4062.0: Tuesday, October 23, 2001 - Board 4

Abstract #24829

Evaluation of an oral health care program for individuals living with HIV/AIDS

Georgina P. Zabos, DDS, MPH1, Chau Trinh, MS2, Sandra Burkett, DDS3, Tanya Darlington1, and Patrick McGovern4. (1) School of Dental and Oral Surgery Division of Community Health, Columbia University, 630 West 168th Street, New York, NY 10032, , gpz1@columbia.edu, (2) Joseph L. Mailman School of Public Health Division of Sociomedical Sciences, Columbia University, 600 West 168th Street, New York, NY 10032, (3) School of Dentistry and Oral Surgery, Columbia University, New York, NY 10032, (4) Harlem United, New York, NY

Introduction: Dental preventive and early intervention services were integrated with supportive services at community-based programs (CBOs) for individuals living with HIV/AIDS in August 1999. Objective: We sought to assess the intervention's long-term effectiveness. Method: We conducted follow-up surveys a year after the program's inception. Participants were questioned about service utilization, oral health behaviors, satisfaction with the program and whether barriers to access changed or remained the same since attending WE CARE. Results: Between 11/00-01/01, we surveyed 46 clients. 70% were male; 83% African-American, 13% Hispanic, and 4% White. Of the 46 participants, 85% came for routine care and 15% for treatment of pain in the oral cavity. 78% of clients adhered to referrals for comprehensive care and treatment. Average time in the program was between 8-10 months. At follow-up, all WE CARE clients reported receiving preventive services and experiencing less barriers to access. Conclusion: Co-locating dental care services at CBOs providing medical and supportive services for individuals living with HIV/AIDS is effective and can engage participants into long-term primary dental prevention. In order to improve oral health outcomes, integrating dental services at CBOs for people living with HIV/AIDS is feasible and highly desirable.

Learning Objectives: At the conclusion of this session, participants will be able to: 1) discuss the oral health needs of individuals living with HIV/AIDS 2) identify strategies to engage individuals living with HIV/AIDS with appropriate primary dental care services 3) apply components of the program and its evaluation with their own programs.

Keywords: Oral Health, HIV/AIDS

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA