Factors associated with refusal to treat HIV-infected patients : The results of a national survey of dentists in Canada.
This study investigated dentists'refusal to treat patients who have HIV.
A survey was mailed to a random sample of all licensed dentists in Canada, with 3 follow-up attempts (n=6444).
Data were weighted to allow for probability of selection and nonresponse and analyzed with Pearson's X2 and multiple logistic regression.
The response rate was 66%. Of the respondents, 32% had knowingly treated HIV-infected patients in the last year ; 16% would refuse to treat HIV-infected patients.
Respondents reported willingness to treat HIV-infected patients s (81%), injection drug users (86%), hepatitis B virus-infected patients (87%), homosexual and bisexual persons (94%), individuals with sexually transmitted disease (s) (94%), and recipients of blood and blood products (97%). The best predictors of refusal to treat patients with HIV were lack of ethical responsibility (odds ratio=9.0) and items related to fear of cross-infection or lack of knowledge of HIV.
One in 6 dentists reported refusal to treat HIV-infected patients, which was associated primarily with respondents'lack of belief in an ethical responsibility to treat patients with HIV and fears related to cross-infection.
These results have implications for undergraduate, postgraduate, and continuing education.
Mots-clés Pascal : SIDA, Virose, Infection, Dentiste, Refus, Soin, Traitement, Motivation, Epidémiologie, Evaluation, Comportement, Fréquence, Homme, Canada, Amérique du Nord, Amérique, Immunopathologie, Immunodéficit, Personnel sanitaire, Chirurgie
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Dentist, Denial, Care, Treatment, Motivation, Epidemiology, Evaluation, Behavior, Frequency, Human, Canada, North America, America, Immunopathology, Immune deficiency, Health staff, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0228908
Code Inist : 002B30A05. Création : 16/11/1999.