Dentists' treatment of underserved populations following participation in community-based clinical rotations as dental students

McQuistan, Michelle R.; Kuthy, Raymond A.; Qian, Fang; Riniker-Pins, Katharine J.; Heller, Keith E.

doi:10.1111/j.1752-7325.2010.00182.x

Cited by 36 publications

(53 citation statements)

References 16 publications

(22 reference statements)

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“…Therefore, in spite of their self-reported attitudes and knowledge, which were not significantly different from younger dentists, older dentists might be less financially interested in difficult cases, have higher workloads or be more disinclined to perform standard and appropriate infection control protocols. Other questionnaire-based studies agree with this finding, showing non-significant effects of dentists' age and work experience [8,13,14,17] and a significant effect of dentists' sex on self-reported attitude [8,12,13,25]; however, there are some controversies over the effect of age [7,10] and sex [13,14]. The same reasoning might account for the lower tendency of more experienced dentists (who might have busier offices and/or be older) to treat HIV-positive patients.…”

Section: Discussionsupporting

confidence: 74%

Tehran dentists’ self-reported knowledge and attitudes towards HIV/AIDS and observed willingness to treat simulated HIV-positive patients

Khosravanifard¹,

Rakhshan²,

Ghasemi³

et al. 2012

Easter Mediterr Health J

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Dentists' self-reported attitudes towards patients with HIV/AIDS might not reflect their actual behaviour. In this study 2 observers posed as HIV-positive patients and directly evaluated the behaviour of 300 dentists in Tehran, Islamic Republic of Iran. Two months later another observer interviewed the same dentists at their offices regarding AIDS-related knowledge and self-reported attitudes. Only 14.9% of dentists agreed to treat the simulated HIV-positive patients, 78.5% referred and 6.6% rejected them. Older age, longer work experience, graduation from a non-Iranian university and not having additional degrees were significantly related to adverse behaviours. Mean scores were 8.3 (SD 9.7) (out of 18) for knowledge and 17.5 (SD 7.1) (out of 39) for attitude. There were no significant correlations between dentists' knowledge and attitude or between knowledge and behaviour, but there was a weak positive correlation between self-reported attitude and observed behaviour ‬ ‫امللحوظ‬ ‫السلوك‬ ‫وبني‬ ‫املواقف‬ ‫عن‬ ‫الذايت‬ ‫اإلبالغ‬ ‫بني‬ ‫شوهد‬ ‫الذي‬ ‫الضعيف‬ ‫اإلجيايب‬ ‫الرتابط‬ ‫باستثناء‬ ‫وسلوكهم،‬ ‫معارفهم‬Connaissances et attitudes autodéclarées des dentistes à Téhéran par rapport au VIH/sida et disposition observée à soigner les patients se présentant comme positifs pour le VIH RÉSUMÉ Il est possible que l'attitude autodéclarée des dentistes vis-à-vis des patients atteints du VIH/sida ne corresponde pas à leur comportement en situation réelle. Dans le cadre de cette étude, deux observateurs se sont fait passer pour des patients séropositifs pour le VIH et ont directement évalué le comportement de 300 dentistes de Téhéran (République islamique d'Iran). Deux mois plus tard, un autre observateur a interrogé les mêmes dentistes dans leur cabinet au sujet de leurs connaissances et de leur attitude autodéclarées à propos du sida. Seuls 14,9 % des dentistes ont consenti à traiter les patients ayant déclaré une séropositivité fictive, 78,5 % les ont orientés vers d'autres confrères et 6,6 % ont refusé de les soigner. Un âge plus avancé, une expérience professionnelle plus longue, des études suivies dans une université non iranienne et le fait de ne pas avoir de diplômes supplémentaires étaient des facteurs significativement associés à des comportements de refus. Les scores moyens étaient de 8,3 (E.T. 9,7) (sur 18) pour les connaissances et de 17,5 (E.T. 7,1) (sur 39) pour l'attitude. Aucune corrélation significative n'a été observée entre les connaissances et les attitudes des dentistes ni entre les connaissances et le comportement, mais une faible corrélation positive a été retrouvée entre l'attitude autodéclarée et le comportement observé.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫الثامن‬ ‫املجلد‬ ‫التاسع‬ ‫العدد‬ 929

