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Am J Public Health. 2014 May;104(5):872-80. doi: 10.2105/AJPH.2013.301700. Epub 2014 Mar 13.

Dentists' willingness to provide expanded HIV screening in oral health care settings: results from a nationally representative survey.

Author information

1
Harold A. Pollack is with the School of Social Service Administration, University of Chicago, Chicago, IL. At the time of the study, Margaret Pereyra, Richard Singer, and Lisa R. Metsch were with the Department of Epidemiology and Public Health, and Shari Messinger was with the Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL. Carrigan L. Parish is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY. At the time of the study, Stephen Abel was with Nova Southeastern College of Dental Medicine, Fort Lauderdale, FL. Carol Kunzel is with the Division of Behavioral Science, Columbia University College of Dental Medicine, New York, NY. At the time of the study, Barbara Greenberg was with the Departments of Diagnostic Sciences and Community Health, University of Medicine and Dentistry of New Jersey, Newark. Barbara Gerbert is with the Center for Health Improvement and Prevention Studies, University of California, San Francisco. Michael Glick is with the University at Buffalo School of Dental Medicine, Buffalo, NY.

Abstract

OBJECTIVES:

Using a nationally representative survey, we determined dentists' willingness to provide oral rapid HIV screening in the oral health care setting.

METHODS:

From November 2010 through November 2011, a nationally representative survey of general dentists (sampling frame obtained from American Dental Association Survey Center) examined barriers and facilitators to offering oral HIV rapid testing (nā€‰=ā€‰1802; 70.7% response). Multiple logistic regression analysis examined dentists' willingness to conduct this screening and perceived compatibility with their professional role.

RESULTS:

Agreement with the importance of annual testing for high-risk persons and familiarity with the Centers for Disease Control and Prevention's recommendations regarding routine HIV testing were positively associated with willingness to conduct such screening. Respondents' agreement with patients' acceptance of HIV testing and colleagues' improved perception of them were also positively associated with willingness.

CONCLUSIONS:

Oral HIV rapid testing is potentially well suited to the dental setting. Although our analysis identified many predictors of dentists' willingness to offer screening, there are many barriers, including dentists' perceptions of patients' acceptance, that must be addressed before such screening is likely to be widely implemented.

PMID:
24625163
PMCID:
PMC3987585
DOI:
10.2105/AJPH.2013.301700
[Indexed for MEDLINE]
Free PMC Article
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