Effects of a brief case management intervention linking people with HIV to oral health care: Project smile

Lisa R. Metsch, Margaret Pereyra, Shari Messinger, Yves Jeanty, Carrigan Parish, Eduardo Valverde, Gabriel Cardenas, Henry Boza, Scott Tomar

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objectives: Although people with HIV experience significant oral health problems, many consistently identify oral health as an unmet health care need. We conducted a randomized controlled trial to evaluate the impact of a dental case management intervention on dental care use. Methods: We evaluated the intervention according to self-reported dental care use at 6-, 12-, and 18-month follow-ups. Multivariable logistic models with generalized estimating equations were used to assess the effects of the intervention over time. Results: The odds of having a dental care visit were about twice as high in the intervention group as in the standard care group at 6 months (adjusted odds ratio [OR] = 2.52; 95% confidence interval [CI] = 1.58, 4.08) and 12 months (adjusted OR = 1.98; 95% CI = 1.17, 3.35), but the odds were comparable in the 2 groups by 18 months (adjusted OR = 1.07; 95% CI = 0.62, 1.86). Factors significantly associated with having a dental care visit included frequent physician visits and dental care referrals. Conclusions: We demonstrated that a dental case management intervention targeting people with HIV was efficacious but not sustainable over time. Barriers not addressed in the intervention must be considered to sustain its use over time.

Original languageEnglish (US)
Pages (from-to)77-84
Number of pages8
JournalAmerican journal of public health
Volume105
Issue number1
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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