, 121: 188–193. 10.1111/eos.12035CrossRefPubMed Brennan DS: Oral Health Impact Profile, EuroQol, and assessment of quality of life instruments as quality of life and health-utility measures of oral health. Eur J Oral Sci 2013, 121: 188–193. 10.1111/eos.12035CrossRefPubMed
23.
go back to reference Aleixo RQ, Scherma AP, Guimarães G, Cortelli JR, Cortelli SC: DMFT index and oral mucosal lesions associated with HIV infection: cross-sectional study in Porto Velho, Amazonian Region – Brazil. Braz J Infect Dis 2010, 14: 449–456.CrossRefPubMed Aleixo RQ, Scherma AP, Guimarães G, Cortelli JR, Cortelli SC: DMFT index and oral mucosal lesions associated with HIV infection: cross-sectional study in Porto Velho, Amazonian Region – Brazil. Braz J Infect Dis 2010, 14: 449–456.CrossRefPubMed
24.
go back to reference Bretz WA, Flaitz C, Moretti A, Corby P, Sdineider LG, Nichols CM: Medication usage and dental caries outcome-related variables in HIV/AIDS patients. AIDS Patient Care STDS 2000, 14: 549–554. 10.1089/108729100750018317CrossRefPubMed Bretz WA, Flaitz C, Moretti A, Corby P, Sdineider LG, Nichols CM: Medication usage and dental caries outcome-related variables in HIV/AIDS patients. AIDS Patient Care STDS 2000, 14: 549–554. 10.1089/108729100750018317CrossRefPubMed
25.
go back to reference Phelan JA, Mulligan R, Nelson E, Brunelle J, Alves MEAF, Navazesh M, Greenspan D: Dental caries in HIV seropositive women. J Dent Res 2004, 83: 869–873. 10.1177/154405910408301109CrossRefPubMed Phelan JA, Mulligan R, Nelson E, Brunelle J, Alves MEAF, Navazesh M, Greenspan D: Dental caries in HIV seropositive women. J Dent Res 2004, 83: 869–873. 10.1177/154405910408301109CrossRefPubMed
26.
go back to reference Silveira FM, Rangel M: Biopsy social profile of the patients of the program of awareness of the oral health of HIV/AIDS sufferers of the Hospital UniversitárioAntônio Pedro HUAP/UFF. Pesqui Bras Odontopediatriaclín Integr 2004, 4: 221–226. Silveira FM, Rangel M: Biopsy social profile of the patients of the program of awareness of the oral health of HIV/AIDS sufferers of the Hospital UniversitárioAntônio Pedro HUAP/UFF. Pesqui Bras Odontopediatriaclín Integr 2004, 4: 221–226.
27.
go back to reference Robinson PG: Implications of HIV disease for oral health services. Adv Dent Res 2006, 19: 73–79. 10.1177/154407370601900115CrossRefPubMed Robinson PG: Implications of HIV disease for oral health services. Adv Dent Res 2006, 19: 73–79. 10.1177/154407370601900115CrossRefPubMed
28.
go back to reference Brito AM, Castilho EA, Szwarcwald CL: AIDS and HIV infection in Brazil: a multifaceted epidemicRev. Soc Bras Med Trop 2001, 34: 207–217. Brito AM, Castilho EA, Szwarcwald CL: AIDS and HIV infection in Brazil: a multifaceted epidemicRev. Soc Bras Med Trop 2001, 34: 207–217.
29.
go back to reference Mulligan R, Seirawan H, Alves ME, Navazesh M, Phelan JA, Greenspan D, Greenspan JS, Mack WJ: Oral health-related quality of life among HIV-infected and at-risk women. Community Dent Oral Epidemiol 2008, 36: 549–557. 10.1111/j.1600-0528.2008.00443.xCrossRefPubMed Mulligan R, Seirawan H, Alves ME, Navazesh M, Phelan JA, Greenspan D, Greenspan JS, Mack WJ: Oral health-related quality of life among HIV-infected and at-risk women. Community Dent Oral Epidemiol 2008, 36: 549–557. 10.1111/j.1600-0528.2008.00443.xCrossRefPubMed
30.
go back to reference Engeland CG, Jang P, Alves M, Marucha PT, Califano J: HIV infection and tooth loss. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008, 105: 321–326. 10.1016/j.tripleo.2007.10.012CrossRefPubMed Engeland CG, Jang P, Alves M, Marucha PT, Califano J: HIV infection and tooth loss. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008, 105: 321–326. 10.1016/j.tripleo.2007.10.012CrossRefPubMed
31.
go back to reference Barbato PR, Nagano HCM, Zanchet FN, Boing AF, Peres MA: Perda dentária e fatores sociais, demográficos e de services associados em adultos brasileiros: uma análise dos dados do estudo Epidemiológico Nacional (Projeto SB Brasil 2002–2003). Cad Saúde Pública 2007, 23: 1803–1814. 10.1590/S0102-311X2007000800007CrossRefPubMed Barbato PR, Nagano HCM, Zanchet FN, Boing AF, Peres MA: Perda dentária e fatores sociais, demográficos e de services associados em adultos brasileiros: uma análise dos dados do estudo Epidemiológico Nacional (Projeto SB Brasil 2002–2003). Cad Saúde Pública 2007, 23: 1803–1814. 10.1590/S0102-311X2007000800007CrossRefPubMed
32.
