Format

Send to

Choose Destination
Am J Public Health. 1999 Apr;89(4):541-5.

Factors associated with refusal to treat HIV-infected patients: the results of a national survey of dentists in Canada.

Author information

1
School of Dentistry, University of Western Ontario, London. gmccarth@julian.uwo.ca

Abstract

OBJECTIVES:

This study investigated dentists refusal to treat patients who have HIV.

METHODS:

A survey was mailed to a random sample of all licensed dentists in Canada, with 3 follow-up attempts (n = 6444). Data were weighted to allow for probability of selection and nonresponse and analyzed with Pearson's chi 2 and multiple logistic regression.

RESULTS:

The response rate was 66%. Of the respondents, 32% had knowingly treated HIV-infected patients in the last year; 16% would refuse to treat HIV-infected patients. Respondents reported willingness to treat HIV-infected patients (81%), injection drug users (86%), hepatitis B virus-infected patients (87%), homosexual and bisexual persons (94%), individuals with sexually transmitted disease(s) (94%), and recipients of blood and blood products (97%). The best predictors of refusal to treat patients with HIV were lack of ethical responsibility (odds ratio = 9.0) and items related to fear of cross-infection or lack of knowledge of HIV.

CONCLUSIONS:

One in 6 dentists reported refusal to treat HIV-infected patients, which was associated primarily with respondents' lack of belief in an ethical responsibility to treat patients with HIV and fears related to cross-infection. These results have implications for undergraduate, postgraduate, and continuing education.

PMID:
10191798
PMCID:
PMC1508900
DOI:
10.2105/ajph.89.4.541
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center