247968 Oral health needs of persons living in the community with advanced HIV/AIDS

Monday, October 31, 2011: 9:10 AM

Victoria H. Raveis, PhD , Psychosocial Research Unit on Health, Aging and the Community, New York University, New York, NY
Daniel G. Karus, BA, MS , Psychosocial Research Unit on Health, Aging and the Community, New York University, New York, NY
Monique Carrero, MS , Psychosocial Research Unit on Health, Aging and the Community, New York University, New York, NY
Peter Selwyn, MD , Department of Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY
Background: HIV/AIDS is increasingly affecting populations who have traditionally experienced barriers accessing health care -- the uninsured, homeless, substance abusers, and incarcerated. Although treatment advances have transformed HIV/AIDS from a rapidly fatal illness to a chronic disease, it is remains an important cause of morbidity and mortality and attention to palliative care is an essential aspect of clinical services for those with advanced disease. Methods: A NINR-funded longitudinal investigation of care management of community residents living with advanced HIV/AIDS (n=104) was conducted. The diverse adult patient sample was recruited from a major urban medical center -- 46% Hispanic, 43% black non-Hispanic, 8% white non-Hispanic. A multi-modal data collection (in-depth interviews, questionnaires, medical records) was conducted in English/Spanish. Results: Patients living with advanced HIV/AIDS continue to experience a large number of symptoms. A high prevalence of oral health symptoms were among those reported – 53% dry mouth, 27% change in way food tastes, 14% difficulty swallowing, and 12% mouth sores. Nearly all patients, 95%, reported needing at least one medical service and nine in ten reported need for some type of practical assistance/social services. Among the medical needs that patients reported, 52% of the patients reported oral health needs of which 39% were unmet. Conclusion: A substantial number of patients living with advanced HIV/AIDS experience oral health symptoms and report unmet oral health needs, suggesting that oral health care is an important component to include in palliative care programs.

Learning Areas:
Chronic disease management and prevention
Clinical medicine applied in public health
Program planning
Provision of health care to the public
Public health or related nursing

Learning Objectives:
1. Describe the oral health needs of persons living with advanced HIV/AIDS 2. Discuss the special oral health services palliative care programs serving persons with HIV/AIDS could implement

Keywords: HIV/AIDS, Oral Health Needs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Principal investigator on the study, directed the analysis of the data. Former director, Aging and the Community Program, Columbia University Mailman School of Public Health; former Co-Director, Mailman School’s Center for the Psychosocial Study of Health and Illness; medical sociologist and social gerontologist; experienced NIH behavioral health sciences researcher
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.