Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, Srinakharinwirot University, 114 Sukhumvit 23 Road, Wattana, Bangkok 10110, Thailand.
J Dent Educ. 2013 Sep;77(9):1202-8.
To investigate the knowledge and attitudes of Thai dental practitioners regarding patients with HIV, a cross-sectional study using self-administered questionnaires was conducted. The questionnaires requested demographic information and included questions evaluating the knowledge and attitude of dental practitioners towards HIV. The results were analyzed using Scheffe method for multiple comparisons at the 95 percent confidence level. Out of 1,200 questionnaires sent, 446 questionnaires were returned (response rate 37.2 percent). The subjects included final (sixth)-year dental students (11.9 percent), general dentists (29.1 percent), specialist dentists (15.5 percent), dental hygienists (30.5 percent), and dental assistants (13 percent). More than 80 percent of the dental practitioners correctly answered the questions testing their basic knowledge of HIV such as routes of transmission and common opportunistic infections. However, knowledge about HIV pathogenesis, complications, and advances in HIV management was lacking. Dental hygienists and dental assistants had statistically significant lower scores in knowledge about HIV than other groups. Sixty-seven percent of dental practitioners said they feel worried when treating patients with HIV, and 20.4 percent said they would deny treatment for patients with HIV if possible. While knowledge about HIV may be adequate among dental practitioners in Thailand, greater effort should be put into emphasizing positive attitudes towards patients with HIV.
为了调查泰国牙科医生对 HIV 患者的认知和态度,采用横断面研究方法,使用自我管理问卷进行调查。问卷要求提供人口统计学信息,并包括评估牙科医生对 HIV 的认知和态度的问题。使用 Scheffe 方法在 95%置信水平下进行多重比较分析结果。在发送的 1200 份问卷中,有 446 份(回复率为 37.2%)被返回。研究对象包括牙科六年级学生(11.9%)、普通牙医(29.1%)、专科牙医(15.5%)、口腔卫生员(30.5%)和牙医助理(13%)。超过 80%的牙科医生正确回答了测试他们对 HIV 基本知识的问题,如传播途径和常见机会性感染。然而,他们对 HIV 发病机制、并发症和 HIV 管理进展的了解则有所欠缺。口腔卫生员和牙医助理在 HIV 知识方面的得分明显低于其他群体。67%的牙科医生表示在治疗 HIV 患者时感到担忧,20.4%的人表示如果可能,他们会拒绝为 HIV 患者治疗。虽然泰国牙科医生对 HIV 的了解可能足够,但应更加努力强调对 HIV 患者的积极态度。