Recent national studies demonstrate that oral health care is one of the highest unmet health care needs for HIV-positive (HIV+) individuals, although it is recognized as playing a critical role in the medical management of HIV/AIDS. Social and economic factors have contributed to less than optimal use of oral health services for HIV+s in the United States. According to recent data, from Miami-Dade County, Florida, only 24% of HIV+s served by Ryan White-funded medical clinics had obtained oral health services in the past 12 months. To address the underutilization of oral health care services, we propose to develop, implement, and evaluate an intervention to assist low-income HIV+s in obtaining access to oral health services as well as increase appropriate utilization of these services. The intervention is a brief, client-centered case management intervention. The case management intervention is adapted from an intervention that has been previously tested in a CDC-funded, multi-site study designed to link recently diagnosed HIV+s to primary medical care. A two-arm randomized trial among HIV+ individuals who are currently enrolled in HIV primary medical care, but not receiving oral health care, will be conducted to test the intervention. The two arms will consist of a case management intervention and standard-of-care. Participants will be assessed at baseline, and at 9 and 18 months after baseline, to document their utilization of oral health services. An interdisciplinary team of behavioral and clinical research scientists with experience in developing and evaluating health care and prevention interventions targeting low income, HIV+s will conduct this research.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Research Project (R01)
Project #
5R01DE015523-05
Application #
7364607
Study Section
Special Emphasis Panel (ZRG1-AARR-A (02))
Program Officer
Riddle, Melissa
Project Start
2004-05-01
Project End
2011-02-28
Budget Start
2008-03-01
Budget End
2010-02-28
Support Year
5
Fiscal Year
2008
Total Cost
$616,523
Indirect Cost
Name
University of Miami School of Medicine
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
052780918
City
Coral Gables
State
FL
Country
United States
Zip Code
33146
Metsch, Lisa R; Pereyra, Margaret; Messinger, Shari et al. (2015) Effects of a Brief Case Management Intervention Linking People With HIV to Oral Health Care: Project SMILE. Am J Public Health 105:77-84
Parish, Carrigan; Siegel, Karolynn; Pereyra, Margaret et al. (2015) Barriers and facilitators to dental care among HIV-Infected adults. Spec Care Dentist 35:294-302
Pereyra, Margaret; Metsch, Lisa R; Tomar, Scott et al. (2011) Utilization of dental care services among low-income HIV-positive persons receiving primary care in South Florida. AIDS Care 23:98-106
Saint-Jean, Gilbert; Metsch, Lisa; Gomez-Marin, Orlando et al. (2011) Use of HIV primary care by HIV-positive Haitian immigrants in Miami, Florida. AIDS Care 23:486-93