Oral Diseases and Oral Health–Related Quality of Life among Kenyan Children and Adolescents with HIV

Introduction: Children and adolescents living with HIV (CALHIV) have a higher risk of hard and soft oral tissue diseases as compared with their healthy peers. It is important to increase awareness regarding the need to integrate oral health within medical care among pediatric HIV populations. Studie...

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Published in:JDR clinical and translational research 2023-04, Vol.8 (2), p.168-177
Main Authors: Wang, Y., Ramos-Gomez, F., Kemoli, A.M., John-Stewart, G., Wamalwa, D., Benki-Nugent, S., Slyker, J., Seminario, A.L.
Format: Article
Language:English
Subjects:
Adolescent
Child
Cross-Sectional Studies
Dental Caries - epidemiology
Dental Caries - psychology
HIV Infections - epidemiology
Humans
Kenya - epidemiology
Longitudinal Studies
Mouth Diseases - epidemiology
Original Reports
Quality of Life
Ulcer
Xerostomia
Young Adult
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Summary:Introduction: Children and adolescents living with HIV (CALHIV) have a higher risk of hard and soft oral tissue diseases as compared with their healthy peers. It is important to increase awareness regarding the need to integrate oral health within medical care among pediatric HIV populations. Studies on associations of oral diseases with oral health–related quality of life (OHRQoL) in CALHIV are lacking. This study examined the association between oral diseases and OHRQoL in Kenyan CALHIV. Methods: This cross-sectional analysis was nested in a longitudinal cohort study of CALHIV in Nairobi. CALHIV received oral examinations, and the World Health Organization’s Oral Health Surveys and Record Form was administered. OHRQoL was measured with the Parental-Caregiver Perceptions Questionnaire, with the subdomains of global, oral symptoms, function limitations, and emotional and social well-being, with higher scores indicating poorer OHRQoL. Linear regression was used to model associations between OHRQoL and oral diseases, adjusting for age at the time of oral examination, CD4 counts, and caregiver’s education. Results: Among 71 CALHIV, the mean age was 12.6 y (SD, 2.9; range, 10 to
ISSN:2380-0844
2380-0852
DOI:10.1177/23800844221087951