Factors associated with utilization of care for oral lesions in HIV disease

Objective. The purpose of this study was to examine factors associated with utilization of care for oral lesions in people with HIV disease. Study design. The data were derived from 1424 adults who participated in a series of up to 4 interviews as part of the AIDS Cost and Service Utilizati on Survey. Treatment for thrush, oral sores,and other conditions was evalua ted through use of logistic regression, with generalized estimating equatio ns being applied. Results. In all, 9.1% of those in the study sample reported being treated. After adjusting for CD4 cell count and other variables, regression analyses indicated that blacks (odds ratio [OR], 0.54; 95% confidence interval [CI] , 0.32-0.91) and Hispanics (OR, 0.59; 95% CI, 0.36-0.98) had significantly lower odds of reporting being treated. Respondents with more than a high sc hool education (OR, 1.64; 95% CI, 1.08-2.51), clinical trial participants ( OR, 1.92; 95% CI, 1.27-2.90), and those receiving counseling [OR, 2.22; 95% CI, 1.60-3.09) were more likely to report being treated. Conclusions, Utilization of care for oral lesions is very low. Educational and racial differences exist among those respondents who received care for HIV-associated oral lesions.