Why individuals with HIV or diabetes do not disclose their medical history to the dentist: a qualitative analysis.
BACKGROUND
Evidence shows that some individuals with HIV or diabetes do not report their medical history to the dentist. Disclosure is important because these individuals can be at greater risk of oral disease.


OBJECTIVE
The aim of this study is to provide greater understanding of why some individuals do not disclose HIV or diabetes to the dentist.Methods In-depth interviews were conducted with 20 participants (10 HIV & 10 diabetes) based around the participant's diagnosis and disclosure history. Data were analysed using framework analysis.


RESULTS
While a lack of disclosure can be found among those with a diagnosis of HIV and diabetes, it appears that the reasons behind disclosure, or lack thereof, are different for each. The reasons are based around: differences in age, understanding of diagnosis, experience of stigma, past disclosure behaviour, trust in dentists and experience of healthcare. Few individuals had discussed the effects of their diagnosis with their dentist or were advised on the importance of seeing a dentist.


CONCLUSIONS
Individuals with chronic illness should be advised why it is important for the dentist to know their medical history and should be made to feel comfortable to disclose.
Specialist in Special Care Dentistry. Department of Sedation and Special Care Dentistry. Guy's and St Thomas' Foundation NHS Trust. Floor 26, Tower Wing, Great Maze Pond, Guy's Hospital London, SE1 9RT.
J
J
Edwards
G
G
Palmer
N
N
Osbourne
S
S
Scambler
D000328:Adult; D000367:Age Factors; D003812:Dentist-Patient Relations; D003920:Diabetes Mellitus / Q000523:psychology*; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012650:Self Disclosure; D013240:Stereotyping; D035502:Trust; D055815:Young Adult