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A Comparison of Methamphetamine Users to a Matched NHANES Cohort: Propensity Score Analyses for Oral Health Care and Dental Service Need

  • Debra A. Murphy
  • Lauren Harrell
  • Rachel Fintzy
  • Thomas R. Belin
  • Alexis Gutierrez
  • Steven J. Vitero
  • Vivek Shetty
Article

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.

Keywords

Oral Health Dental Care Oral Health Care Dental Disease Dental Problem 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

Research reported in this publication was supported by the National Institute on Drug Abuse of the National Institutes of Health under Award Number 5RO1DA025680 (P.I., Dr. V. Shetty). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors would like to acknowledge the study participants and the facilitative efforts of Mr. Peter Cabezas.

Conflict of Interest

Authors report no conflict of interest with the reported study.

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Copyright information

© National Council for Behavioral Health 2014

Authors and Affiliations

  • Debra A. Murphy
    • 1
  • Lauren Harrell
    • 2
  • Rachel Fintzy
    • 5
  • Thomas R. Belin
    • 2
  • Alexis Gutierrez
    • 3
  • Steven J. Vitero
    • 4
  • Vivek Shetty
    • 5
  1. 1.Health Risk Reduction Projects, Integrated Substance Abuse Programs, Department of PsychiatryUniversity of California Los AngelesLos AngelesUSA
  2. 2.Department of BiostatisticsUniversity of California Los AngelesLos AngelesUSA
  3. 3.San Fernando Dental Clinic NEVHCSan FernandoUSA
  4. 4.AIDS Project Los Angeles Dental Services, Inc.Los AngelesUSA
  5. 5.Section of Oral and Maxillofacial SurgeryUniversity of California Los AngelesLos AngelesUSA

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