{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:40:07Z","timestamp":1782711607879,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T00:00:00Z","timestamp":1546992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To identify the predisposing, enabling, and need factors of the Andersen and Newman (A&amp;N) model and their associations with the pattern of dental service utilization in a sample of people living with HIV (PLHIV) in British Columbia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants responded anonymously to a 40\u2010item online questionnaire to explore the patterns of dental service utilization. Following the descriptive statistics, the associations between A&amp;N model factors and main outcome variables (having a dental visit in the last year and reasons for the dental visit) were evaluated using simple and multiple logistic regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 600 potential PLHIV participants, 210 responded to the survey and 186 met the inclusion criteria. The experience of being discriminated against by dental professionals (<jats:italic>P<\/jats:italic> = 0.005), having dental anxiety (<jats:italic>P<\/jats:italic> &lt; 0.001), not having dental insurance (<jats:italic>P<\/jats:italic> = 0.001), and having living condition difficulties (<jats:italic>P<\/jats:italic> = 0.004) were significantly associated with nonemergency dental visits. In multiple logistic regression analysis, dental anxiety (OR = 0.1; 95 percent CI 0.0; 0.4), having a regular dentist (OR = 3.7; 95 percent CI 1.1; 12.6), and visiting a dental office in the last year (OR = 21.6; 95 percent CI 6.1; 76.5) were the strongest predictors of dental service utilization in this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Several predisposing, enabling, and need factors from the A&amp;N model were associated with dental service utilization by PLHIV. In addition to various psychosocial barriers, a significant number of respondents reported experiencing stigma and discrimination from their oral care providers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12304","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T15:39:07Z","timestamp":1547048347000},"page":"124-136","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada"],"prefix":"10.1111","volume":"79","author":[{"given":"Abbas","family":"Jessani","sequence":"first","affiliation":[{"name":"Faculty of Dentistry University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolanta","family":"Aleksejuniene","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leeann","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Craig Phillips","sequence":"additional","affiliation":[{"name":"School of Nursing, and Vice\u2010Dean Governance and Secretary of the Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Nicolau","sequence":"additional","affiliation":[{"name":"Division of Oral Health and Society at the Faculty of Dentistry McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Brondani","sequence":"additional","affiliation":[{"name":"Dental Public Health Program at the Faculty of Dentistry University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Government of Canada PHA of C.Summary: estimates of HIV prevalence and incidence in Canada 2011\u2014Public Health Agency of Canada [Internet].2012[cited 2015 Nov 13]. 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