Titre :
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Innovations in Oral Health Care for People Living with HIV/AIDS. Access to Oral Health Care and Self-Reported Health Status Among Low-Income Adults Living with HIV/AIDS. (2012)
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Auteurs :
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Sara-S BACHMAN ;
Stephen-N ABEL, éd. ;
Sara-S BACHMAN, éd. ;
David-A REZNIK, éd. ;
Amarachi UMEZ-ERONINI ;
Angela-W WALTER
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Type de document :
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Article
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Dans :
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Public health reports (vol. 127, 2012)
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Pagination :
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55-64
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Langues:
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Anglais
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Mots-clés :
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Accès soins
;
Cavité buccale
;
Soins
;
Autoévaluation
;
Facteur socioéconomique
;
Revenu
;
Adulte
;
Sida
;
Homme
;
Virose
;
Infection
;
Stomatologie
;
Immunopathologie
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Résumé :
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[BDSP. Notice produite par INIST-CNRS EqI99R0x. Diffusion soumise à autorisation]. Objective. We identified factors associated with improved self-reported health status in a sample of people living with HIV/AIDS (PLWHA) following enroll-ment in oral health care. Methods. Data were collected from 1,499 enrollees in the Health Resources and Services Administration HIV/AIDS Bureau's Special Projects of National Significance Innovations in Oral Health Care Initiative. Data were gathered from 2007-2010 through in-person interviews at 14 sites ; self-reported health status was measured using the SF-8Health Survey's physical and mental health summary scores. Utilization records of oral health-care services provided to enrollees were also obtained. Data were analyzed using general estimating equation linear regression. Results. Between baseline and follow-up, we found that physical health status improved marginally while mental health status improved to a greater degree. For change in physical health status, a decrease in oral health problems and lack of health insurance were significantly associated with improved health status. Improved mental health status was associated with a decrease in oral health problems at the last available visit and no pain or distress in one's teeth or gums at the last available visit. Conclusion. For low-income PLWHA, engagement in a program to increase access to oral health care was associated with improvement in overall well-being as measured by change in the SF-8 Health Survey. These results contribute to the knowledge base about using the SF-8 to assess the impact of clinical interventions. For public health practitioners working with PLWHA, findings suggest that access to oral health care can help promote well-being for this vulnerable population.
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