Oral Health and Quality of Life among Institutionalized Individuals Living with HIV/AIDS

Jose Casado^*
*Correspondence: Jose Casado, Department of Infectious Diseases, Universitario Fundación Jiménez Díaz, 28040 Madrid, Spain, Email:

Introduction

Oral health is an integral part of overall well-being, yet it often remains overlooked in populations facing chronic illnesses such as HIV/AIDS. Among individuals living with HIV/AIDS, the prevalence of oral health issues is significantly higher due to immunosuppression, side effects of antiretroviral therapy, and socioeconomic challenges. These issues, ranging from oral lesions and infections to chronic dental problems, can substantially impact quality of life by affecting nutrition, communication, self-esteem, and social interactions. For institutionalized populations, the challenges are compounded by limited access to dental care, stigma, and systemic healthcare barriers. Addressing the oral health needs of this vulnerable group is critical not only for improving their quality of life but also for enhancing the management of their overall health. This article explores the relationship between oral health and quality of life in institutionalized individuals living with HIV/AIDS, examines the unique challenges they face, and discusses strategies for improving their oral health outcomes. There is a need for more research focused on the oral health of institutionalized individuals with HIV/AIDS to inform targeted interventions and policies. Studies should explore the long-term impact of oral health interventions on quality of life and overall health outcomes. Advocating for policies that prioritize oral health in HIV care plans and allocate resources for underserved populations can drive systemic change. Involving institutionalized individuals in the planning and implementation of oral health programs can ensure that initiatives are culturally sensitive and meet their specific needs [1,2].

Description

Mental health conditions such as depression or anxiety, prevalent in institutionalized populations, can result in neglect of oral hygiene. Furthermore, smoking, substance use, and poor dietary habits common in these populations contribute to deteriorating oral health. Oral health issues can lead to chronic pain, difficulty eating, and systemic health complications. For individuals with HIV/AIDS, maintaining physical health is crucial to slowing disease progression and improving ART outcomes. The visible nature of oral health problems, such as missing teeth or oral lesions, can lead to embarrassment, shame, and social withdrawal. For institutionalized individuals, this isolation is often magnified due to limited social interactions. Oral health issues can affect basic functions such as speaking and eating, further impairing quality of life. Functional limitations can reduce autonomy, particularly in institutional settings where individuals are already reliant on caregivers. Routine oral health assessments should be integrated into regular HIV care visits to ensure early detection and treatment of oral issues. Collaboration between dentists, infectious disease specialists, and primary care providers is essential for holistic care. Establishing dental clinics within institutional settings can provide accessible and timely care. For institutions without on-site facilities, mobile units can bridge the gap in care delivery. Subsidized dental care for individuals with HIV/AIDS can alleviate financial barriers. Providing oral hygiene education tailored to the specific needs of HIV-positive individuals is crucial [3-5].

Conclusion

Oral health is a critical yet often neglected aspect of quality of life for institutionalized individuals living with HIV/AIDS. The unique challenges faced by this population, including limited access to care, stigma, and the side effects of ART, necessitate targeted interventions that address both clinical and behavioral factors. By integrating oral health into HIV care, improving access to dental services, and promoting preventive care, healthcare providers can significantly enhance the well-being of this vulnerable group. Moreover, addressing systemic barriers and fostering collaboration among stakeholders is essential to achieving equitable oral health outcomes. Improving oral health in institutionalized individuals with HIV/AIDS is not merely about addressing dental problems; it is about empowering individuals to live healthier, more fulfilling lives. Through sustained commitment and innovation, we can bridge the gaps in care and ensure that oral health becomes a cornerstone of comprehensive HIV management.

Acknowledgement

None.

Conflict of Interest

None.

References

1. Sean, M. Hughes, Claire N. Levy, Fernanda L. Calienes and Joanne D. Stekler, et al. “Treatment with commonly used antiretroviral drugs induces a type i/iii interferon signature in the gut in the absence of HIV infection.” Cell Reports Medicine 1 (2020): 100096.

Google Scholar, Crossref, Indexed at

2. Suzette, Glasner, Kevin Patrick, Michele Ybarra and Alexandra Venegas, et al. “Promising outcomes from a cognitive behavioral therapy text-messaging intervention targeting drug use, antiretroviral therapy adherence, and HIV risk behaviors among adults living with HIV and substance use disorders.” Drug and alcohol dependence 231 (2022): 109229.

Google Scholar, Crossref, Indexed at

3. Betsy, Sambai, Loice W. Mbogo, Aliza Monroe Wise and Natasha T. Ludwig Barron et al. “Participation in methadone programs improves antiretroviral uptake and HIV viral suppression among people who inject drugs in Kenya.” J Subst Abuse Treat 134 (2022): 108587.

Google Scholar, Crossref, Indexed at

4. Halima, Dao, Lynne M. Mofenson, Rene Ekpini and Matthew Barnhart, et al. “International recommendations on antiretroviral drugs for treatment of HIV-infected women and prevention of mother-to-child HIV transmission in resource-limited settings: 2006 update.” Am J Obstet Gynecol 197 (2007): S42-S55.

Google Scholar, Crossref, Indexed at

5. Blossom, D. B., R. H. Beigi, J. J. Farrell and W. Mackay, et al. "Human papillomavirus genotypes associated with cervical cytologic abnormalities and HIV infection in Ugandan women." J Med Virol 79 (2007): 758-765.

Google Scholar, Crossref, Indexed at