go back to reference Reis RK, Santos CB, Spadoti Dantas RA, Gir E: Quality of life, sociodemographicfactores and sexuality of people living with HIV/AIDS. Texto Contextoenferm 2011, 20: 365–375.CrossRef Reis RK, Santos CB, Spadoti Dantas RA, Gir E: Quality of life, sociodemographicfactores and sexuality of people living with HIV/AIDS. Texto Contextoenferm 2011, 20: 365–375.CrossRef
33.
go back to reference Jia H, Uphold CR, Zheng Y, Wu S, Chen GJ, Findley K, Duncan PW: A further investigation of health related quality of life over time among men with HIV infection in the HAART era. Qual Lif Res 2007, 16: 961–968. 10.1007/s11136-007-9214-4CrossRef Jia H, Uphold CR, Zheng Y, Wu S, Chen GJ, Findley K, Duncan PW: A further investigation of health related quality of life over time among men with HIV infection in the HAART era. Qual Lif Res 2007, 16: 961–968. 10.1007/s11136-007-9214-4CrossRef
34.
go back to reference Santos EMC, Franca I Jr, Lopes F: Quality of life of people living with HIV/AIDS in São Paulo. Rev Saúdepública 2007, 41: 64–71. Santos EMC, Franca I Jr, Lopes F: Quality of life of people living with HIV/AIDS in São Paulo. Rev Saúdepública 2007, 41: 64–71.
35.
go back to reference Reis RK, Santos CB, Gir E: Quality of life among Brazilian women living with HIV/Aids. Aids Care 2012, 24: 626–634. 10.1080/09540121.2011.630345CrossRefPubMed Reis RK, Santos CB, Gir E: Quality of life among Brazilian women living with HIV/Aids. Aids Care 2012, 24: 626–634. 10.1080/09540121.2011.630345CrossRefPubMed
36.
go back to reference Garbin CAS, Garbin AJI, Moimaz SAS, Carmo MP: Bioética e HIV/AIDS: discriminação no atendimento aos portadores. Rev Bioét 2009, 17: 511–522. Garbin CAS, Garbin AJI, Moimaz SAS, Carmo MP: Bioética e HIV/AIDS: discriminação no atendimento aos portadores. Rev Bioét 2009, 17: 511–522.
37.
go back to reference Grimberg M: Género y vih/sida:unanálisis de los diferenciales de género em la experiencia de vivir con VIH. Cuad Méd Soc 2000, 78: 41–54. Grimberg M: Género y vih/sida:unanálisis de los diferenciales de género em la experiencia de vivir con VIH. Cuad Méd Soc 2000, 78: 41–54.
38.
go back to reference Herrmann S, McKinnon E, Hyland NB, Lalanne C, Mallal S, Nolan D, Chassany O, Duracinsky M: HIV-related stigma and physical symptoms have a persistent influence on health-related quality of life in Australians with HIV infection. Health Qual Life Outcomes 2013, 11: 56. 10.1186/1477-7525-11-56PubMedCentralCrossRefPubMed Herrmann S, McKinnon E, Hyland NB, Lalanne C, Mallal S, Nolan D, Chassany O, Duracinsky M: HIV-related stigma and physical symptoms have a persistent influence on health-related quality of life in Australians with HIV infection. Health Qual Life Outcomes 2013, 11: 56. 10.1186/1477-7525-11-56PubMedCentralCrossRefPubMed
39.
go back to reference Lemos SS, Oliveira FA, Vencio EF: Periodontal disease and oral hygiene benefits in HIV seropositive and AIDS patients. Medicina Oral Patologia Oral y Cirurgía Bucal 2010, 15: 417–421.CrossRef Lemos SS, Oliveira FA, Vencio EF: Periodontal disease and oral hygiene benefits in HIV seropositive and AIDS patients. Medicina Oral Patologia Oral y Cirurgía Bucal 2010, 15: 417–421.CrossRef
40.
go back to reference Liberali S, Coates E, Freeman A, Logan R, Jamieson L, Mejia G: Oral conditions and their social impact among HIV dental patients, 18 years on. Aust Dent J 2013, 58: 18–25. 10.1111/adj.12031CrossRefPubMed Liberali S, Coates E, Freeman A, Logan R, Jamieson L, Mejia G: Oral conditions and their social impact among HIV dental patients, 18 years on. Aust Dent J 2013, 58: 18–25. 10.1111/adj.12031CrossRefPubMed
Metadata
Title
Oral health associated with quality of life of people living with HIV/AIDS in Brazil
Authors
Gabriella Barreto Soares
Cléa Adas Saliba Garbin
Tânia Adas Saliba Rovida
Artênio José Ísper Garbin
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-12-28

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