Dental care and HIV-infected individuals: are they equally treated?

Carlo Lajolo, Enrica Tamburrini, Roberto Cauda, Mario Tumbarello, Michele Giuliani, Pierfrancesco Grima, G Rezza, C Arici, S Babudieri, C Martinelli, J Vecchiet, Ms Mura

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

OBJECTIVE: To investigate the problems in seeking dental care faced by HIV-positive individuals in Italy. METHODS: A multicenter observational study was performed by distributing an anonymous self-administered questionnaire to patients of six public healthcare facilities specialized in the treatment of individuals with HIV infection. The questions concerned personal data potentially correlated with discrimination, the patient-dentist relationship before and after HIV diagnosis, and the reasons for seeking dental care in public facilities. We also evaluated the patients' discomfort in the patient-dentist relationship after HIV diagnosis, performing univariate and multivariate analyses. RESULTS: Of the 1,500 questionnaires distributed; 883 were filled-out completely. A total of 630 persons received dental care after HIV diagnosis: 209 (33.2%) did not tell the dentist that they were seropositive. Of those who did, 56 were refused care. For patients treated by a private dentist, having been treated by the same dentist before diagnosis was a risk factor for great discomfort in the patient-dentist relationship (P < 0.002). Being treated in public facilities was associated with having received dental care after HIV diagnosis (P < 0.001) and a primary school education (P < 0.001). CONCLUSIONS: There exist episodes of discrimination on the part of some dentists, and a relatively high proportion of HIV-positive persons do not disclose their seropositivity to the dentist. Dentists should be provided with training for promoting both ethically acceptable practices and suitable clinical management of HIV-positive persons.
Original languageEnglish
Pages (from-to)447-453
Number of pages7
JournalCommunity Dentistry and Oral Epidemiology
Volume2005
Publication statusPublished - 2005

Keywords

  • Dental care
  • HIV infection

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