Brondani M, Donnelly L
Division of Dental Public Health, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
JDR Clin Trans Res. 2021 Jan;6(1):40-46. doi: 10.1177/2380084420961089. Epub 2020 Sep 18.
The aim of this study was to unravel the professional and social consequences of COVID-19 as compared with the AIDS pandemic according to oral health care providers, staff, and administrators.
An exploratory qualitative inquiry via at-a-distance, semistructured interviews engaged a purposefully recruited sample of oral health care team workers in British Columbia. Interviews took place between April 20 and May 15, 2020; they were audio recorded, transcribed verbatim, and deidentified for interactive thematic analysis. An inductive process of coding was used to identify themes, subthemes, and categories of information.
Forty-five interviews were conducted with 18 dentists, 12 dental hygienists, 6 certified dental assistants, and 9 administrators; 22 were females. Interviews each lasted an average of 48 min. After the transcripts were coded, 3 subthemes emerged: 1) personal protective equipment and universal precautions as commonsense approaches to care during both pandemics; 2) an (un)collapsed world in terms of global lockdowns; and 3) social unrest in terms of the potential for stigma and discrimination caused by both pandemics. These subthemes made up the COVID-19-AIDS parallel theme.
This study explored the extent to which the current COVID-19 pandemic is leading to professional and social consequences when a parallel is drawn with the AIDS pandemic. This is the first qualitative study that identifies the potential social unrest of the pandemic from the perspective of oral health care providers and administrators. Future studies should include other providers across Canada, as well the patients receiving oral health care during this pandemic.
The COVID-19 pandemic has unraveled potential societal implications in a parallel to the HIV/AIDS era from the perspectives of oral health care providers and their staff. Such implications are changing the way that oral health care is delivered; it may also be leading to social unrest in the form of stigma and discrimination. This study discusses some of these implications from the perspective of oral health care providers and administrators.
本研究旨在根据口腔保健提供者、工作人员及管理人员的视角,剖析与艾滋病大流行相比,新冠疫情所带来的职业及社会影响。
通过远程半结构化访谈开展探索性定性调查,特意选取了不列颠哥伦比亚省口腔保健团队的工作人员作为样本。访谈于2020年4月20日至5月15日进行;访谈进行了录音,逐字转录,并进行去识别化处理以用于交互式主题分析。采用归纳编码过程来识别信息的主题、子主题及类别。
对18名牙医、12名口腔卫生员、6名注册牙科助理和9名管理人员进行了45次访谈;其中22人为女性。每次访谈平均持续48分钟。对访谈记录进行编码后,出现了3个子主题:1)个人防护装备及通用预防措施是两种大流行期间护理的常识性方法;2)从全球封锁角度看(未)崩溃的世界;3)从两种大流行可能导致的耻辱和歧视角度看社会动荡。这些子主题构成了新冠-艾滋病平行主题。
本研究探讨了将当前新冠疫情与艾滋病大流行进行对比时,其在职业和社会方面的影响程度。这是第一项从口腔保健提供者和管理人员角度识别大流行潜在社会动荡的定性研究。未来研究应纳入加拿大其他地区的提供者,以及在此次大流行期间接受口腔保健的患者。
从口腔保健提供者及其工作人员的角度来看,新冠疫情揭示了与艾滋病毒/艾滋病时代类似的潜在社会影响。这些影响正在改变口腔保健的提供方式;还可能以耻辱和歧视的形式导致社会动荡。本研究从口腔保健提供者和管理人员的角度讨论了其中一些影响。