Use of dental care by HIV-infected medical patients

Although increasing attention has been paid to the use of dental care by HI V patients, the existing studies do not use probability samples, and no acc urate population estimates of use can be made from this work. The intent of the present study was to establish accurate population estimates of the us e of dental services by patients under medical care. The study, part of the HIV Cost and Services Utilization Study (HCSUS), created a representative national probability sample, the first of its kind, of HN-infected adults i n medical care. Both bivariate and logistic regressions were conducted, wit h use of dental care in the preceding 6 months as the dependent variable an d demographic, social, behavioral, and disease characteristics as independe nt variables. Forty-two percent of the sample had seen a dental health prof essional in the preceding 6 months. The bivariate logits for use of dental care show that African-Americans, those whose exposure to HIV was caused by hemophilia or blood transfusions, persons with less education, and those w ho were employed were less likely to use dental care (p < 0.05). Sixty-five percent of those with a usual source of care had used dental care in the p receding 6 months. Use was greatest among those obtaining dental care from an AIDS clinic (74%) and lowest among those without a usual source of denta l care (12%). We conclude that, in spite of the high rate of oral disease i n persons with HIV, many do not use dental care regularly, and that use var ies by patient characteristics and availability of a regular source of dent al care.