Perceptions on causes and effects of common oral diseases among HIV-positive and HIV-negative adults in Kigali, Rwanda: a qualitative study.

Introduction: Exploring perceptions of oral health can influence the design of interventions to prevent common oral diseases and contribute to quality dental care of patients. There is lack of qualitative studies that explored patients' perceptions regarding possible causes and effect of oral diseas...

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Publicado en:BMC Oral Health Vol. 25; no. 1; pp. 1 - 13
Autores principales: Murererehe, Julienne, Malele-Kolisa, Yolanda, Musafili, Aimable, Yengopal, Veerasamy
Formato: research tables/charts Journal Article
Publicado: BioMed Central 7/2/2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Perceptions on causes and effects of common oral diseases among HIV-positive and HIV-negative adults in Kigali, Rwanda: a qualitative study.
      aug:
        au:
          Murererehe, Julienne
          Malele-Kolisa, Yolanda
          Musafili, Aimable
          Yengopal, Veerasamy
        affil: https://ror.org/00286hs46 Department of Preventive and Community Dentistry, University of Rwanda, Kigali, Rwanda
      sug:
        subj:
          Patient Attitudes Evaluation
          Mouth Diseases Etiology
          HIV-Positive Persons Psychosocial Factors
          Human
          Rwanda
          Female
          Male
          Adult
          Qualitative Studies
          Interviews
          Purposive Sample
          Dental Caries
          Periodontal Diseases
          Academic Medical Centers
          Interview Guides
          Audiorecording
          Data Management
          Diet
          Oral Hygiene
          Negligence
          Health Knowledge
          Poverty
          Anti-Retroviral Agents Therapeutic Use
          Eating Disorders
          Pain
          Anxiety
          Hopelessness
          Social Isolation
          Embarrassment
          Content Analysis
          Thematic Analysis
          Data Analysis Software
          Funding Source
          Adult: 19-44 years
          Female
          Male
      ab: Introduction: Exploring perceptions of oral health can influence the design of interventions to prevent common oral diseases and contribute to quality dental care of patients. There is lack of qualitative studies that explored patients' perceptions regarding possible causes and effect of oral diseases in Rwanda. Aim: The study aimed to explore perceptions on causes and effect of oral disease among HIV-positive and HIV-negative adults at Kigali, Rwanda. Method: A qualitative study design using in-depth interviews (IDIs) were conducted among 21 patients with caries and or periodontal diseases including 10 HIV-positive and 11 HIV-negative adults from the HIV clinic of Kigali Teaching Hospital (CHUK). The interview was conducted in Kinyarwanda using an interview guide. The audio recording was done for subsequent data analyses. Thematic content analysis was used to analyze the data using an inductive approach. NVivo software version 11 was used to code and organize the data. Results: Two broad domains and six themes emerged from the results. The first broad domain was "perceptions on causes of oral diseases" with two themes (individuals and external factors). The second broad domain was "perceptions on oral diseases effect" with 3 themes (physical or functional effect, psychological effect and social effect). Interviewees perceived individuals' factors (diet, lack of oral hygiene, older age, delayed dental visit, negligence, lack of knowledge, poverty, heredity) as possible causes for their oral diseases. In addition, HIV-positive participants perceived antiretroviral treatment and HIV infection among the possible causes for their caries and periodontal disease. The reported perceptions on oral diseases effect were physical or functional effects (affected appearance, eating difficulty, pain, difficulty smiling or laughing); psychological effects (heartbreak, being annoyed, feeling inferior, anxiety, being unhappy, being worried, hopelessness) and social effects (avoidance or self-isolation, shame or embarrassment and exposure to mockeries). The summary patterns on perceptions of oral diseases showed more frequency of HIV-positive interviewees reporting physical or functional effect and psychological effects compared to HIV-negative counterparts. Conclusion: Interventions are needed to prevent caries and periodontal diseases and their effects by tackling various individual, external factors thereby limiting physical, psychological and social effect associated with oral diseases. More attention should be given to high-risk group of HIV-positive people.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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