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Perceived unmet need for oral treatment among a national population of HIV-positive medical patients: Social and clinical correlates

Author

Listed:
  • Marcus, M.
  • Freed, J.R.
  • Coulter, I.D.
  • Der-Martirosian, C.
  • Cunningham, W.
  • Andersen, R.
  • Garcia, I.
  • Schneider, D.A.
  • Maas, W.R.
  • Bozzette, S.A.
  • Shapiro, M.F.

Abstract

Objectives. This study examines social, behavioral, and clinical correlates of perceived unmet need for oral health care for people with HIV infection. Methods: Baseline in-person interviews with 2864 individuals were conducted with the HIV Cost and Services Utilization Study cohort, a nationally representative probability sample of HIV-infected persons in medical are Bivariate and logistic regression analyses were conducted, with unmet need in the last 6 months as the dependent variable and demographic, social, behavioral, and disease characteristics as independent variables. Results. We estimate that 19.3% of HIV-infected medical patients (n = 44550) had a perceived unmet need for dental care in the last 6 months. The odds of having unmet dental needs were highest for those on Medicaid in states without dental benefits (odds ratio [OR] = 2.21), for others with no dental insurance (OR = 2.26), for those with incomes under $5000 (OR = 2.20), and for those with less than a high school education (OR = 1.83). Low CD4 count was not significant. Conclusions. Perceived unmet need was related more to social and economic factors than to stage of infection. An expansion of dental benefits for those on Medicaid might reduce unmet need for dental care.

Suggested Citation

  • Marcus, M. & Freed, J.R. & Coulter, I.D. & Der-Martirosian, C. & Cunningham, W. & Andersen, R. & Garcia, I. & Schneider, D.A. & Maas, W.R. & Bozzette, S.A. & Shapiro, M.F., 2000. "Perceived unmet need for oral treatment among a national population of HIV-positive medical patients: Social and clinical correlates," American Journal of Public Health, American Public Health Association, vol. 90(7), pages 1059-1063.
    • Handle: RePEc:aph:ajpbhl:2000:90:7:1059-1063_8
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    Cited by:

    1. Sabine Chaupain-Guillot & Olivier Guillot, 2015. "Health system characteristics and unmet care needs in Europe: an analysis based on EU-SILC data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(7), pages 781-796, September.
    2. Jens Detollenaere & Lise Hanssens & Veerle Vyncke & Jan De Maeseneer & Sara Willems, 2017. "Do We Reap What We Sow? Exploring the Association between the Strength of European Primary Healthcare Systems and Inequity in Unmet Need," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-13, January.
    3. Caterina Francesca Guidi & Laia Palència & Silvia Ferrini and Davide Malmusi, 2016. "Inequalities by immigrant status in unmet needs for healthcare in Europe: the role of origin, nationality and economic resources," RSCAS Working Papers 2016/55, European University Institute.

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