HIV-related stigma in the dental setting: a qualitative study.

HIV-related stigma in the dental setting: a qualitative study.
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DOI:
10.1111/scd.12078
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发表时间:
2015-01
期刊:
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
影响因子:
--
通讯作者:
Vernon LT
Vernon LT
中科院分区:
其他
文献类型:
--
作者:
Patel N;Furin JJ;Willenberg DJ;Apollon Chirouze NJ;Vernon LT

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目的探讨牙科环境中 HIV 相关耻辱的经历和期望。方法这是一项针对 60 名 HIV + 成年志愿者的横断面研究。我们进行了录音采访;我们对四个开放式问题的回答进行了主题和内容的定性分析。 结果 27 名参与者 (45%) 报告称,曾预计由于艾滋病毒感染状况而在牙科环境中受到评判、侮辱或不尊重。主题回应类别包括对以下方面的担忧:(i) 接受人道和尊重的待遇,(ii) 受到评判或成见,以及 (iii) 将艾滋病毒传染给牙医。关于是否犹豫去看牙医,受试者同样认可对牙医的恐惧(35%)以及对保密和接受人道待遇的担忧(35%)。 结论 HIV+ 个体遇到许多与牙科护理相关的恐惧和担忧;对牙医的恐惧以及对保密和接受人道待遇的担忧似乎是核心问题。牙科服务提供者应该意识到并更好地管理这些问题。
PurposeTo explore the experiences and expectations of HIV‐related stigma in dental settings.MethodsThis was a cross‐sectional study of 60 HIV+ adult volunteers. We conducted audio‐recorded interviews; responses to four open‐ended questions were analyzed qualitatively for theme and content.ResultsTwenty‐seven participants (45%) reported ever having anticipated being judged, stigmatized or treated with disrespect in a dental setting due to HIV status. Thematic response categories included concerns about: (i) receiving humane and respectful treatment, (ii) being judged or stereotyped and (iii) giving HIV to the dentist. Regarding hesitancy to visit the dentist, subjects equally endorsed fear of the dentist (35%) and concerns about confidentiality and receiving humane treatment (35%).ConclusionHIV+ individuals encounter many fears and concerns related to dental care; fear of the dentist and concerns about confidentiality and receiving humane treatment appear to be central issues. Dental providers should be aware of and better manage these issues.