Desire to treat HIV-infected patients: similarities and differences across health-care professions

AIDS. 1994 Jan;8(1):117-21.

Abstract

Objectives: To determine attitudinal predictors of health-care providers' willingness to treat HIV-infected patients. We also tested the hypothesis that differences between dental and medical students in their expressed desire to treat HIV-infected patients result from differences in their clinical exposure to bloodborne pathogens and their clinical training.

Design: A cross-sectional design was used to administer a self-report questionnaire format to preserve subject anonymity.

Methods: A questionnaire was used to assess attitudes, knowledge, and behavior associated with the care of HIV-infected patients. Both bivariate statistics and logistic regression techniques were used to determine factors related to the desire to treat HIV-infected patients.

Results: Compared with dental students, medical students expressed a greater desire to treat HIV-infected patients. However, the attitudinal predictors of a desire to treat were similar across both groups. The two most important predictors were the degree to which respondents perceived a personal risk of HIV exposure and their sense of professional obligation to treat all patients. Furthermore, knowledge levels were unrelated to desire to treat.

Conclusions: These results suggest that educational interventions aimed simply at increasing a provider's knowledge of HIV may not be effective in changing behavior.

MeSH terms

  • Adult
  • Analysis of Variance
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / psychology
  • HIV Infections / therapy*
  • Humans
  • Male
  • Odds Ratio
  • Regression Analysis
  • Students, Dental / psychology*
  • Students, Medical / psychology*
  • Surveys and Questionnaires