271078 Dentists' perspectives on patient acceptance of HIV screening in the dental care setting: Results from a nationally representative survey

Sunday, October 28, 2012

Margaret R. Pereyra, DrPH , Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL
Harold A. Pollack, PhD , School of Social Service Administration, University of Chicago, Chicago, IL
Stephen Abel, DDS, MSD , Office of Extramural and Public Health Programs, Nova Southeastern University College of Dental Medicine, Ft. Lauderdale, FL
Richard Singer, DMD, MS , Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL
Barbara Greenberg, PhD , New Jersey Dental School, University of Medicine and Dentistry of New Jersey, Newark, NJ
Shari Messinger, PhD , Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL
Lisa Metsch, PhD , Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL
BACKGROUND: Identification of undiagnosed persons with HIV infection is a public health challenge. The 2006 CDC guidelines recommend wide spread screening in a variety of health care settings. Prior research highlights the potential of the dental care setting as a promising venue for HIV screening of otherwise untested individuals. METHODS: We performed a nationally representative survey of general dentists that examined barriers and facilitators to offering oral HIV rapid testing at chair side (n=1802, 70% response rate). Forty- five percent of dentists had positive attitudes regarding patient acceptance of HIV screening in the dental care setting. We examined dentists' having a positive attitude using multivariable logistic regression controlling for potential confounders (age, gender, and race/ethnicity). RESULTS: Dentists' positive attitudes regarding patient acceptance of testing were positively associated with the following: Dentists' agreement with the importance for all persons at high risk to get tested for HIV annually (OR=1.3 for each unit increase in 4-point agreement scale - 95%CI: 1.1, 1.6); Agreement with "my colleagues' perception of me as a health care provider would improve" (OR=2.3 for each unit increase in 4-point agreement scale 95%CI: 2.0, 2.8); Dentists with a positive assessment of their own clinical knowledge of HIV (OR=1.4 for each unit increase in the rating scale - 95%CI: 1.2, 1.6); Dentists' increasing age (OR=1.01 for each additional year -95%CI: 1.002, 1.02). CONCLUSIONS: Dentists with greater familiarity and engagement with HIV care were more likely to perceive greater patient acceptance in the dental care setting.

Learning Areas:
Epidemiology
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
1. Describe dentists' perspectives on patient acceptance of HIV screening during dental examinations. 2. Assess the potential of the dental care setting as a promising venue for HIV screening.

Keywords: HIV/AIDS, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal investigator of multiple federally funded grants focusing on the epidemiology of HIV prevention. Among my scientific interests has been the development of strategies for increasing routine HIV testing across all health care settings.
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.