Ageing People Living with HIV/AIDS, PLWHA; More Dental Challenges; the Romanian Dental Professional's Point of View

被引:0
作者
Caministeanu, Florentina [1 ]
Manolescu, Loredana Sabina Cornelia [2 ]
Malita, Madalina Adriana [1 ]
Perieanu, Viorel Stefan [1 ]
Marcov, Elena Cristina [3 ]
Babiuc, Iuliana [1 ]
Ionescu, Camelia [4 ]
Pirvu, Cristina Florentina [5 ]
Costea, Radu Catalin [1 ]
Voinescu, Ioana [1 ]
Burlibasa, Liliana [6 ]
Prasacu, Irina [7 ]
Burlibasa, Mihai [1 ]
机构
[1] Carol Davila Univ Med & Pharm, Fac Midwifery & Nursing, Dept Dent Technol, Bucharest 050474, Romania
[2] Carol Davila Univ Med & Pharm, Fac Midwifery & Nursing, Dept Microbiol Parasitol & Virol, Bucharest 050474, Romania
[3] Carol Davila Univ Med & Pharm, Fac Dent, Dept Restorat Dent, Bucharest 0102210, Romania
[4] Carol Davila Univ Med & Pharm, Fac Dent, Dept Dent Prostheses, Bucharest 0102210, Romania
[5] Carol Davila Univ Med & Pharm, Fac Dent, Dept Sci Res Methodol Ergon, Bucharest 0102210, Romania
[6] Univ Bucharest, Fac Biol, Genet Dept, Bucharest 060101, Romania
[7] Carol Davila Univ Med & Pharm, Fac Pharm, Dept Fundamental Sci, Bucharest 050474, Romania
来源
LIFE-BASEL | 2023年 / 13卷 / 05期
基金
英国科研创新办公室;
关键词
social isolation; dental treatments; ageing people living with HIV/AIDS (PLWHA); HEPATITIS-B; HIV; DENTISTRY; RESISTANCE; INFECTION; CARE;
D O I
10.3390/life13051096
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: In Romania, HIV (human immunodeficiency virus) and AIDS (acquired immunodeficiency syndrome) were first acknowledged in 1989. Getting older with HIV/AIDS is now possible due to antiretroviral treatment, but it can bring dental problems due to HIV itself or to the reluctance of dental professionals to treat dental problems. Our study aims to assess the attitudes, knowledge, and practices of Romanian dental professionals regarding aging PLWHA. Methods: An analytical cross-sectional observational survey based on a self-administered questionnaire was conducted for Romanian dental professionals from October 2022 to January 2023. Results: The responders' group profile was as follows: a mean age of 39.09 +/- 0.36 years (limit: 19-75), a majority of 991 (90.01%) from urban dental offices, and 364 (33.06%) with more than twenty years' experience. A total of 517 (46.95%) responders had an unprofessional attitude and declared that, if possible, they would avoid taking part in performing dental treatments for people living with HIV/AIDS (PLWHA). There were 89 (8.08%) dental professionals that refused to work with PLWHA. Only 363 (32.97%) had worked with one previously. The dental professionals in rural areas refused PLWHA more frequently: 20% (N = 22) of rural dental professionals vs. 6.76% (N = 67) of urban dental professionals refused to work with PLWHA (OR = 0.30; 95% CI: 0.16-.56). The logistic regression applied for the 1101 responders revealed after stepwise selection that the most influential factor for their refusal to work with PLWHA in our study group was being previously exposed to HIV during dental practice (OR = 14.45; 95% CI: 8.55- 24.42; p = 0.000). Conclusions: Dental educators and health care planners should promote the knowledge of prophylaxis and positive attitudes towards the treatment of PLWHA. Successful resolution of these concerns is time consuming and expensive but necessary if dentists are to satisfy their professional obligations to HIV/AIDS patients.
引用
收藏
页数:12
相关论文
共 45 条
[1]   Assessment of Knowledge and Attitude of Dental Students towards HIV and Its Oral Manifestations in Saudi Arabia-A Cross-Sectional Study [J].
Alali, Faisal Mehsen ;
Tarakji, Bassel ;
Alqahtani, Abdullah Saad ;
Alqhtani, Nasser Raqe ;
Bin Nabhan, Abdullah ;
Alenzi, Adel ;
Alrafedah, Ali ;
Robaian, Ali ;
Noushad, Mohammed ;
Kujan, Omar ;
Alshehri, Abdullah ;
Aljulayfi, Ibrahim Saleh ;
Nassani, Mohammad Zakaria .
HEALTHCARE, 2022, 10 (08)
[2]  
[Anonymous], 1989, INTEGRATION, V60
[3]   MANAGING OCCUPATIONAL RISKS IN THE DENTAL OFFICE - HIV AND THE DENTAL PROFESSIONAL [J].
BEEKMANN, SE ;
HENDERSON, DK .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 1994, 125 (07) :847-852
[4]  
Campo-Trapero J, 2003, QUINTESSENCE INT, V34, P515
[5]   Management of Reduced Bone Mineral Density in HIV: Pharmacological Challenges and the Role of Exercise [J].
Chisati, Enock M. ;
Constantinou, Demitri ;
Lampiao, Fanuel .
FRONTIERS IN PHYSIOLOGY, 2018, 9
[6]  
Department for Monitoring and Evaluation of HIV/AIDS in Romania National Institute of Infectious Diseases, M BALS
[7]  
Dhanya RS, 2017, J INT SOC PREV COMMU, V7, P148, DOI 10.4103/jispcd.JISPCD_57_17
[8]   PROBLEMS ASSOCIATED WITH PROVIDING DENTAL-CARE TO PATIENTS WITH HIV-INFECTED AND AIDS PATIENTS [J].
HARDIE, J .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1992, 73 (02) :231-235
[9]   ACQUIRED-IMMUNODEFICIENCY-SYNDROME IN ROMANIA [J].
HERSH, BS ;
POPOVICI, F ;
APETREI, RC ;
ZOLOTUSCA, L ;
BELDESCU, N ;
CALOMFIRESCU, A ;
JEZEK, Z ;
OXTOBY, MJ ;
GROMYKO, A ;
HEYMANN, DL .
LANCET, 1991, 338 (8768) :645-649
[10]   Diagnosis and treatment of HIV-associated manifestations in otolaryngology [J].
Iacovou, Emily ;
Vlastarakos, Petros V. ;
Papacharalampous, George ;
Kampessis, George ;
Nikolopoulos, Thomas P. .
INFECTIOUS DISEASE REPORTS, 2012, 4 (01) :22-29