231468 Social justice in oral health: Ensuring access to care for people with HIV

Monday, November 8, 2010 : 12:30 PM - 12:50 PM

Helene Sharon Bednarsh, BS, RDH, MPH , BPHC/HIV Dental; BUSPH/HDWG, Boston Public Health Commission and Boston University School of Public Health, Boston, MA
Jane E. Fox, MPH , Health and Disability Working Group, Boston University School of Public Health, Boston, MA
Serena Rajabiun, MPH , Health and Disability Working Group, Boston University School of Public Health, Boston, MA
Irshad Shaikh, MD, MPH, PHD , AIDS Care Group, Chester, PA, Chester, PA
Oral health care is an essential yet often unmet need for underserved and underinsured populations in the US. This is a social justice issue that requires national attention from not only policy makers, but oral health providers, public health workers and the general public. This unmet need is extensive in the HIV population and has been widely documented. This session will provide information about how social justice can be promoted by increasing access to oral health care for persons living with HIV and share the results from the multisite evaluation identifying the structural and personal barriers to oral health care that lead to poor dental care utilization, lower literacy about oral hygiene and health, and higher unmet needs. Strategies will be presented for promoting greater access that can reduce the disparity within this population. The 3 panelists will present the following topics: 1. A lack of access to oral health care leading to dissatisfaction with a patients' appearance can severely impact their sense of worth and self-confidence. This subset is more likely to avoid going out and experience more pain and distress due to their oral health status. 2. Oral health beliefs, attitudes and practices may be associated with limited access to oral health access. The presentation will share strategies from HRSA/SPNS programs to address barriers to care and improve oral health knowledge and practices. 3. The presentation will discuss factors associated with improved oral health outcomes in this cohort and success of income generation model for community-based service providers.

Learning Areas:
Provision of health care to the public
Public health or related research

Learning Objectives:
1. Describe the effects of patientís dissatisfaction with the appearance of their mouth; 2. Demonstrate through a video the positive impact on patients when their oral health dissatisfaction is addressed; 3. Discuss the oral health self care knowledge and practices of the sub-sample; 4. Describe strategies to improve patient oral health care knowledge and practices; 5. Identify five key client needs in an underserved population associated with longevity of care; 6. Describe salient features of a successful community-based oral health care delivery model for HIV/AIDS affected population in marginalized settings

Keywords: HIV/AIDS, Oral Health Needs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified based on educastion and experience addressing the oral health needs of people with HIV/AIDS
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.