Baseline characteristics of participants in the oral health component of the Women's Interagency HIV Study

Roseann Mulligan, Joan A. Phelan, Janet Brunelle, Maryann Redford, Janice M. Pogoda, Evelyn Nelson, Hazem Seirawan, John S. Greenspan, Mahvash Navazesh, Deborah Greenspan, Mario E A F Alves

Research output: Contribution to journalArticle

Abstract

Objectives: This study described baseline sociodemographic and oral health characteristics of a subset of HIV sero-positive and sero-negative women who participated in the oral health component of the Women's Interagency HIV Study (WIHS). Methods: In 1995-96, 584 HIV sero-positive and 151 sero-negative women from five WIHS core sites were enrolled in the oral study. Data on oral mucosa, salivary glands, dentition and periodontium, along with demographics, socioeconomics, and behavioral characteristics, were used to characterize this population. Results: Mean (SD) age was 37 (8) years for HIV sero-positive and 36 (8) years for sero-negative women; 27% of sero-positive women had CD4 counts ≤ 200 and 34% had viral loads >50 000 copies/ml. Sero-positive and sero-negative women were similar demographically, as well as on plaque index, gingival bleeding, linear gingival banding, and numbers of DMF teeth and surfaces, but sero-positive women had more abnormal gingival papilla (P = 0.004) and fewer teeth (P = 0.01). Among sero-positive women, those with <200 CD4 counts had more DMF teeth (P = 0.007), and the number of DMF surfaces increased with decreasing CD4 counts (P = 0.04). Sero-positive women who fit the Center for Disease Control (CDC) AIDS criteria were also more likely to have more DMF teeth (P = 0.004), DMF surfaces (P = 0.003), and decayed and/or filled (DF) root surfaces (P = 0.0002) compared to sero-positive women without AIDS. Conclusions: Dental and periodontal variables showed little difference between HIV sero-positive and sero-negative women. Among sero-positive women, there were significant differences in coronal and root caries by AIDS diagnostic criteria, but no periodontal indicators by either AIDS diagnostic criteria or CD4 status, were observed.

Original languageEnglish (US)
Pages (from-to)86-98
Number of pages13
JournalCommunity Dentistry and Oral Epidemiology
Volume32
Issue number2
DOIs
StatePublished - Apr 2004

Fingerprint

Oral Health
HIV
Tooth
Acquired Immunodeficiency Syndrome
CD4 Lymphocyte Count
Root Caries
Periodontal Index
Periodontium
Dentition
Mouth Mucosa
Centers for Disease Control and Prevention (U.S.)
Salivary Glands
Viral Load
Demography

Keywords

  • Caries
  • CD4 count
  • Demographics
  • Dental
  • HIV
  • Periodontal disease
  • WIHS
  • Women

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Mulligan, R., Phelan, J. A., Brunelle, J., Redford, M., Pogoda, J. M., Nelson, E., ... Alves, M. E. A. F. (2004). Baseline characteristics of participants in the oral health component of the Women's Interagency HIV Study. Community Dentistry and Oral Epidemiology, 32(2), 86-98. https://doi.org/10.1111/j.0301-5661.2004.00128.x

Baseline characteristics of participants in the oral health component of the Women's Interagency HIV Study. / Mulligan, Roseann; Phelan, Joan A.; Brunelle, Janet; Redford, Maryann; Pogoda, Janice M.; Nelson, Evelyn; Seirawan, Hazem; Greenspan, John S.; Navazesh, Mahvash; Greenspan, Deborah; Alves, Mario E A F.

In: Community Dentistry and Oral Epidemiology, Vol. 32, No. 2, 04.2004, p. 86-98.

