دورية أكاديمية
أعرض في EDS

Exploring dental students' knowledge of HIV and attitudes towards saliva screening for HIV.

التفاصيل البيبلوغرافية
العنوان: Exploring dental students' knowledge of HIV and attitudes towards saliva screening for HIV.
المؤلفون: Low CYS; School of Dentistry, UQ Oral Health Centre, The University of Queensland, Herston, Brisbane, QLD, Australia., Kim SB; School of Dentistry, UQ Oral Health Centre, The University of Queensland, Herston, Brisbane, QLD, Australia., Liu C; School of Dentistry, UQ Oral Health Centre, The University of Queensland, Herston, Brisbane, QLD, Australia., Stormon N; School of Dentistry, UQ Oral Health Centre, The University of Queensland, Herston, Brisbane, QLD, Australia.
المصدر: European journal of dental education : official journal of the Association for Dental Education in Europe [Eur J Dent Educ] 2020 Aug; Vol. 24 (3), pp. 483-490. Date of Electronic Publication: 2020 Apr 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9712132 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0579 (Electronic) Linking ISSN: 13965883 NLM ISO Abbreviation: Eur J Dent Educ
أسماء مطبوعة: Publication: Oxford : Wiley-Blackwell
Original Publication: Copenhagen : Munksgaard, c1997-
مواضيع طبية MeSH: HIV Infections* , Students, Dental*, Attitude of Health Personnel ; Dentists ; Education, Dental ; Health Knowledge, Attitudes, Practice ; Humans ; Professional Role ; Saliva ; Surveys and Questionnaires
مستخلص: Introduction: Early detection of human immunodeficiency virus (HIV) allows antiretroviral therapy to commence, improving patient outcomes. Screening for HIV with saliva can be undertaken by dental practitioners. Research has found the procedure to be better accepted by patients than traditional blood testing. However, lack of knowledge and time constraints were identified as barriers to implementation for dental practitioners. This study aimed to explore dental students' knowledge of HIV and their attitudes towards implementing saliva screening for HIV in a dental setting.
Methods: Convenience sampling was used to recruit four focus groups of six to nine dentistry students from the University of Queensland. Participants also completed a questionnaire prior to the focus group.
Results: Thirty-three students participated in the focus groups. Students recognised their knowledge of HIV was limited, and 46% (n = 15) reported having treated a HIV-positive patient in the last year. Three key themes emerged from discussions; knowledge and experience of HIV; barriers and enablers; and scope of practice. Students identified stigma, lack of training, cost and time restraints as barriers to implementing saliva screening for HIV. Opinions varied on if screening was within a dental practitioner's scope of practice.
Conclusions: Whilst students were open to conducting saliva screening for HIV, they identified prominent barriers limiting its implementation within a dental setting. Education on saliva screening for HIV, patient counselling and referral pathways could be integrated into dentistry curriculums to reduce these barriers. Further investigation is needed into the cost-effectiveness of implementing screening for HIV in a dental setting.
(© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
References: Maartens G, Celum C, Lewin SR. HIV infection: epidemiology, pathogenesis, treatment, and prevention. Lancet. 2014;384(9939):258-271.
Moir S, Chun TW, Fauci AS. Pathogenic mechanisms of HIV disease. Annu Rev Pathol. 2011;6:223-248.
The Kirby Institute. HIV in Australia: Annual surveillance short report 2018. Sydney: The Kirby Institute for infection and immunity in society; 2018:82.
Leber W, McMullen H, Anderson J, et al. Promotion of rapid testing for HIV in primary care (RHIVA2): a cluster-randomised controlled trial. Lancet HIV. 2015;2(6):e229-235.
Porter K, Babiker A, Bhaskaran K, et al. Determinants of survival following HIV-1 seroconversion after the introduction of HAART. Lancet. 2003;362(9392):1267-1274.
Staszewski S, Miller V, Sabin C, et al. Determinants of sustainable CD4 lymphocyte count increases in response to antiretroviral therapy. AIDS. 1999;13(8):951-956.
Blood GAC. Human Immunodeficiency Virus (HIV). Transfus Med Hemother. 2016;43(3):203-222.
Mortimer PP, Parry JV. Detection of antibody to HIV in saliva: a brief review. Clin Diagn Virol. 1994;2(4-5):231-243.
Hodinka RL, Nagashunmugam T, Malamud D. Detection of human immunodeficiency virus antibodies in oral fluids. Clin Diagn Lab Immunol. 1998;5(4):419-426.
Nkenfou CN, Kembou JE, Temgoua ES, et al. Evaluation of OraQuick® HIV-1/2 as Oral Rapid Test. Afr J Infect Dis. 2013;7(2):27-30.
Parikh R, Mathai A, Parikh S, Chandra Sekhar G, Thomas R. Understanding and using sensitivity, specificity and predictive values. Indian J Ophthalmol. 2008;56(1):45-50.
