title: Oral health-related quality of life among low-income adults living with HIV.
abstract: OBJECTIVE
  To explore oral health-related quality of life and its correlates among low-income human immunodeficiency virus (HIV)-positive patients receiving primary HIV care.
  
  
  METHODS
  Data were from a randomized experimental trial evaluating an intervention to increase use of oral health services by low-income HIV-positive adults. Interviews were conducted in English or Spanish among 594 adults receiving HIV medical care but not dental care. Oral health-related quality of life was measured with the 49-item Oral Health Impact Profile (OHIP-49).Primary predictor variables included measures of HIV disease: duration of HIV infection, CD4 cell count, and HIV viral load. Other predictors included sociodemographic and behavioral factors.
  
  
  RESULTS
  Overall, 62.6 percent of participants had experienced at least one oral health impact very often or fairly often in the 4 weeks preceding the survey, with a mean of 5.8 impacts. The mean number of impacts was significantly higher for women, the unemployed, those living in temporary housing, and current smokers. Neither the prevalence nor the mean number of impacts differed significantly by duration of HIV infection, CD4+ T lymphocyte cell count, or HIV viral load. In bivariate analysis, women had higher mean OHIP-49 scores than men overall (62.6 versus 50.5, P < 0.05) and for most subscales, indicating that women experienced more oral health impacts. In the final multivariate model, significant correlates of OHIP-49 were sex, race/ethnicity, living situation, and smoking status.
  
  
  CONCLUSIONS
  Oral health impacts are prevalent among adults in South Florida living with HIV, particularly among women, cigarette smokers, those in prison or other institutional settings, and certain racial and ethnic groups.
authors.affiliation: Department of Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Gainesville, Florida 32610-3268, USA. stomar@dental.ufl.edu
authors.forename: Scott L
authors.initials: SL
authors.lastname: Tomar
authors.forename: Margaret
authors.initials: M
authors.lastname: Pereyra
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Metsch
mesh_terms: D000328:Adult; D000368:Aged; D018791:CD4 Lymphocyte Count; D005260:Female; D015658:HIV Infections / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D011203:Poverty; D011788:Quality of Life; D019562:Viral Load