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An EDSA project…

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

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An EDSA project…

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  1. DutchDental Students HIV-related attitudes, knowledge & source of informationAH. Neshat, K. Divaris, R.C. Gorter, PhD An EDSA project…

  2. Epidemiological data December 2004

  3. Adults and children estimated to be living with HIV as of end 2004 40% Eastern Europe & Central Asia 1.4 million [920 000 – 2.1 million] Western & Central Europe 610 000 [480 000 – 760 000] 50% North America 1.0 million [540 000 – 1.6 million] East Asia 1.1 million [560 000 – 1.8 million] North Africa & Middle East 540 000 [230 000 – 1.5 million] Caribbean 440 000 [270 000 – 780 000] South & South-East Asia 7.1 million [4.4 – 10.6 million] Sub-Saharan Africa 25.4 million [23.4 – 28.4 million] Latin America 1.7 million [1.3 – 2.2 million] Oceania 35 000 [25 000 – 48 000] Stabilizing Total: 39.4 (35.9 – 44.3) million

  4. AIDS & Dentistry • The dentist must be capable of recognizing, documenting & treating oral lesions related to the HIV/AIDS. • Has the responsibility of referring patients presenting signs & symptoms linked to the HIV infection for further trials. • Contemporary curricula must entail theoretical and practical training of dental students in treating HIV-related oral lesions. Source:FDIStatement; General Assembly 2003

  5. 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

  6. Methods • Anonymous 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.

  7. Clinic Locations Amsterdam Almere The Hague

  8. Results Response 118 questionnaires were returned and analyzed Sample description • The sample was consisted of63 (53.39%) female and55 (46.61%) male students.

  9. Supposed routes of transmission of the HIV virus, according to ACTA students Results

  10. Results Lectures/Seminars & Textbooks Primary Sources

  11. Results TV & School

  12. Results Do you believe that the practice of Dentistry entails a high risk of an HIV-infection? Have you ever been injured by a sharp/bloody instrument during your clinical training? Do you think that you follow all necessary infection control measures in the clinics? Χ2test: p<10-3 27,12% 21% 87,18%

  13. Results Do you accept the right of privacy of an HIV+ patient not revealing his situation to you? Do you consider yourself competent at contributing to an early diagnosis of an HIV-infection? χ2 test: p<10-3 Do you believe that if a dentist is diagnosed as HIV+, they should continue normal practice? If yes, do you believe that it’s their patients’ right to know about his seropositivity? χ2: test: p<10-3 73,28 % NO 83.90% NO 70,59 % YES 80,43 % YES

  14. I consider my knowledge of the oral manifestations of the HIV-infection and their treatment as: Wilcoxon test: p<10-3 Results 56 % Insufficient/Non-existent

  15. I consider my knowledge of the infection control measures necessary in the clinics as: Results 63 % Sufficient/ Excellent

  16. Results 74% Wilcoxon test: p<0.05

  17. 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 bloodyinstrument during their clinical training. • 27%of the respondents considered that the practice of dentistry entails high risk of being infected with HIV.

  18. Conclusions • No significant variations with regard to ‘gender’ and ‘study year’ were observed • Results 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

  19. Discussion Cross-sectional Time of conduction Generalizability of conclusions Native Language

  20. Questions & Suggestions Houman Neshat Houman@Neshat.net http://www.neshat.net …Thank you for your Attention…. www.EDSA-net.org

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