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牙科高等教育学生对艾滋病患者的态度。

Attitudes of advanced dental education students toward individuals with AIDS.

作者信息

Cohen Leonard A, Romberg Elaine, Grace Edward G, Barnes Douglas M

机构信息

University of Maryland, Baltimore College of Dental Surgery, Dental School, Department of Health Promotion and Policy, 666 West Baltimore Street, Baltimore, MD 21201, USA.

出版信息

J Dent Educ. 2005 Aug;69(8):896-900.

Abstract

The number of patients with HIV/AIDS who receive dental care is increasing. This study was undertaken to gain a better understanding of the attitudes of dentists enrolled in postgraduate training toward AIDS and homosexuals. Each respondent received a 500-word patient case vignette and two scales for recording impressions of the person described in the vignette. There were four vignettes, identical except that the portrayed individual's illness was identified as either AIDS or leukemia and sexual preference as either homosexual or heterosexual. Two-way analyses of variance and t tests (p<.05) revealed a bias toward individuals with AIDS and toward homosexuals. Respondents reacted more negatively to both groups on the Social Interaction Scale as seen in total scale scores as well as to individual scale items. In addition, although overall Prejudicial Evaluation Scale scores displayed no evidence of bias, several individual scale items did. It is important to ensure that dentists' attitudes toward patients with AIDS and homosexuals are not a barrier to these patients receiving the best possible care. Therefore, dental education programs at all levels should give consideration to interventions to address provider attitudes and potential biases.

摘要

接受牙科护理的艾滋病毒/艾滋病患者数量正在增加。本研究旨在更好地了解参加研究生培训的牙医对艾滋病和同性恋者的态度。每位受访者收到一份500字的患者病例 vignette 以及两份用于记录对 vignette 中所描述之人印象的量表。共有四个 vignette,除了所描绘个体的疾病被确定为艾滋病或白血病以及性取向为同性恋或异性恋外,其余均相同。双向方差分析和 t 检验(p<0.05)显示出对艾滋病患者和同性恋者的偏见。在社交互动量表上,受访者对这两组人的反应更消极,无论是在总分还是在各个量表项目上。此外,尽管总体偏见评估量表得分没有显示出偏见的迹象,但几个单独的量表项目显示出了偏见。确保牙医对艾滋病患者和同性恋者的态度不会成为这些患者获得最佳护理的障碍非常重要。因此,各级牙科教育项目应考虑采取干预措施来解决提供者的态度和潜在偏见。

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