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

Okala, Sandra; Doughty, Janine; Watt, Richard G.; Santella, Anthony; Conway, David I.; Crenna-Jennings, Whitney; Mbewe, Reuben; Morton, Jackie; Lut, Irina; Thorley, Lisa; Benton, Lorna; Hibbert, Matthew Peter; Jefferies, Joanna; Kunda, Chanje; Morris, Steve; Osborne, K Juston; Patterson, H; Sharp, Laura; Valiotis, George; Hudson, A L; Delpech, Valérie

doi:10.1038/sj.bdj.2018.530

Cited by 14 publications

(22 citation statements)

References 26 publications

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“…Being criticized by dentists for neglecting their oral health 33 and feeling that they are literally 'being pushed out of the door' 12 , others these dental clients. Similarly, people living with HIV anticipate and suffer stigma, discrimination and being treated differently by the dental profession 34,35 . They describe their experience of dental professionals as disengaging and providing inappropriate and poorer quality care 36 .…”

Section: Acrossmentioning

confidence: 99%

Inclusion oral health: Advancing a theoretical framework for policy, research and practice

Freeman

Doughty

Macdonald

et al. 2019

Comm Dent Oral Epid

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In response to headlines about the oral health of persons experiencing social exclusion resonating in highincome countries, and research demonstrating the need for urgent action, a symposium entitled 'International Perspectives on Socially Inclusive Dentistry: A Call to Action' was organized for the IADR International Meeting of 2018. The aim of the symposium was to initiate an international dialogue on barriers to care, multidisciplinary action, and examples of best practice for service delivery for people experiencing social exclusion; in other words, to develop the idea of inclusion oral health. Through our international exchange, what emerged was an awareness of a lack of professional consensus: What exactly is inclusion oral health? A theoretical framework to push forward the policy, research and practice agenda was clearly needed. This paper advances such a framework. Over the decades, dentistry has forged an approach to service delivery mainly through a business, demand-led model. While oral health continues to improve globally, an important consequence of this approach is that it compounds the social exclusion that many people are already experiencing because of a constellation of economic, political, cultural and individual factors. Thus, many people are simply not getting the dental care they need. In contrast, drawing on the theoretical literature on social exclusion, intersectionality and othering, we suggest that dentistry could act as an agent for social inclusion as a more responsive, all-encompassing form of oral health care and delivery. This paper advances a theoretical framework for inclusion oral health and an action plan to show how inclusion oral health may become one solution in an armamentarium to tackle the global phenomena of oral health inequities.

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Section: Acrossmentioning

confidence: 99%

Inclusion oral health: Advancing a theoretical framework for policy, research and practice

Freeman

Doughty

Macdonald

et al. 2019

Comm Dent Oral Epid

View full text Add to dashboard Cite

show abstract

“…In the United Kingdom, the 2017 Positive Voices survey reported that 11% of the 4400 PLHIV surveyed had been denied provision of or had received belated care, 14% had experienced some sort of discrimination, and 18% avoided seeking care when needed [10]. In the 2015 Stigma survey, discriminatory experiences were reported in the dental setting (15%) and among general practitioners (13%) [24]. Participants in the Canadian survey also reported that discriminatory behaviour had decreased over the years after educational interventions, clinical experience, and inclusion of HIV content in dental school curricula [23].…”

Section: Discussionmentioning

confidence: 99%

Attitudes and Perspectives of People Living With Human Immunodeficiency Virus: Findings From the Positive Perspectives Survey in Slovakia

Sojak

Šimeková

Piesecka³

et al. 2021

Int J Public Health

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Objectives: To investigate the perspectives and attitudes of people living with human immunodeficiency virus (PLHIV) in Slovakia.Methods: A cross-sectional, computer-assisted web survey on health status, emotional support, stigmatisation, communication with physician, treatment, perception, decision-making, concerns, and treatment history. A representative sample of >10% of all PLHIV (N = 895) in Slovakia was invited to participate.Results: Mean age of the 117 respondents was 35.4 (±8.9) years, 52.8% had higher education, and 67.0% were in full-time employment. Most (89.4%) were receiving antiretroviral therapy (ART), and 81.8% had undetectable viral load. Most (85.1%) were satisfied with their ART, and side effects were the primary reason for switching therapies. Most (60.8%) had informed only close friends or relatives about their HIV status, only 3 (2.9%) spoke openly about it, and 60.0% hid their ART from others. Of the 31 respondents (31.6%) who experienced stigmatisation, it was primarily from dentists and other physicians who refused to treat them.Conclusion: In general, PLHIV in Slovakia receive ART and are satisfied with it. They do not speak openly about their HIV status, and some have experienced discrimination.

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“…The resultant impact of HIV stigma affects the care received by PLHIV when attending the dentist and also the internalised self‐stigmatisation that discourages PLHIV from choosing to access dental services (Okala et al., 2018). Some PLHIV reported that feeling comfortable with one's dentist and being aware that there is appropriate standard infection control for all, irrespective of HIV status, made them feel empowered within the dental setting.…”

Section: How Does Hiv Stigma Manifest In the Dental Setting?mentioning

confidence: 99%

“…The reluctance to disclose HIV status has been ascribed to uncertainty as to whether the dental office is prepared to manage a HIV disclosure, as a result, patients self‐stigmatise by avoiding bringing up the topic of their HIV status. Though many patients fear and anticipate HIV discrimination in the dental setting, fewer report having actual experience of HIV stigma and discrimination (Okala et al., 2018).…”

Section: How Does Hiv Stigma Manifest In the Dental Setting?mentioning

confidence: 99%

HIV and stigma in the healthcare setting

et al. 2020

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People living with HIV (PLHIV) continue to endure stigma and discrimination in the context of health care despite global improvements in health outcomes. HIV stigma persists within healthcare settings, including dental settings, manifesting itself in myriad, intersecting ways, and has been shown to be damaging in the healthcare setting. Stigmatising practices may include excessive personal protective equipment, delaying the provision of care or unnecessary referral of PLHIV to specialist services in order to access care. The workshop entitled “HIV and Stigma in the Healthcare Setting” provided an overview of the concept and manifestation of HIV stigma and explored the disproportionate burden it places on groups that face additional disadvantages in accessing care. The final part of the workshop concluded with a review of institutional and community‐based interventions that worked to reduce HIV stigma and group discussion of the ways in which these strategies might be adapted to the dental workforce.

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

Cited by 14 publications

References 26 publications

Inclusion oral health: Advancing a theoretical framework for policy, research and practice

Inclusion oral health: Advancing a theoretical framework for policy, research and practice

Attitudes and Perspectives of People Living With Human Immunodeficiency Virus: Findings From the Positive Perspectives Survey in Slovakia

HIV and stigma in the healthcare setting

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