249361 HIV saliva testing in the dental clinic setting: Challenges and facilitators to implementation

Wednesday, November 2, 2011: 9:10 AM

M. Katherine Hutchinson, PhD, RN , College of Nursing, New York University, New York, NY
Nancy VanDevanter, DrPH, RN , New York University College of Nursing, New York, NY
Joan A. Phelan, DDS , College of Dentistry, NYU, New York, NY
Daniel Malamud, PhD , College of Dentistry, New York University, New York, NY
Donna Shelley, MD, MPH , College of Dentistry, New York University, New York, NY
Joan Combellick, MSN , New York University, New York, NY
Expansion of HIV testing among populations at greatest risk for HIV has been recommended by the CDC through implementation of routine testing into health care settings and expanding testing in new venues. NYU College of Dentistry (NYUCD), the single largest “safety net” provider of dental care in New York State, provides comprehensive oral care to 124,000 patients (300,000 visits) each year. In recent years, with the development of saliva testing technologies to screen for chronic diseases, NYUCD researchers have begun to plan for the inclusion of routine saliva screening into dental practice, in particular the inclusion of HIV screening. A qualitative pilot study was conducted to assess the feasibility of implementing routine HIV saliva screening for patients seeking services in the NYUCD dental clinics. Ten key informant interviews were conducted with a purposive sample of dental faculty and staff and four focus groups with dental students to assess feasibility for integration of HIV saliva testing into practice. Interviews were audio-taped, transcribed verbatim and content analysis conducted to identify themes related to the study aims. Most dentists thought HIV saliva screening in the admissions clinic fit within the scope of dental practice and was an opportunity to contribute to public health. Barriers to implementation included lack of time, logistics, patient confidentiality, costs, reimbursement, lack of training in HIV testing and counseling, concerns about negative patient reactions. Significant opportunity exists for the integration of HIV saliva testing into dental practice. Development of training programs and policies and procedures are essential to implementation.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
The participant will be able to describe the challenges and facilitator to implementation of saliva screening for HIV in the dental clinic setting.

Keywords: HIV/AIDS, One Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Hutchinson's program of research focuses on family, partner and social influences of HIV- and STI-related sexual risk behaviors and health disparities more broadly. She has been PI or Co-I on numerous NIH- and foundation-funded studies and intervention trials related to HIV prevention.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.