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

Okala, S. et al. (2018) The People Living with HIV STIGMASurvey UK 2015: stigmatising experiences and dental care. British Dental Journal, 225(2), pp. 143-150. (doi: 10.1038/sj.bdj.2018.530) (PMID:30050184)

Abstract

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.

• Item Type: Articles
• Additional Information: FPA received a grant from the MAC AIDS Fund to deliver the People Living with HIV Stigma Survey UK 2015 with scientific support from Public Health England and in kind support from The All Party Parliamentary Group on HIV/AIDS.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Conway, Professor David and Patterson, Dr Helen
• Authors: Okala, S., Doughty, J., Watt, R.G., Santella, A.J., Conway, D.I., Crenna-Jennings, W., Mbewe, R., Morton, J., Lut, I., Thorley, L., Benton, L., Hibbert, M., Jefferies, J.M.C., Kunda, C., Morris, S., Osborne, K., Patterson, H., Sharp, L., Valiotis, G., Hudson, A., and Delpech, V.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
• Journal Name: British Dental Journal
• Publisher: Nature Publishing Group
• ISSN: 0007-0610
• ISSN (Online): 1476-5373
• Copyright Holders: Copyright © 2018 Springer Nature Publishing AG
• First Published: First published in British Dental Journal 225(2):143-150
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher