People Living With HIV, Oral and Oropharyngeal Cancer, and Health Equity

Study Overview
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Brief Summary
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This is an exploratory qualitative study among People Living With HIV (PLWH) of diverse racial/ethnic and sexual and gender minority (SGM) identities to explore individual, interpersonal, and structural oral health equity factors that serve as barriers or facilitators of accessing oral health care, knowledge and perceptions of human papillomavirus (HPV) vaccination and Oral squamous cell carcinoma (OSCC) /Oropharyngeal squamous cell carcinoma (OPSCC), and to collect recommendations on how to increase access to oral health care and engage PLWH in OSCC/OPSCC prevention.

Detailed Description
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OBJECTIVES: To identify individual, interpersonal, and structural oral health equity factors (e.g., internalized stigma; enacted stigma; transportation/hours) that serve as barriers or facilitators to accessing regular and appropriate oral health care, among PLWH of intersecting racial/ethnic and SGM groups. To explore knowledge and perceptions about causes, risk factors, prevention, and screening for OSCC/OPSCC and HPV vaccination and if identity group membership influences knowledge and perceptions of these issues. To elicit recommendations for improving access to regular and appropriate oral health care, and suggestions on how to engage PLWH from diverse identity groups in prevention interventions. OUTLINE: There will be one screening and enrollment phone call and only one study visit for the Focus Group Discussions (FDGs). A short quantitative survey will be administered.

Official Title
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People Living With HIV (PLWH), Oral and Oropharyngeal Cancer, and Health Equity: A Qualitative Study

Conditions
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HIV Infections, Oral Squamous Cell Carcinoma, Oropharyngeal Squamous Cell Carcinoma

Intervention / Treatment
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* Other: Group Meeting (Focus Group)
* Other: Questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants must be 18-years old or older. Participants must be individuals living with HIV Ability to speak and understand English Identify as one or more racial/ethnic minority groups or sexual and gender minority groups All genders and members of all races and ethnic groups are eligible for this study. Exclusion Criteria: Younger than 18-years old. Not living with HIV. Not able to speak and understand English. Not classified as one or more racial/ethnic minority groups or sexual and gender minority groups.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Qualitative Focus Group<br>Participants will be asked to a series of questions to help place them in a focus group with other individuals of shared identity and will also complete a short quantitative survey either emailed to the participant or the outreach worker/study coordinator will administer the survey by phone. Participants will then participate in one 1.5-2 hour, facilitated, focus group discussions (FGD). | Other: Group Meeting (Focus Group)<br>* Focus Group Discussions (FDGs) will be recorded, transcribed, and coded.<br>Other: Questionnaires<br>* Given electronically or via phone by study team staff<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Identification of potential oral health equity factors | Participants will complete a baseline questionnaire which will aid in the formation of the focus group with other individuals of shared identity. The Focus Group Discussions (FGDs) will be transcribed, coded, and the focus group guide will be updated following the Grounded Theory qualitative research methodology. The data from the FGD are the audio recordings and the transcripts. The digital transcript of each focus group will be uploaded to the software MAXQDA to aid with coding and analysis in identifying individual, interpersonal, and structural factors, if any, that may impact accessing oral health care. | Up to 3 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health Equity, Focus Group, Sexual and Gender Minority, People living with HIV, HPV, human papillomavirus