Dental care for people living with HIV, a phenomenological approach
Notice bibliographique
Résumé
Background: Oral health care is amongst one of the highest unmet needs of people living with HIV/AIDS (PLHIV); this may be due to barriers they face accessing care, such as stigmatization and fear of discrimination. PLHIV have indeed reported negative experiences at dental offices and with dental staff. However, there is a lack of recent and in-depth studies that capture the current perspectives of PLHIV regarding accessing dental services. In order to respond to the oral health needs of PLHIV, it is thus important to better understand how they access and experience dental care in Canada. Objectives: Our objective was to better understand the lived experiences of PLHIV with respect to accessing dental care. In particular, we sought to better understand the difficulties and the stigmatization they faced trying to fulfil these needs, and finally to make recommendations for alleviating these difficulties. Methods: We adopted a participatory approach and an interpretive phenomenological research design. We invited community associations for PLHIV and organizations fighting HIV to collaborate with us at all stages of the research. In order to gain an in-depth understanding of the perspectives and experiences of PLHIV, we used a qualitative approach, namely interpretive phenomenology, which is particularly appropriate for understanding and describing complex and sensitive experiences. We conducted in-depth interviews with eight people living with HIV in Montreal. The interviews were audio-recorded, transcribed verbatim, and interpretively analysed.Findings: Living with HIV significantly shapes the experiences of people regarding their oral health and accessing dental care. Our participants struggled with an imperfect oral health and a limited access to dental care. Thus they experienced anxiety over managing a fragile oral health for years to come. Although they were generally satisfied with their dentists, they reported isolated negative encounters with the dental staff. Because of these negative experiences, in addition to that of other PLHIV, some participants anticipated being stigmatized in dental settings. To avoid such potential discrimination, they either chose not to disclose their HIV status to the dentists, or to visit a trusted dentist known for accepting PLHIV.Conclusion: Dental professionals should be aware of and sensitive to the complexities of PLHIV's life experiences and try to accommodate their specific needs. Dentists alongside other members of the society should also tackle HIV stigma in dental settings and society at large.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».