Dentists' Willingness to Provide Expanded HIV Screening in Oral Health Care Settings: Results From a Nationally Representative Survey
Dentists' Willingness to Provide Expanded HIV Screening in Oral Health Care Settings: Results From a Nationally Representative Survey
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DOI：
10.2105/ajph.2013.301700
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发表时间：
2014-05-01
影响因子：
12.7
通讯作者：
Metsch, Lisa R.
中科院分区：
文献类型：
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作者：
Pollack, Harold A.;Pereyra, Margaret;Metsch, Lisa R.
目标.使用一个全国性的代表性调查，我们确定牙医的意愿，提供口腔快速艾滋病毒筛查在口腔卫生保健设置。从2010年11月到2011年11月，一项全国代表性的普通牙医调查（从美国牙科协会调查中心获得的抽样框架）研究了提供口腔艾滋病毒快速检测的障碍和促进因素（n = 1802; 70.7%的响应）。多元逻辑回归分析检查牙医的意愿，进行这项筛选和感知的兼容性与他们的专业角色。同意每年对高危人群进行检测的重要性以及熟悉疾病控制和预防中心关于常规艾滋病毒检测的建议与进行这种筛查的意愿呈正相关。受访者同意患者接受HIV检测以及同事对他们的看法改善也与意愿呈正相关。口服HIV快速检测可能非常适合牙科环境。虽然我们的分析确定了许多牙医愿意提供筛查的预测因素，但在这种筛查可能广泛实施之前，必须解决许多障碍，包括牙医对患者接受程度的看法。
Objectives. Using a nationally representative survey, we determined dentists' willingness to provide oral rapid HIV screening in the oral health care setting.Methods. From November 2010 through November 2011, a nationally representative survey of general dentists (sampling frame obtained from American Dental Association Survey Center) examined barriers and facilitators to offering oral HIV rapid testing (n = 1802; 70.7% response). Multiple logistic regression analysis examined dentists' willingness to conduct this screening and perceived compatibility with their professional role.Results. Agreement with the importance of annual testing for high-risk persons and familiarity with the Centers for Disease Control and Prevention's recommendations regarding routine HIV testing were positively associated with willingness to conduct such screening. Respondents' agreement with patients' acceptance of HIV testing and colleagues' improved perception of them were also positively associated with willingness.Conclusions. Oral HIV rapid testing is potentially well suited to the dental setting. Although our analysis identified many predictors of dentists' willingness to offer screening, there are many barriers, including dentists' perceptions of patients' acceptance, that must be addressed before such screening is likely to be widely implemented.