ORIGINAL RESEARCH
M ATERIALS AND M ETHODS
A cross-sectional pilot study was conducted in the period between
July and August 2020, among registered dentists. Data were collected
using an online auto-administrated questionnaire. We considered
the participation of dentists as an informed consent. Participants
also confirmed that all provided data related to the questionnaire
I NTRODUCTION
Therapeutic procedures in dentistry frequently involve blood and
saliva that may contain a variety of blood-borne pathogens and
microorganisms such as HIV, hepatitis viruses, and the possibility
of infection during dental care is not uncommon. According to
World Health Organization (WHO), there was 4,500 people living
with HIV/AIDS (PLWHA) in Tunisia in 2020. Although the prevalence
is considered low (less than 0.1), the number of PLWHA is increasing
rapidly. Dentists may play a role in the infection’s prevention and
treatment. They should not refuse to treat a patient solely based
on their HIV-positive status.
1
They should have an adequate knowledge about this disease,
its oral manifestations, the routes of transmission and the basic
principles of prevention in order to ensure his safety and that of
his staff and patients. Knowing the HIV status of a patient allow the
dentists to provide more comprehensive care as HIV significantly
impacts on oral health.
2
They also should hold positive attitudes
and practices and provide adapted dental care to PLWHA without
discrimination or stigmatization. This will contribute to improve
the life quality of these patients and prevent the disease spread.
Despite of the professional and ethical responsibility,
3
discrimination, and stigmatization among healthcare workers exist
and some dentists may be hesitant to treat HIV patients for many
reasons. Unwillingness to treat PLWHA has been associated with
inadequate knowledge of disease process, transmission, diagnosis,
and treatment of these patients.
1
To the finest knowledge of the authors, data about dentists’
knowledge, attitudes, and practices about HIV infection are not
available in our country. This study aimed to describe knowledge,
attitudes, and practices of Tunisian dentists toward PLWHA.
1
University of Monastir, Faculty of Pharmacy, Laboratory of Medical and
Molecular Parasitology-Mycology, LR12ES08, 5019, Monastir, Tunisia;
Unit of Oral Microbiology, Faculty of Dental Medicine, University of
Monastir, Tunisia
2
University of Monastir, Faculty of Dental Medicine, Oral Health and
Oro-Facial Rehabilitation Laboratory LR12ES11, 5019, Monastir,
Tunisia; Department of Periodontology, University of Dental Clinic of
Monastir, Monastir, Tunisia
3
Department of Oral Medicine and Oral Surgery, University of Dental
Clinic of Monastir, Monastir, Tunisia
4
Department of Epidemiology and Preventive Medicine, Fattouma
Bourguiba Hospital Teaching Center, Monastir, Tunisia
Corresponding Author: Amira Besbes, University of Monastir, Faculty
of Pharmacy, Laboratory of Medical and Molecular Parasitology-
Mycology, LR12ES08, 5019, Monastir, Tunisia; Unit of Oral Microbiology,
Faculty of Dental Medicine, University of Monastir, Tunisia,
Phone: +21696425691, e-mail: besbesemira@gmail.com
How to cite this article: Besbes A, Nasri W, Nafti R, et al. Knowledge,
Attitudes and Practices about HIV: A Pilot Study among Tunisian
Dentists. World J Dent 2022;13(2):155–160.
Source of support: Nil
Conflict of interest: None
Knowledge, Attitudes and Practices about HIV: A Pilot Study
among Tunisian Dentists
Amira Besbes
1
, Wafa Nasri
2
, Rabaa Nafti
3
, Cyrine Bennasrallah
4
A BSTRACT
Aim and objective: The objective of this study was to evaluate knowledge, attitudes, and practices of Tunisian dentists about HIV/AIDS.
Materials and methods: This cross-sectional pilot study was carried out on Tunisian dentists using an online survey. The questionnaire included
34 questions investigating knowledge, attitudes, and practices of the participants. Knowledge attitudes and practices were assessed according
to three different scales.
Results: A total of 234 dentists participated in the study. This study showed that 33% of the respondents demonstrated sufficient level of
knowledge and 36% of them demonstrated good level. About 90% of them showed excellent practices. In addition, 54% of the participants
had neutral attitudes and 42% had positive attitudes towards people living with HIV/AIDS. A significant negative correlation between age
and knowledge score was found (p = 0.001). A significant association between knowledge score and the period experience less than 5 years
(p = 0.022) was found.
Conclusion: Tunisian dentists had good knowledge and adequate practices about HIV. About a half of the participants expressed hesitation in
treating patients with HIV/AIDS. Dental and therapeutic continued education programs are needed to improve their attitudes.
Clinical significance: Good knowledge, attitudes, and practices about HIV in the dental setting allows to ensure an adequate dental care for
people living with HIV/AIDS and to enhance infection control and safety for both patients and dental staff.
Keywords: Attitudes, Dentists, HIV, Knowledge, Practices, Questionnaire.
World Journal of Dentistry (2022): 10.5005/jp-journals-10015-1919
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