Al-Amad Suhail H
College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Arch Public Health. 2021 Dec 22;79(1):230. doi: 10.1186/s13690-021-00756-4.
Dentists' refusal to treat patients infected with hepatitis C (HCV) continues to raise ethical concerns, particularly in countries where HCV is prevalent. The aim of this cross-sectional study was to assess dentists' willingness to treat patients infected with HCV and the socio-demographic variables that influence their decision.
An online questionnaire was disseminated to dentists practicing in the United Arab Emirates (UAE) and enquired about their willingness to perform two dental treatments: restorative and surgical, to patients infected with HCV, while hypothetically being equipped with optimal personal protective equipment. Binary logistic regression test was used to assess socio-demographic factors that predict dentists' unwillingness decision.
Two-hundred and forty-five dentists participated in this survey. Among those, 25.6 and 19.3% were unwilling to perform dental extractions and aerosol-generating restorative dental treatments for patients infected with HCV, respectively. Dentists' clinical experience was a significant predictor of their unwillingness decision, with those of shorter clinical experience expressing greater reluctance than their counterparts (OR:1.61; 95% CI: 1.02-2.54; p = 0.042).
Patients infected with HCV who need dental care could face rejection by early career dentists, particularly if that treatment is a surgical one. Fresh dental graduates should be made aware of their ethical and legal responsibilities towards patients with infectious diseases, particularly HCV.
牙医拒绝治疗丙型肝炎(HCV)感染患者的情况持续引发伦理问题,尤其是在HCV流行的国家。这项横断面研究的目的是评估牙医治疗HCV感染患者的意愿以及影响其决定的社会人口统计学变量。
向在阿拉伯联合酋长国(UAE)执业的牙医发放了一份在线问卷,询问他们在假设配备了最佳个人防护设备的情况下,是否愿意为HCV感染患者进行两种牙科治疗:修复性治疗和外科治疗。采用二元逻辑回归测试来评估预测牙医不愿意治疗这一决定的社会人口统计学因素。
245名牙医参与了这项调查。其中,分别有25.6%和19.3%的牙医不愿意为HCV感染患者进行拔牙和产生气溶胶的修复性牙科治疗。牙医的临床经验是其不愿意治疗这一决定的重要预测因素,临床经验较短的牙医比经验丰富的牙医表现出更大的不情愿(比值比:1.61;95%置信区间:1.02 - 2.54;p = 0.042)。
需要牙科护理的HCV感染患者可能会遭到初出茅庐的牙医的拒绝,尤其是如果治疗是外科手术的话。应让刚毕业的牙科学生意识到他们对传染病患者,特别是HCV感染患者的伦理和法律责任。