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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 Presentation
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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…
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Page 1: An EDSA project…

Dutch Dental Students HIV-related attitudes,

knowledge & source of information

AH. Neshat, K. Divaris, R.C. Gorter, PhD

An EDSA project…

Page 2: 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)

Page 3: An EDSA project…

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

Page 4: An EDSA project…

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

Page 5: An EDSA project…

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

Page 6: An EDSA project…

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.

Page 7: An EDSA project…

Alm

er

e Am

ste

rd

amThe Hague

Clinic

Locations

Page 8: An EDSA project…

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.

Page 9: An EDSA project…

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

Page 10: An EDSA project…

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

Page 11: An EDSA project…

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

Page 12: An EDSA project…

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%

Page 13: An EDSA project…

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

Page 14: An EDSA project…

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

Page 15: An EDSA project…

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

Page 16: An EDSA project…

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%

Page 17: An EDSA project…

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.

Page 18: An EDSA project…

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

Page 19: An EDSA project…

Discussion

Cross-sectionalTime of conductionGeneralizability of conclusionsNative Language

Page 20: An EDSA project…

Questions & Suggestions Houman Neshat

[email protected]://www.neshat.net

…Thank you for your Attention….

www.EDSA-net.org

Page 21: An EDSA project…

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