title: Dental anxiety and the use of oral health services among people attending two HIV primary care clinics in Miami.
abstract: OBJECTIVE
  We examined factors associated with dental anxiety among a sample of HIV primary care patients and investigated the independent association of dental anxiety with oral health care.
  
  
  METHODS
  Cross-sectional data were collected in 2010 from 444 patients attending two HIV primary care clinics in Miami-Dade County, Florida. Corah Dental Anxiety Scores and use of oral health-care services were obtained from all HIV-positive patients in the survey.
  
  
  RESULTS
  The prevalence of moderate to severe dental anxiety in this sample was 37.8%, while 7.9% of the sample was characterized with severe dental anxiety. The adjusted odds of having severe dental anxiety were 3.962 times greater for females than for males (95% confidence interval [CI] 1.688, 9.130). After controlling for age, ethnicity, gender, education, access to dental care, and HIV primary clinic experience, participants with severe dental anxiety had 69.3% lower adjusted odds of using oral health-care services within the past 12 months (vs. longer than 12 months ago) compared with participants with less-than-severe dental anxiety (adjusted odds ratio = 0.307, 95% CI 0.127, 0.742).
  
  
  CONCLUSIONS
  A sizable number of patients living with HIV have anxiety associated with obtaining needed dental care. Routine screening for dental anxiety and counseling to reduce dental anxiety are supported by this study as a means of addressing the impact of dental anxiety on the use of oral health services among HIV-positive individuals.
authors.affiliation: College of Dental Medicine, Department of Orthodontics, Nova Southeastern University, Fort Lauderdale-Davie, FL, USA. singer@med.miami.edu
authors.forename: Richard
authors.initials: R
authors.lastname: Singer
authors.forename: Gabriel
authors.initials: G
authors.lastname: Cardenas
authors.forename: Jessica
authors.initials: J
authors.lastname: Xavier
authors.forename: Yves
authors.initials: Y
authors.lastname: Jeanty
authors.forename: Margaret
authors.initials: M
authors.lastname: Pereyra
authors.forename: Allan
authors.initials: A
authors.lastname: Rodriguez
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Metsch
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D016854:Dental Anxiety / Q000209:etiology* / Q000628:therapy*; D003729:Dental Care / Q000706:statistics & numerical data*; D005260:Female; D005431:Florida / Q000453:epidemiology; D006678:HIV; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008347:Manifest Anxiety Scale; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D012959:Socioeconomic Factors; D055815:Young Adult