Evidence mapPaperPMID 39472888Full record

ArticleBMC oral health2024

Periodontal health in a large cohort of Ugandans living with HIV: a cross-sectional study.

William Buwembo, Adriane Kamulegeya, Dunstan Kalanzi, Priscilla Naava Namuyonga, Proscovia Nakasujja, David P Katete, F Collins Semitala, Catherine Mwesigwa-Lutalo, Samuel Kalungi, Jennifer E Cameron and 1 more

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In one paragraph

Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

William Buwembo *Department of Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda. william.buwembo@mak.ac.ug.
Adriane Kamulegeya *Department of Dentistry, School of Dentistry, Makerere University College of Health Sciences, Kampala, Uganda.
Dunstan KalanziDepartment of Dentistry, School of Dentistry, Makerere University College of Health Sciences, Kampala, Uganda.
Priscilla Naava NamuyongaDepartment of Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
Proscovia NakasujjaDepartment of Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
David P KateteDepartment of Immunology, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
F Collins SemitalaDepartment of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Catherine Mwesigwa-LutaloDepartment of Dentistry, School of Dentistry, Makerere University College of Health Sciences, Kampala, Uganda.
Samuel KalungiDepartment of Pathology, Mulago National Referral and Teaching Hospital, Kampala, Uganda.
Jennifer E CameronLouisiana State University Health Sciences Center, New Orleans, LA, USA.
Ian G MunabiDepartment of Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.

Funding

Oral Papilloma Virus, Microbiota and Cancer in People Living with HIV (OHPVMC)R56DE032217 · NIDCR · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI BUWEMBO, WILLIAM · 2022 to 2022
$492k
NIDCR NIH HHS R56 DE032217
6 · The paper itself

Abstract

backgroundThe impact of periodontitis on large populations of people living with HIV (PLHIV) in resource-constrained settings remains largely un-investigated. This study aims to address this knowledge gap by providing a comprehensive description of the periodontal health status among a sizable cohort of Ugandans living with HIV.

methodsThis was a cross-sectional study with 4,449 participants who were over 18-years old with data captured on their reported age, gender, tobacco use, length of time on HAART and alcohol use. Periodontal health was assessed using the WHO periodontal probe and the modified CPI data entry form. Descriptive statistics were reported using frequencies for the affected number of sextants in the surveyed participants. This was followed by additional regression analysis using the R statistical computing environment, with the periodontal health outcomes (bleeding on probing, pocket depth and clinical attachment loss) individually as the dependent, recorded as binary outcomes. A multilevel model was run with clinical attachment loss as the dependant variable controlling for all the other factors. The 95% confidence intervals were used to report the level of significance for each test.

resultsThere were 3,103/4,449 (69.7%) female participants. The mean age was 44.3 years (SD 10.1 years) with a range of 18 to 89 years. About 66% of the participants had bleeding on probing at one or more of the examined sites/tooth surfaces. The odds for bleeding on probing were significantly higher for female participants (adjusted Odds ratio: 1.49, 95% CI 1.19 to 1.86), and higher in individuals who reported tobacco use (adjusted odds ratio 1.62, 95% CI 1.09 to 2.41). Slightly under half of our participants (48.2%) had moderate to severe clinical attachment loss.

conclusionsThis study found that among Ugandans living with HIV, periodontal disease is a significant public health concern. The majority of study participants had bleeding on probing and almost half of them recording moderate to severe clinical attachment loss, worsened by age and time on HAART. This highlights the need for comprehensive oral health care and targeted interventions for this population.

Indexed as

HIV InfectionsAdolescentAdultAntiretroviral Therapy, Highly ActiveCross-Sectional StudiesEast African PeopleFemaleHumansMaleMiddle AgedPeriodontal IndexPeriodontitisYoung AdultAgingHAARTHIVPeriodontal healthPeriodontitis

Identifiers

PMID39472888
PMCPMC11524018

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.