Clinical trial NCT06055868: People Living With HIV, Oral and Oropharyngeal Cancer, and Health Equity
Official title: People Living With HIV (PLWH), Oral and Oropharyngeal Cancer, and Health Equity: A Qualitative Study
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: HIV Infections
Oral Squamous Cell Carcinoma
Oropharyngeal Squamous Cell Carcinoma
Keywords: Health Equity
Focus Group
Sexual and Gender Minority
People living with HIV
HPV, human papillomavirus
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: National Institute of Dental and Craniofacial Research (NIDCR)
First posted: 2023-09-28
Enrollment: 144
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: People living with HIV who identify with one or more racial/ethnic/ sexual or gender minority groups

Brief summary: 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: OBJECTIVES:

1. 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.
2. 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.
3. 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Identification of potential oral health equity factors
timeFrame: Up to 3 days
Secondary outcomes:
Other outcomes:
measure: Assess participant perceptions about OSCC/OPSCC and HPV vaccination
timeFrame: During focus group, 1 day
measure: Assess participant knowledge about OSCC/OPSCC and HPV vaccination
timeFrame: During focus group, 1 day
Locations:
city: San Francisco
country: United States
facility: University of California, San Francisco
state: California
Study officials:
affiliation: University of California, San Francisco
name: Alexandra Hernandez Levenston, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: