Enhancing Oral Health Care Use by HIV Positive Individuals

Recent national studies demonstrate that oral health is one of the highest unmet health
needs for HIV-positive (HIV+) individuals, although it is recognized as playing a less
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 case
management intervention is adapted from an intervention that had 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 months 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 intervention targeting low income, HIV+s will conduct
this research.

Inclusion Criteria:

- Men and women 18 years and older

- Documented HIV infection

- Currently in medical care (defined as having seen an HIV primary care provider in
the previous six months)

- Eligible for Ryan White title I funding

- Plans to remain in Miami for the next 24 months

- Provide the name of two verifiable locator persons

Exclusion Criteria:

- Persons not meeting the inclusion criteria as delineated above