an edsa project…
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Dutch Dental Students HIV-related attitudes, knowledge & source of information AH. Neshat, K. Divaris, R.C. Gorter, PhD. An EDSA project…. Epidemiological data December 2004. Adults and children estimated to be living with HIV as of end 2004. 40%. Eastern Europe & Central Asia - PowerPoint PPT PresentationTRANSCRIPT
Dutch Dental Students HIV-related attitudes,
knowledge & source of information
AH. Neshat, K. Divaris, R.C. Gorter, PhD
An EDSA project…
Epidemiological data December 2004Number of individuals infected with HIV/AIDS
Total 39.4 million
(35.9 – 44.3 million)
Adults 37.2 million (33.8 – 41.7 million)
Children (<15) 2.2 million (2.0 – 2.6 million)
New HIV-infections during 2003
Total 4.9 million (4.3 – 6.4 million)
Adults 4.3 million (3.7 – 5.7 million)
Children (<15 y.o.) 640 000 (570 000 – 750 000)
AIDS-related deaths during 2003
Total 3.1 million (2.8 – 3.5 million)
Adults 2.6 million (2.3 – 2.9 million)
Children (<15) 510 000 (460 000 – 600 000)
Adults and children estimated to be Adults and children estimated to be living living
with HIV as of end 2004with HIV as of end 2004
Total: 39.4 (35.9 – 44.3) million
Western & Central Europe
610 000610 000[480 000 – 760 000][480 000 – 760 000]
North Africa & Middle East540 000540 000
[230 000 – 1.5 million[230 000 – 1.5 million]]
Sub-Saharan Africa25.4 million25.4 million
[23.4 – 28.4 million][23.4 – 28.4 million]
Eastern Europe & Central Asia1.4 million 1.4 million
[920 000 – 2.1 million][920 000 – 2.1 million]
South & South-East Asia7.1 million7.1 million[4.4 – 10.6 million[4.4 – 10.6 million]]
Oceania35 00035 000
[25 000 – 48 000][25 000 – 48 000]
North America1.0 million1.0 million
[540 000 – 1.6 million][540 000 – 1.6 million]
Caribbean440 000440 000
[270 000 – 780 000][270 000 – 780 000]
Latin America1.7 million1.7 million
[1.3 – 2.2 million][1.3 – 2.2 million]
East Asia1.1 million1.1 million
[560 000 – 1.8 million][560 000 – 1.8 million]
50%40%
Stabilizing
AIDS & DentistryI. The dentist must be capable of recognizing,
documenting & treating oral lesions related to the HIV/AIDS.
II. Has the responsibility of referring patients presenting signs & symptoms linked to the HIV infection for further trials.
III. Contemporary curricula must entail theoretical and practical training of dental students in treating HIV-related oral lesions.
Source: FDI
Statement;
General Assembly
2003
Aim
To study Dutch Dental students’ HIV/AIDS related attitudes, knowledge, practices and sources of information
To investigate possible associations with ‘gender’ and ‘study year’ with the above
MethodsAnonymous questionnaire of 56 closed-end questions (yes/no, 4-point Likert scale)
Distributed to all clinical-year present in three University clinics, in Amsterdam, The Hague and Almere Dental School, in December 2003
Data analysis Chi2 and Wilcoxon tests were performed.
Alm
er
e Am
ste
rd
amThe Hague
Clinic
Locations
Results
Response118 questionnaires
were returned and analyzed
N Response
3th year 32 17%
4th year 52 28%
5th year 34 18%
Total 118 63%
Sample description• The sample was consisted of 63 (53.39%) female
and 55 (46.61%) male students.
