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Cited by 83HIV/AIDS oral health manifestationsOral Health Pathology and TreatmentHIV/AIDS Research and Interventions

Oral manifestations of HIV in a southeast USA population

Patton, LL, McKaig, RG, Strauss, RP, Jr, JJ Eron·1998·Oral Diseases
DOI 10.1111/j.1601-0825.1998.tb00274.x
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Abstract

OBJECTIVES: Examine variations in oral manifestations of HIV by gender, race, risk behaviors, substance use and immune status in a previously unstudied population in the southeast region of the USA. DESIGN: Cross‐sectional analytic study. SETTING: Academic medical center, North Carolina, USA. SUBJECTS: First 238 HIV‐infected adults (76% male; 59% Black) enrolled in an ongoing longitudinal study. METHODS: Oral examination, medical chart review, sociodemographic and behavioral interview. Descriptive, bivariate, and multivariable analyses. OUTCOMES: Presence of oral manifestations of HIV. RESULTS: 50% had recent CD4 counts <200 cells pM, 48% had one or more oral lesion. Specific lesion prevalence: hairy leukoplakia (OHL) 26.5%; candidiasis (OC) 20%; HIV‐associated periodontal diseases (HIV‐PD) 8.8%; aphthae 4.2%; papillomas 2.5%; herpes simplex 2.1%; HIV salivary gland disease 2.1%; Kaposi's sarcoma (KS) 1.7%; other 1.3%. In bivariate analyses, OHL was associated with being male, White, having a CD4 <200, and men who have sex with men (MSM); OC was associated with CD4 <200 and current smoking; HIV‐PD was associated with consumption of more than seven alcohol‐containing drinks per week; KS was associated with being male and MSM. Significant variables in multivariable analysis for presence of any oral lesion were White, CD4 <200, and more than seven drinks/week; for OHL were male and CD4 <200; and for OC were White, CD4 <200, current smoking, and not MSM. CONCLUSIONS: MSM were at increased risk for KS and OHL, not OC, while smokers were at increased risk of OC. OC, OHL, and any oral lesion were associated with immune suppression. OHL was more likely in males independent of CD4 count.

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Crossref · 10.1111/j.1601-0825.1998.tb00274.x

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  • White individuals with HIV had higher rates of oral candidiasis compared to black or African American men.

    “Inversely, white individuals with HIV had higher rates of oral candidiasis compared to black or African American men [118].”

    From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [118]

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Authors
Patton, L., McKaig, R., Strauss, R., & Jr, J. E.
Affiliations
University of North Carolina at Chapel Hill (US)
Venue
Oral Diseases
Publisher
Wiley
Published
1998-09
Volume
4
Issue
3
Pages
164-169
ISSN
  • 1354-523X (ISSN-L)
  • 1601-0825
DOI
10.1111/j.1601-0825.1998.tb00274.x
OpenAlex
W2068836056
Cited by
83
References
43
Citations by year
2026: 1 · 2024: 1 · 2023: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 3
FWCI
7.77
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3588 d)
Locations
  • Oral Diseases (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r29de011369-05)
  • National Institute of Dental and Craniofacial Research (DE11369)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › HIV/AIDS oral health manifestations
  • Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
oral hairy leukoplakia, oral candidiasis, Kaposi's sarcoma, men who have sex with men, smoking, alcohol consumption, CD4 count, immunosuppression, oral lesions, race and gender differences, HIV-infected adults
MeSH terms
Adult, Aged, Alcohol Drinking, Black or African American, Candidiasis, Oral, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Mouth Diseases, North Carolina, Risk Factors, Smoking, HIV Infections, Prevalence, Multivariate Analysis, Logistic Models, Odds Ratio, AIDS-Related Opportunistic Infections, Sex Distribution, Leukoplakia, Hairy, Homosexuality, Male, CD4 Lymphocyte Count, Black People, White People

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