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Section: Discussionsupporting

confidence: 74%

Tehran dentists’ self-reported knowledge and attitudes towards HIV/AIDS and observed willingness to treat simulated HIV-positive patients

Khosravanifard¹,

Rakhshan²,

Ghasemi³

et al. 2012

Easter Mediterr Health J

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“…The attitude of dental practitioners and dental students towards HIV positive patients is good. Majority are willing to give dental treatment to HIV positive patients (Arjuna et al, 2011, Park et al, 2011, Turhan et al, 2010, though a few never treat HIV positive patients (McQuistan et al, 2010). In relation to HIV transmission, some dental students and even some dental personnel believe that HIV can be easily transmitted during clinical procedures.…”

Section: Knowledge Of Oral Manifestationsmentioning

confidence: 99%

“…A number of factors contribute to this situation. Some of them are; high cost, unavailability of the services, lack of insurance and education, a shortage of dentists trained or willing to treat persons living with HIV/AIDS, patient fear and discomfort with dentists, stigma within health care systems, lack of awareness of the importance of regular dental care, and other competing priorities, (Mofidi & Gambrell, 2009, McQuistan et al, 2010. Like any health condition faced by HIV-positive people, early identification and treatment should be emphasized.…”

Section: Dental Care Services To Plwhamentioning

confidence: 99%

HIV/AIDS and Oral Health in Socially Disadvantaged Communities

Kahabuka¹,

Fabian²

2012

Oral Health Care - Pediatric, Research, Epidemiology and Clinical Practices

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“…Previous research has emphasized the need to expose dental students and residents to high-risk populations during their clinical rotations, as this may increase their comfort and willingness to serve similar populations upon graduation (Treadwell & Formicola, 2008;Behar-Horenstein, Feng, Roberts, Gibbs, Catalanotto, & Hudson-Vassell, 2015;McQuistan, Kuthy, Qian, Riniker-Pins, & Heller, 2010). However, a study that explored student perceptions of serving underserved populations, after completing related clinical practical experiences, found students to be less comfortable with treating incarcerated populations compared to other highrisk populations (McQuistan et al, 2010). Additional education opportunities may be needed to introduce students to the structure of various correctional health systems, associated practice challenges, and the burden of health issues prominent among the incarcerated.…”

Section: Public Health Implicationsmentioning

confidence: 99%

Factors associated with the utilization of community dental services among newly incarcerated adults

Graves

Blanks

Caplan

et al. 2017

JGPHA

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Background: Given the high rates of risky behaviors and health conditions among incarcerated individuals and the relationship between oral and general health, receipt of quality dental care is essential to the overall health and well-being of this population. However, few recent studies have focused on access to care and the state of oral health among incarcerated populations in the U.S. For the current study, a secondary data analysis was conducted to: 1) assess factors associated with the use of dental services among a newly incarcerated prison population in Georgia and 2) consider barriers related to utilization of dental services pre-to post-release. Methods:Descriptive statistics were calculated, and bivariate and logistic regression analyses were conducted utilizing SAS 9.2 software.Results: Thirty-one percent (n=250) of survey respondents reported having a dental visit within the past year. Survey respondents who had a regular dentist (OR: 1.9; 95% CI: 1.325, 2.697), private dental insurance (OR: 1.5; 95% CI: 1.022, 2.245), or who reported pain as the reason for their last dental visit (OR: 2.2; 95% CI: 1.556, 3.130) were more likely to have utilized dental services within the past year. Conclusions:The findings highlight the role of social and economic resources and oral health needs on utilization of dental services. Additional practice and policy efforts are needed to address gaps in the dental care continuum that affect currently and formerly incarcerated adults in Georgia.

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Dentists' treatment of underserved populations following participation in community-based clinical rotations as dental students

Cited by 36 publications

References 16 publications

Tehran dentists’ self-reported knowledge and attitudes towards HIV/AIDS and observed willingness to treat simulated HIV-positive patients

Tehran dentists’ self-reported knowledge and attitudes towards HIV/AIDS and observed willingness to treat simulated HIV-positive patients

HIV/AIDS and Oral Health in Socially Disadvantaged Communities

Factors associated with the utilization of community dental services among newly incarcerated adults

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