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This project explores Dutch dental students' attitudes, knowledge, and practices related to HIV/AIDS, examining sources of information. Findings suggest the majority hold positive views, but there is room for improvement in education and infection control.
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DutchDental Students HIV-related attitudes, knowledge & source of informationAH. Neshat, K. Divaris, R.C. Gorter, PhD An EDSA project…
Adults and children estimated to be living with HIV as of end 2004 40% Eastern Europe & Central Asia 1.4 million [920 000 – 2.1 million] Western & Central Europe 610 000 [480 000 – 760 000] 50% North America 1.0 million [540 000 – 1.6 million] East Asia 1.1 million [560 000 – 1.8 million] North Africa & Middle East 540 000 [230 000 – 1.5 million] Caribbean 440 000 [270 000 – 780 000] South & South-East Asia 7.1 million [4.4 – 10.6 million] Sub-Saharan Africa 25.4 million [23.4 – 28.4 million] Latin America 1.7 million [1.3 – 2.2 million] Oceania 35 000 [25 000 – 48 000] Stabilizing Total: 39.4 (35.9 – 44.3) million
AIDS & Dentistry • The dentist must be capable of recognizing, documenting & treating oral lesions related to the HIV/AIDS. • Has the responsibility of referring patients presenting signs & symptoms linked to the HIV infection for further trials. • Contemporary curricula must entail theoretical and practical training of dental students in treating HIV-related oral lesions. Source:FDIStatement; General Assembly 2003
Aim • To study Dutch Dental students’ HIV/AIDS related attitudes, knowledge, practices and sources of information • To investigate possible associations with ‘gender’ and ‘study year’ with the above
Methods • Anonymous questionnaire of 56 closed-end questions (yes/no, 4-point Likert scale) • Distributed to all clinical-year present in three University clinics, in Amsterdam, The Hague and Almere Dental School, in December 2003 • Data analysis Chi2 and Wilcoxon tests were performed.
Clinic Locations Amsterdam Almere The Hague
Results Response 118 questionnaires were returned and analyzed Sample description • The sample was consisted of63 (53.39%) female and55 (46.61%) male students.
Supposed routes of transmission of the HIV virus, according to ACTA students Results
Results Lectures/Seminars & Textbooks Primary Sources
Results TV & School
Results Do you believe that the practice of Dentistry entails a high risk of an HIV-infection? Have you ever been injured by a sharp/bloody instrument during your clinical training? Do you think that you follow all necessary infection control measures in the clinics? Χ2test: p<10-3 27,12% 21% 87,18%
Results Do you accept the right of privacy of an HIV+ patient not revealing his situation to you? Do you consider yourself competent at contributing to an early diagnosis of an HIV-infection? χ2 test: p<10-3 Do you believe that if a dentist is diagnosed as HIV+, they should continue normal practice? If yes, do you believe that it’s their patients’ right to know about his seropositivity? χ2: test: p<10-3 73,28 % NO 83.90% NO 70,59 % YES 80,43 % YES
I consider my knowledge of the oral manifestations of the HIV-infection and their treatment as: Wilcoxon test: p<10-3 Results 56 % Insufficient/Non-existent
I consider my knowledge of the infection control measures necessary in the clinics as: Results 63 % Sufficient/ Excellent
Results 74% Wilcoxon test: p<0.05
Results • 64%of the students answered that they treat all patients as potential carriers of HIV/HBV. • 29% of the 5th year students stated that they have been injured by a sharp and/or bloodyinstrument during their clinical training. • 27%of the respondents considered that the practice of dentistry entails high risk of being infected with HIV.
Conclusions • No significant variations with regard to ‘gender’ and ‘study year’ were observed • Results indicate that the majority of the students retain a positive standpoint towards treating HIV patients • More emphasis on certain domains of dental education such as theoretical knowledge of HIV/AIDS oral manifestations and practical training on infection control procedures, may improve dental students’ and thus future dentists’ attitudes and practices towards seropositive patients
Discussion Cross-sectional Time of conduction Generalizability of conclusions Native Language
Questions & Suggestions Houman Neshat Houman@Neshat.net http://www.neshat.net …Thank you for your Attention…. www.EDSA-net.org