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Factors associated with refusal to treat HIV-infected patients

The results of a national survey of dentists in Canada

Bibliographic Data

ID11033856
AuthorsGillian M McCarthy (0000-0002-1450-9671, Western University), John J Koval (0000-0003-2020-3107), J Macdonald (0000-0003-1062-9219), J K MacDonald
Year1999
Volume89
Issue4
Pages541-545
Publication date1999-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.89.4.541
PMID10191798
OpenAlexW1970563888
LanguageEN
Citations received3
References cited17

OBJECTIVES: This study investigated dentists refusal to treat patients who have HIV. METHODS: A survey was mailed to a random sample of all licensed dentists in Canada, with 3 follow-up attempts (n = 6444). Data were weighted to allow for probability of selection and nonresponse and analyzed with Pearson's chi 2 and multiple logistic regression. RESULTS: The response rate was 66%. Of the respondents, 32% had knowingly treated HIV-infected patients in the last year; 16% would refuse to treat HIV-infected patients. Respondents reported willingness to treat HIV-infected patients (81%), injection drug users (86%), hepatitis B virus-infected patients (87%), homosexual and bisexual persons (94%), individuals with sexually transmitted disease(s) (94%), and recipients of blood and blood products (97%). The best predictors of refusal to treat patients with HIV were lack of ethical responsibility (odds ratio = 9.0) and items related to fear of cross-infection or lack of knowledge of HIV. CONCLUSIONS: One in 6 dentists reported refusal to treat HIV-infected patients, which was associated primarily with respondents' lack of belief in an ethical responsibility to treat patients with HIV and fears related to cross-infection. These results have implications for undergraduate, postgraduate, and continuing education

Family medicine · Hepatitis C · Human immunodeficiency virus (HIV) · Logistic regression · Odds · Odds ratio · HIV/AIDS oral health manifestations · HIV/AIDS Research and Interventions · Infection Control in Healthcare · Internal Medicine · Medicine

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    Open Access•Cliff Lee, Yuehong Fan et al.•Journal of Public Health Dentistry•2016

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    Open Access•Christina El-saaidi, Omid Dadras et al.•International Journal of…•2021

  • Dentists’ knowledge and attitudes towards people living with HIV/Aids in China

    Di Le, Haiyang Wang et al.•AIDS Care•2025

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    Open Access•Robert J Rydman, Seymor H Yale et al.•Journal of Public Health Dentistry•1990

  • Nonresponse Bias in a Survey of Ontario Dentists' Infection Control and Attitudes Concerning HIV

    Open Access•Gillian M McCarthy, John J Koval et al.•Journal of Public Health Dentistry•1997

  • Changes in Physicians' Attitudes Toward Aids During Residency Training

    Michael J Yedidia, Carolyn A Berry et al.•Journal of Health and Social…•1996

Unique citing works3
Citations per year0,3
Citation span2016 - 2025 (10)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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