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ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 14  |  Page : 84-90

Pattern of utilization of dental services and oral self-care practices of people living with HIV/AIDS in two tertiary health institutions in Nigeria


1 Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria
2 Department of Preventive Dentistry, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria
3 Department of Preventive Dentistry, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
4 Department of Haematology and Blood Transfusion, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria

Correspondence Address:
Dr. Kehinde Adesola Umeizudike
Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, P.M.B. 12003, Idi-Araba, Lagos
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/nnjcr.nnjcr_35_18

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Background: People living with HIV/AIDS (PLWHA) have a high risk of oral health problems. However, little is known about their utilization of oral health services in Nigeria. Objectives: The aims of this study were to determine utilization of dental services and oral hygiene practices among PLWHA attending two tertiary health institutions. Materials and Methods: This was a descriptive, cross-sectional study among PLWHA attending HIV clinics in two teaching hospitals in South West and South South Nigeria. Information obtained using self-administered structured questionnaires included questions on pattern of dental services' utilization and oral hygiene behavior. P < 0.05 was considered as statistically significant. Results: Three hundred and fifty-two (352) PLWHA participated. Mean age was 42.5 ± 9.4 years, 64.2% were females, and 36.9% were of middle socioeconomic status (SES). Previous dental visits (36.9%) were associated with perception of dental need, center of study, and SES (P < 0.05). Odds of utilizing dental health services were higher among those who perceived they needed dental care (odds ratio: 4.12; 95% confidence interval: 2.13–7.96). Eighty-eight (25%) had visited the dentist in the preceding 12 months and received dental treatment in the form of extraction (64.4%), routine dental check (13.8%), and scaling and polishing (5.8%). Lack of perceived dental need and financial limitations were the main barriers for lack of dental visits. Twice daily tooth brushing was practiced by 40.1% of the respondents. Conclusion: Utilization of the dental services among PLWHA was low and influenced by self-perception of dental need, study center, and higher SES. Oral hygiene practices were less than optimal.


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