The People Living with HIV STIGMASurvey UK 2015: Stigmatising experiences and dental care

被引：10

作者：

Okala, S. ^{[1
,2
]}

Doughty, J. ^{[3
]}

Watt, R. G. ^{[3
]}

Santella, A. J. ^{[4
]}

Conway, D. I. ^{[5
]}

Crenna-Jennings, W. ^{[1
]}

Mbewe, R. ^{[6
]}

Morton, J. ^{[6
,7
]}

Lut, I. ^{[1
]}

Thorley, L. ^{[1
,4
]}

Benton, L. ^{[1
]}

Hibbert, M. ^{[2
]}

Jefferies, J. M. C. ^{[2
]}

Kunda, C. ^{[6
]}

Morris, S. ^{[7
]}

Osborne, K. ^{[6
,8
]}

Patterson, H. ^{[5
]}

Sharp, L. ^{[1
,5
]}

Valiotis, G. ^{[9
]}

Hudson, A. ^{[1
,6
]}

Delpech, V. ^{[2
,6
]}

机构：

[1] Family Planning Assoc, London, England

[2] Publ Hlth England, London, England

[3] UCL, Res Dept Epidemiol & Publ Hlth, London, England

[4] Hofstra Univ, Hempstead, NY USA

[5] Univ Glasgow, Sch Med Dent & Nursing, Glasgow, Lanark, Scotland

[6] People Living HIV Stigma Index UK 2015 Advisory Gr, London, England

[7] European AIDS Treatment Grp EATG, Brussels, Belgium

[8] Int AIDS Soc IAS, Geneva, Switzerland

[9] HIV Scotland, Edinburgh, Midlothian, Scotland

来源：

BRITISH DENTAL JOURNAL | 2018年 / 225卷 / 02期

关键词：

ORAL-HEALTH; SERVICES;

D O I：

10.1038/sj.bdj.2018.530

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Introduction We report experiences of stigma and discrimination in the dental setting among people living with HIV in the UK and explore predictors of self-exclusion from dental care. Methods A convenience sample of people living with HIV recruited through community organisations and HIV clinics using an online anonymous survey. Analyses and writing of the findings were conducted with community engagement throughout. Results Fifty-three percent of 1,528 participants reported that their dental practice was aware of their HIV status, and among these 33% felt poorly supported upon disclosure. Over the previous 12 months, 40% had worried about being treated differently and 15% reported being treated differently to other people attending the dental practice; 5.4% felt their dental care was significantly delayed or refused and 14% had avoided their dental practice in relation to their HIV. Delayed or refused dental care was a strong predictor for self-exclusion (aOR = 6.41, 95% CI: 3.44,11.95). Conclusion People living with HIV continue to report high levels of stigmatising and discriminatory attitudes and behaviour in the dental setting. These experiences were strongly associated with people avoiding dental care. Culturally sensitive awareness and educational tools targeting the dental team should be developed to address the stigma around HIV in this clinical setting.

引用

页码：143 / 150

页数：8

共 50 条

[1] The People Living with HIV STIGMASurvey UK 2015: Stigmatising experiences and dental care
S. Okala
J. Doughty
R. G. Watt
A. J. Santella
D. I. Conway
W. Crenna-Jennings
R. Mbewe
J. Morton
I. Lut
L. Thorley
L. Benton
M. Hibbert
J. M. C. Jefferies
C. Kunda
S. Morris
K. Osborne
H. Patterson
L. Sharp
G. Valiotis
A. Hudson
V. Delpech
[J]. British Dental Journal, 2018, 225 : 143 - 150
[2] Experiences of HIV disclosure and stigma in the dental setting: findings from the People Living with HIV Stigma Survey UK 2015
Okala, S.
Crenna-Jennings, W.
Doughty, J.
Watt, R.
Conway, D.
Lut, I.
Benton, L.
Kirwan, P.
Hibbert, M.
Kunda, C.
Mbewe, R.
Morris, S.
Hudson, A.
Asboe, D.
Nelson, M.
Reeves, I.
Delpech, V.
[J]. HIV MEDICINE, 2017, 18 : 11 - 11
[3] Experiences of stigma and discrimination in healthcare settings for trans people living with HIV in the UK: findings from the People Living with HIV Stigma Survey UK 2015
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Crenna-Jennings, W.
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Lut, I.
Okala, S.
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Asboe, D.
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Roche, J.
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[J]. HIV MEDICINE, 2017, 18 : 57 - 57
[4] Experiences of stigma and discrimination among women living with HIV in the UK: findings from the People Living with HIV Stigma Survey UK 2015
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Lut, I.
Benton, L.
Jeffries, J.
Kirwan, P.
Hibbert, M.
Okala, S.
Thorley, L.
Kunda, C.
Mbewe, R.
Morris, S.
Morton, J.
Paterson, H.
Sharp, L.
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Harbron, J.
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[J]. HIV MEDICINE, 2023, 24 : 83 - 83
[9] Discrimination of access to dental care for people living with HIV in Quebec: findings and recommendations
Lacharpagne, Liz
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[J]. CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 2016, 107 (02): : E215 - E215
[10] Community Group Membership and Stigmatising Attitudes Towards People Living with HIV in Eastern Zimbabwe
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[J]. Journal of Community Health, 2014, 39 : 72 - 82

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