Impact of HIV on VA Dental Services: Report of a Survey

Manz, Michael C.; Weyant, Robert J.; Adelson, R; Sverha, Susan; Durnan, J. Richard; Geboy, Michael J.

doi:10.1111/j.1752-7325.1994.tb01215.x

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…Testing for HIV should only be suggested if the degree of protection it affords the oral health care worker is substantially more than the potential harm it may cause the patient (Chikte and Naidoo, 2000). Manz et al (1994) reported that dentists indicated that they felt they should have the right to decide whether to treat people living with HIV and felt they have a professional, rather than a legal obligation to treat people living with HIV (Manz et al, 1994). Similar results were obtained by other researchers where the majority of their participants said they would treat people living with HIV whose needs where within the scope of their practice (Bennet et al, 1995).…”

Section: Introductionsupporting

confidence: 58%

“…Within the resource-stressed setting of a developing country such as South Africa, however, this training and continuing education is not universal. Some dentists consider it their right to refuse treatment to people living with HIV, especially when the risks are high (Barr et al, 1989;Manz et al, 1994;Lapidus and Sandler, 1997), however, refusal to treat a patient after the patient has disclosed their HIV status is discrimination (Chikte and Naidoo, 2000). Current scientific evidence indicates that knowledge of the HIV status of the patient does not provide additional protection to oral health care workers (Naidoo and Govan, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Turton

Naidoo

2014

Ethnicity and Inequalities in Health and Social Care

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Purpose – The purpose of this paper is to determine the oral health care experiences of people living with HIV in Kwazulu-Natal (KZN) and the Western Cape (WC) and also to identify the role of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC. Design/methodology/approach – This study was a survey among HIV-positive people attending selected Community Health Centres and regional hospitals, HIV clinics in KZN and WC provinces in South Africa. The sample consisted of people living with HIV that were 18 years or older and who had given written, informed consent. A cross-sectional study structure has been employed using a standardized format using a semi-structured interview and an administered questionnaire to collect data. The study classified participants as living in metropolitan or non-metropolitan areas. Findings – Apprehension of loss of confidentiality, stigma and discrimination were the barriers that deterred participants from seeking care. Respondents stated that they feared what the dentist and staff would think of them being HIV positive and feared being discriminated against by the dentist and staff. In some instances there appears to be a difference between policy and practice regarding the oral health care needs of and services rendered to people living with HIV in public health facilities as there are still patients who do not obtain care and for whom the attitudes of the health care provider constitutes the major barrier to accessing that care. Research limitations/implications – The results are specific to KZN and WC and have to be extrapolated with caution to the rest of South Africa. Additionally, this study did not have a control group of HIV-negative people which would have enabled one to determine whether certain barriers were unique to people living with HIV. Practical implications – To make recommendations with respect to addressing the issue of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC as there is a definite need for the government to address the resource needs of rural areas and less developed areas of South Africa. Health care is a much-needed resource in these high prevalence areas and governments must ensure that all their HIV/AIDS projects and policies should have a rural component built into them. Social implications – This study emphasizes the importance of embracing people that are being discriminated and marginalized by society such as people living with HIV to ensure that they feel a franchised member of society who can take the initiative to be in control of their own health and, with the necessary aid from public resources and societal support, join forces to reduce the public health burden and its impact on the socio-economic milieu. Originality/value – To the best of the author's knowledge, there is no other study that has compared differences in the use of oral health care services by people with HIV in South Africa and these results serve as an indication of some the important issues in this regard.

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Section: Introductionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Turton

Naidoo

2014

Ethnicity and Inequalities in Health and Social Care

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“…The Questionnaire used for the study was a structured Questionnaire which contained questions pertaining to the knowledge and attitude of the faculty members. The questionnaire was formulated after the review of other questionnaires used in the literature by Aggarwal and Panat [ 17 ], Fotedar et al [ 18 ] and Manz et al [ 19 ] for the assessment of knowledge and attitude among the dental practitioners and dental students. The attitude related questions assessed the willingness of the faculty members towards the dental treatment of HIV/AIDS patients, the potential barriers they perceived and infection control procedures in the treatment of the HIV/AIDS patients.…”

Section: Methodsmentioning

confidence: 99%

Knowledge and Attitude of Faculty Members Working in Dental Institutions towards the Dental Treatment of Patients with HIV/AIDS

Oberoi

Sharma

Mohanty

et al. 2014

International Scholarly Research Notices

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Background. Dentists have an ethical responsibility to provide treatment to HIV-infected patients, particularly because oral lesions are common among these patients. However, there are no official guidelines as to how to treat people living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) (PLWHA) or how to screen for potentially infectious people. Materials and Method. A descriptive cross-sectional questionnaire based study which assessed the knowledge and attitude of the faculty members towards the treatment of patients with HIV/AIDS was carried out in the Sudha Rustagi College of Dental Sciences, Faridabad, and Maulana Azad Institute of Dental Sciences, New Delhi. Results. The willingness to treat patients with HIV was found to be 86.0% among the faculty members in the present study. The majority (79%) of the faculty members thought that treating an HIV-positive patient is ethical responsibility of the dentist. There was a positive attitude (88.0%) among faculty members that routine dental care should be a part of the treatment of patients with HIV/AIDS. Conclusion. The level of knowledge regarding HIV and AIDS was acceptable in the present study. However, continuing dental education (CDE) programmes should be conducted on a regular basis for updating the knowledge level of the faculty members towards the dental treatment of patients with HIV/AIDS patients.

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Systematic review of adherence to infection control guidelines in dentistry

Gordon¹,

Burke

Bagg³

et al. 2001

Journal of Dentistry

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Impact of HIV on VA Dental Services: Report of a Survey

Abstract: While efforts to further reduce the risk of infection and improve care should continue, future efforts also should be directed toward reducing the anxiety of VA dental personnel in the treatment of infectious patients.

Cited by 6 publications

References 8 publications

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Knowledge and Attitude of Faculty Members Working in Dental Institutions towards the Dental Treatment of Patients with HIV/AIDS

Systematic review of adherence to infection control guidelines in dentistry

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