STIGMATIZATION AND DISCRIMINATION AGAINST PEOPLE LIVING WITH HIV AS SOCIAL BARRIERS TO ACCESS DENTAL CARE (32-36)

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Дата публикации статьи в журнале: 2020/02/17
Название журнала: Восточно Европейский Научный Журнал, Выпуск: 53, Том: 1, Страницы в выпуске: 32-36
Автор: Belyakova A.S.
Moscow , Central State Medical Academy of the Department of Presidential Affairs, Candidate of medical Sciences
Автор: Kozlova M.V.
Moscow , Central State Medical Academy of the Department of Presidential Affairs, Doctor of medical Sciences
Автор: Pchelin I.V.
Moscow , «Steps» Fund,
Анотация: The article presents an analysis of the data of sociological research, the purpose of which was to show the prevalence of stigma and discrimination against patients with HIV infection at the dental attendance. According to the results of a voluntary face-to-face individual anonymous survey of 1268 people, living with HIV, aged 18 years and older, there was a high level (66.7%) of stigma and discrimination in medical organizations providing dental care. Fear of stigma has been a key factor in reducing the willingness to disclose HIV status. 36.5% of respondents do not believe in the principle of confidentiality, they are out of concern for the disclosure of the diagnosis and the consequences associated with it. In this regard, only 22.4% of those interviewed for dental care reported having HIV infection. 29.9% of respondents were asked to take an HIV test - 60% of them voluntarily, 15% in an ultimatum form, 25% of patients were under pressure. A large number of acts of discrimination were revealed in the form of a negative attitude of a physician to patients with HIV infection (25% of cases) and refusal to treat oral diseases (41.7% of cases). According to the results of the survey, the doctors, having learned about the positive HIV status of the patient, refused mainly (94%) dental surgery (tooth extraction and dental implantation). There was a high proportion of people (64.2%) who postponed the visit to the dentist due to social concerns related to their HIV status. The data of the presented study actualize the necessity for development and realization of programs to eradicate stigma and discrimination towards people living with HIV in order to timely provide qualified medical dental care, improve oral health and the quality of life of these patients.
Ключевые слова: HIV infection   people living with HIV   stigma   discrimination   dentistry  
Данные для цитирования: Belyakova A.S. , Kozlova M.V. , Pchelin I.V. . STIGMATIZATION AND DISCRIMINATION AGAINST PEOPLE LIVING WITH HIV AS SOCIAL BARRIERS TO ACCESS DENTAL CARE (32-36). Восточно Европейский Научный Журнал. Медицинские науки. 2020/02/17; 53(1):32-36.

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