Alexander TS. Human Immunodeficiency Virus Diagnostic Testing: 30 Years of Evolution. Clin Vaccine Immunol. 2016;23(4):249.
Li S, Su S, Li S, et al. A comparison of effectiveness between oral rapid testing and routine serum-based testing for HIV in an outpatient dental clinic in Yuxi Prefecture, China: a case-control study. BMJ Open. 2017;7(6):e014601.
Bagg J, Perry KR, Parry JV, Mortimer PP, Peters TJ. The influence of dental status on the detection of IgG class anti-viral antibodies in human saliva. Arch Oral Biol. 1991;36(3):221-226.
Nangendo J, Obuku EA, Kawooya I, et al. Diagnostic accuracy and acceptability of rapid HIV oral testing among adults attending an urban public health facility in Kampala, Uganda. PLoS ONE. 2017;12(8):e0182050.
Parish C, Siegel K, Pereyra M, Liguori T, Metsch L. Barriers and facilitators to dental care among HIV-Infected adults. Spec Care Dentist. 2015;35(6):294-302.
Santella AJ, Krishnamachari B, Davide SH, et al. Dental hygienists' knowledge of HIV, attitudes towards people with HIV and willingness to conduct rapid HIV testing. Int J Dent Hyg. 2013;11(4):287-292.
Santella AJ, Schlub TE, Schifter M, Tolani M, Hillman RJ. Australian dentists' perspectives on rapid HIV testing. Aust Dent J. 2016;61(3):270-276.
Nasir EF, Åstrøm AN, David J, Ali RW. HIV and AIDS related knowledge, sources of information, and reported need for further education among dental students in Sudan-a cross sectional study. BMC Public Health. 2008;8(1):286.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101.
Thornicroft G, Rose D, Kassam A, Sartorius N. Stigma: ignorance, prejudice or discrimination? Br J Psychiatry. 2007;190(3):192-193.
Gronholm PC, Henderson C, Deb T, Thornicroft G. Interventions to reduce discrimination and stigma: the state of the art. Soc Psychiatry Psychiatr Epidemiol. 2017;52(3):249-258.
Monden KR, Gentry L, Cox TR. Delivering bad news to patients. Proc (Bayl Univ Med Cent). 2016;29(1):101-102.
Curtin S, McConnell M. Teaching dental students how to deliver bad news: S-P-I-K-E-S Model. J Dent Educ. 2012;76(3):360.
Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5(4):302-311.
Alzahem AM, van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental students: a systematic review. Eur J Dent Educ. 2011;15(1):8-18.
Abbott DM. Advancing wellness in the dental office through use of screening and diagnostic technology. Compend Contin Educ Dent. 2013;34(10):741-745; quiz 746.
Hamershock RA, Rajabiun S, Fox JE, et al. Dental students' HIV/AIDS-related knowledge, attitudes, and intentions: impact of the U.S. Health Resources and Services Administration's community-based dental partnership program. J Dent Educ. 2014;78(8):1106-1117.
The Productivity Commission. Australian Government Productivity Commission. Canberra, ACT: Commonwealth of Australia; April 2015. [Internet]. Available from: https://www.pc.gov.au/research/completed/efficiency-health/efficiency-health.pdf. April 2015. Accessed September 20, 2019.
Bert F, Gualano MR, Biancone P, et al. Cost-effectiveness of HIV screening in high-income countries: A systematic review. Health Policy. 2018;122(5):533-547.
McLean AT, Wheeler EK, Cameron S, Baker D. HIV and dentistry in Australia: clinical and legal issues impacting on dental care. Aust Dent J. 2012;57(3):256-270.
Chan D, Stewart M, Smith M, et al. The rise of targeted HIV oral rapid testing in Australia. Med J Aust. 2015;202(5):251-254.
Chen MY, Bilardi JE, Lee D, Cummings R, Bush M, Fairley CK. Australian men who have sex with men prefer rapid oral HIV testing over conventional blood testing for HIV. Int J STD AIDS. 2010;21(6):428-430.
Debattista J, Bryson G, Roudenko N, et al. Pilot of non-invasive (oral fluid) testing for HIV within a clinical setting. Sexual Health. 2007;4(2):105-109.
Queensland Government. HIV point of care testing. Queensland Government website. http://conditions.health.qld.gov.au/HealthCondition/condition/14/116/812/hiv-point-of-care-testing. Updated June 20, 2019. Accessed October 6, 2019.
معلومات مُعتمدة: The University of Queensland School of Dentistry Research Grant in collaboration with Colgate-Palmolive
فهرسة مساهمة: Keywords: attitudes; dental students; human immunodeficiency virus; knowledge; saliva screening
تواريخ الأحداث: Date Created: 20200312 Date Completed: 20200721 Latest Revision: 20200721
رمز التحديث: 20221213
DOI: 10.1111/eje.12526
PMID: 32157759
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0579
DOI:10.1111/eje.12526