Oral Health Attitudes, Beliefs and Practices Impact Access to Oral Health Services

Oral health beliefs, attitudes and practices may be associated with limited access to oral health access. In-depth interviews were conducted with 60 HIV positive patients who had no dental care in the previous year to examine their current knowledge, attitudes and practices on oral health hygiene and health care. Data was analyzed to categorize participants into high vs. low literacy for oral hygiene practices. High literacy subjects reported at least 3 recommended oral health care practices (brushing, flossing, attending dental visits, and diet). Low literacy subjects reported two or fewer practices (brushing and/or flossing only). Thirteen percent (13%) were classified as “high literacy” vs. 71% as low literacy. Literacy was also related to perceived value of oral health on overall HIV health status, history of receiving oral health education either as an adult or child, and parental influence on routine dental care or education. Given these HIV positive patients need repeated, consistent messages about the appropriate oral health and hygiene practices. The presentation will share strategies from HRSA/SPNS programs to address barriers to care and improve oral health knowledge and practices.