Research output: Contribution to journalArticle

Mulligan, R, Phelan, JA, Brunelle, J, Redford, M, Pogoda, JM, Nelson, E, Seirawan, H, Greenspan, JS, Navazesh, M, Greenspan, D & Alves, MEAF 2004, 'Baseline characteristics of participants in the oral health component of the Women's Interagency HIV Study', Community Dentistry and Oral Epidemiology, vol. 32, no. 2, pp. 86-98. https://doi.org/10.1111/j.0301-5661.2004.00128.x
Mulligan, Roseann ; Phelan, Joan A. ; Brunelle, Janet ; Redford, Maryann ; Pogoda, Janice M. ; Nelson, Evelyn ; Seirawan, Hazem ; Greenspan, John S. ; Navazesh, Mahvash ; Greenspan, Deborah ; Alves, Mario E A F. / Baseline characteristics of participants in the oral health component of the Women's Interagency HIV Study. In: Community Dentistry and Oral Epidemiology. 2004 ; Vol. 32, No. 2. pp. 86-98.
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abstract = "Objectives: This study described baseline sociodemographic and oral health characteristics of a subset of HIV sero-positive and sero-negative women who participated in the oral health component of the Women's Interagency HIV Study (WIHS). Methods: In 1995-96, 584 HIV sero-positive and 151 sero-negative women from five WIHS core sites were enrolled in the oral study. Data on oral mucosa, salivary glands, dentition and periodontium, along with demographics, socioeconomics, and behavioral characteristics, were used to characterize this population. Results: Mean (SD) age was 37 (8) years for HIV sero-positive and 36 (8) years for sero-negative women; 27{\%} of sero-positive women had CD4 counts ≤ 200 and 34{\%} had viral loads >50 000 copies/ml. Sero-positive and sero-negative women were similar demographically, as well as on plaque index, gingival bleeding, linear gingival banding, and numbers of DMF teeth and surfaces, but sero-positive women had more abnormal gingival papilla (P = 0.004) and fewer teeth (P = 0.01). Among sero-positive women, those with <200 CD4 counts had more DMF teeth (P = 0.007), and the number of DMF surfaces increased with decreasing CD4 counts (P = 0.04). Sero-positive women who fit the Center for Disease Control (CDC) AIDS criteria were also more likely to have more DMF teeth (P = 0.004), DMF surfaces (P = 0.003), and decayed and/or filled (DF) root surfaces (P = 0.0002) compared to sero-positive women without AIDS. Conclusions: Dental and periodontal variables showed little difference between HIV sero-positive and sero-negative women. Among sero-positive women, there were significant differences in coronal and root caries by AIDS diagnostic criteria, but no periodontal indicators by either AIDS diagnostic criteria or CD4 status, were observed.",
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AU - Brunelle, Janet

AU - Redford, Maryann

AU - Pogoda, Janice M.

AU - Nelson, Evelyn

AU - Seirawan, Hazem

AU - Greenspan, John S.

AU - Navazesh, Mahvash

AU - Greenspan, Deborah

AU - Alves, Mario E A F

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N2 - Objectives: This study described baseline sociodemographic and oral health characteristics of a subset of HIV sero-positive and sero-negative women who participated in the oral health component of the Women's Interagency HIV Study (WIHS). Methods: In 1995-96, 584 HIV sero-positive and 151 sero-negative women from five WIHS core sites were enrolled in the oral study. Data on oral mucosa, salivary glands, dentition and periodontium, along with demographics, socioeconomics, and behavioral characteristics, were used to characterize this population. Results: Mean (SD) age was 37 (8) years for HIV sero-positive and 36 (8) years for sero-negative women; 27% of sero-positive women had CD4 counts ≤ 200 and 34% had viral loads >50 000 copies/ml. Sero-positive and sero-negative women were similar demographically, as well as on plaque index, gingival bleeding, linear gingival banding, and numbers of DMF teeth and surfaces, but sero-positive women had more abnormal gingival papilla (P = 0.004) and fewer teeth (P = 0.01). Among sero-positive women, those with <200 CD4 counts had more DMF teeth (P = 0.007), and the number of DMF surfaces increased with decreasing CD4 counts (P = 0.04). Sero-positive women who fit the Center for Disease Control (CDC) AIDS criteria were also more likely to have more DMF teeth (P = 0.004), DMF surfaces (P = 0.003), and decayed and/or filled (DF) root surfaces (P = 0.0002) compared to sero-positive women without AIDS. Conclusions: Dental and periodontal variables showed little difference between HIV sero-positive and sero-negative women. Among sero-positive women, there were significant differences in coronal and root caries by AIDS diagnostic criteria, but no periodontal indicators by either AIDS diagnostic criteria or CD4 status, were observed.

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