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  1. Fulltext. Factors associated with refusal to treat HIV-infected patients : The results of a national survey of dentists in Canada.

    Article - En anglais

    Fulltext.

    Objectives

    This study investigated dentists'refusal to treat patients who have HIV.

    Methods

    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.

    Results

    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.

    Conclusions

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0228908

    Code Inist : 002B30A05. Création : 16/11/1999.