0,85
8,74
17,8
18,64
97,46
96,61
Toilet use
Insect bite
Saliva
Breast feeding
Blood
Sexual contact
Supposed routes of transmission of the Supposed routes of transmission of the HIV virus, HIV virus,
according to ACTA studentsaccording to ACTA students
Results
Source of Information within Dental Education
58,4716,1
26,27
16,187,29
72,03
1,69
Discissions with colleagues
confrences
Textbooks
Electronic Educational material
Lectures & Seminars
CD ROMs, Web
Scientificjournals/ literature
ResultsResults
Lectures/Seminars & Textbooks Primary Sources
Extracurricular Source of Information
90,68
66,9521,19
70,34
43,22
23,73 10,17
36,44
4,2465,25
TV
Magazines
NewspapesrSpecial Information
Special Information
School
Family Doctor
Family
Friends
Internet
Direct Contact
ResultsResults
TV & School
0
50
100
4th 3rdyear
5th
Yes
No
Have you ever been injured by a sharp/bloody
instrument during your clinical
training?
Do you believe that the practice of Dentistry entails a high risk of
an HIV-infection?
020406080
4th 3rd year 5th
YesNo
0
50
100
4th 3rd year 5th
YesNo
Do you think that you follow all necessary infection
control measures in the clinics?
Χ2 test: p<10p<10-3-3
ResultsResults
27,12% 21%
87,18%
020406080
4th 3rdyear
5th
YesNo
Do you consider yourself Do you consider yourself competent at contributing competent at contributing to an early diagnosis of an to an early diagnosis of an
HIV-infectionHIV-infection??
χ2 test: p<10p<10--
33
Do you accept the right of Do you accept the right of privacy of an HIV+ patient privacy of an HIV+ patient
not revealing his situation to not revealing his situation to youyou??
0
50
100
3rd 4thyear
5th
Yes
No
020406080
3rd 4thyear
5th
Yes
No
Do you believe that if a dentist Do you believe that if a dentist is diagnosed as HIV+, they is diagnosed as HIV+, they
should continue normal should continue normal practice?practice?
χ2: test: p<10p<10-3-3
0
50
100
3rd 4thyear
5th
Yes
No
If yes, do you believe that If yes, do you believe that it’s their patients’ right to it’s their patients’ right to
know about his know about his seropositivity?seropositivity?
ResultsResults
73,28 %
NO
83.90%
NO
70,59 %
YES80,43 %YES
I consider my knowledge of the oral manifestations of the
HIV-infection and their treatment
as: 020406080
3rd 4th year 5th
Excellent
Probablysufficient
Probablyinsufficient
Non-existentWilcoxon test: p<10p<10--
33
Results
56 % Insufficient/Non-existent
0
20
40
60Excellent
Probablysufficient
Probablyinsufficient
Non-existent
I consider my knowledge of the infection control measures necessary in the clinics as:
Results
63 % Sufficient/ Excellent
Are you willing to treat HIV+ patients in your private practice?
26,72
48,31
7,63
3,39
14,41Definitely yes
Probably yes
Probably not
Definitely not
Don't know/ Don'tanswer
0%
20%
40%
60%
80%
100%
3rd year 4th year 5th year
Definitely yes
Probably yes
Probably not
Definitely not
Don't know/ Don'tanswer
0%
20%
40%
60%
80%
100%
Males Females
Definitely yes
Probably yes
Probably not
Definitely not
Don't know/ Don'tanswer
Wilcoxon test: p<0.05p<0.05
Results 74%
Results• 64% of the students answered that they
treat all patients as potential carriers of HIV/HBV.
• 29% of the 5th year students stated that they have been injured by a sharp and/or bloody instrument during their clinical training.
• 27% of the respondents considered that the practice of dentistry entails high risk of being infected with HIV.
ConclusionsNo significant variations with regard to ‘gender’ and ‘study year’ were observedResults indicate that the majority of the students retain a positive standpoint towards treating HIV patients
More emphasis on certain domains of dental education such as theoretical knowledge of HIV/AIDS oral manifestations and practical training on infection control procedures, may improve dental students’ and thus future dentists’ attitudes and practices towards seropositive patients
Discussion
Cross-sectionalTime of conductionGeneralizability of conclusionsNative Language
Questions & Suggestions Houman Neshat
[email protected]://www.neshat.net
…Thank you for your Attention….
www.EDSA-net.org