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- Title
A Comparison of Methamphetamine Users to a Matched NHANES Cohort: Propensity Score Analyses for Oral Health Care and Dental Service Need.
- Authors
Murphy, Debra; Harrell, Lauren; Fintzy, Rachel; Belin, Thomas; Gutierrez, Alexis; Vitero, Steven; Shetty, Vivek; Murphy, Debra A; Belin, Thomas R; Vitero, Steven J
- Abstract
Dental problems are among the most frequently reported health issues of drug users. This study describes, among the largest population of methamphetamine (MA) users to date (N = 459, including both HIV-negative and HIV-positive participants) oral hygiene practice, dental care access, and dental quality of life. A matched control group from the Third National Health and Nutrition Examination Survey was utilized. Findings conclusively establish that MA users have severe oral health deficits compared to the general population: they are 3.5 times more likely to experience painful toothaches, 6.6 times to experience difficulty eating, and 8.6 times to be self-conscious due to dental appearance. HIV-positive users were more likely to have regular dental visits than HIV-negative users. Severity of use (both high-frequency use as well as injection as the method) was associated with poorer oral health care. Despite the magnitude of the need, few MA users receive the needed care.
- Subjects
METHAMPHETAMINE; ORAL diseases; QUALITY of life; COHORT analysis; COMPARATIVE studies; THERAPEUTICS; RESEARCH methodology; MEDICAL needs assessment; MEDICAL cooperation; ORAL hygiene; PROBABILITY theory; RESEARCH; RESEARCH funding; SUBSTANCE abuse; SURVEYS; EVALUATION research; DISEASE complications
- Publication
Journal of Behavioral Health Services & Research, 2016, Vol 43, Issue 4, p676
- ISSN
1094-3412
- Publication type
journal article
- DOI
10.1007/s11414-014-9449-0