Access and use of specific dental services in HIV disease

Objectives: This study examined factors associated with the use of specific dental services by persons with HIV disease. Methods: The data were derive d from 1,588 adults who participated in a series of up to six interviews as part of the AIDS Cost and Service Utilization Surveys. Use of dental servi ces such as examinations, x-rays, cleaning, fillings, extractions, root can als, crown and bridge or dentures, and periodontal procedures were evaluate d using logistic regression and generalized estimating equations were appli ed. Results: Multivariate analyses showed that medical insurance, an educat ion beyond high school, income higher than $1,300 per month, high ambulator y visits, and receipt of psychological counseling were generally associated with highersen/ice use. Blacks, those with an inpatient admission, and CD4 + cell counts less than 500 cells/muL were significantly less likely to use most types of dental services. Conclusions: The study concludes that dispa rities exist in the use of several dental services similar to those seen in the general population.