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dc.contributor.authorNasir, Elwalid Fadulen_US
dc.contributor.authorÅstrøm, Anne Nordrehaugen_US
dc.contributor.authorDavid, Jamilen_US
dc.contributor.authorAli, Raouf Wahaben_US
dc.date.accessioned2015-01-27T13:59:47Z
dc.date.available2015-01-27T13:59:47Z
dc.date.issued2009-11-16eng
dc.identifier.issn1472-6831
dc.identifier.urihttps://hdl.handle.net/1956/9287
dc.description.abstractBackground: HIV infected patients should be expected in the Sudanese dental health care services with an increasing frequency. Dental care utilization in the context of the HIV epidemic is generally poorly understood. Focusing on Sudanese dental patients with reported unknown HIV status, this study assessed the extent to which Andersen's model in terms of predisposing (sociodemographics), enabling (knowledge, attitudes and perceived risk related to HIV) and need related factors (oral health status) predict dental care utilization. It was hypothesized that enabling factors would add to the explanation of dental care utilization beyond that of predisposing and need related factors. Methods: Dental patients were recruited from Khartoum Dental Teaching Hospital (KDTH) and University of Science and Technology (UST) during March-July 2008. A total of 1262 patients (mean age 30.7, 56.5% females and 61% from KDTH) were examined clinically (DMFT) and participated in an interview. Results: A total of 53.9% confirmed having attended a dental clinic for treatment at least once in the past 2 years. Logistic regression analysis revealed that predisposing factors; travelling inside Sudan (OR = 0.5) were associated with lower odds and females were associated with higher odds (OR = 2.0) for dental service utilization. Enabling factors; higher knowledge of HIV transmission (OR = 0.6) and higher HIV related experience (OR = 0.7) were associated with lower odds, whereas positive attitudes towards infected people and high perceived risk of contagion (OR = 1.3) were associated with higher odds for dental care utilization. Among need related factors dental caries experience was strongly associated with dental care utilization (OR = 4.8). Conclusion: Disparity in the history of dental care utilization goes beyond socio-demographic position and need for dental care. Public awareness of HIV infection control and confidence on the competence of dentists should be improved to minimize avoidance behaviour and help establish dental health care patterns in Sudan.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/15222" target="_blank">Aspects of Oral Health Care Services in the context of HIV and AIDS in the Sudan</a>
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.titleUtilization of dental health care services in context of the HIV epidemic- a cross-sectional study of dental patients in the Sudanen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2013-08-28T16:39:54Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2009 Nasir et al; licensee BioMed Central Ltd
dc.rights.holderElwalid Nasir et al.; licensee BioMed Central Ltd.
dc.source.articlenumber30
dc.identifier.doihttps://doi.org/10.1186/1472-6831-9-30
dc.identifier.cristin346356
dc.source.journalBMC Oral Health
dc.source.409


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