title: Dental students' HIV/AIDS-related knowledge, attitudes, and intentions: impact of the U.S. Health Resources and Services Administration's community-based dental partnership program.
abstract: Access to oral health care for vulnerable populations is one of the concerns addressed by the U.S. Health Resources and Services Administration HIV/AIDS Bureau's Community-Based Dental Partnership Program (CBDPP). The program introduces dental students and residents at several dental schools to care for vulnerable patients through didactic and clinical work in community-based dental settings. This study of the dental students and residents in this program answered three questions: 1) What are their HIV knowledge, attitudes, and behaviors? 2) How has participation in the CBDPP impacted their knowledge, attitudes, and behaviors? 3) Has the intervention affected their work placement decisions and attitudes after graduation, particularly with respect to treating people living with HIV and other underserved populations? A total of 305 first- through fourth-year dental students and first- and second-year residents at five dental schools across the United States completed surveys before and after a community-based rotation and following graduation. Response rates at each of the five schools ranged from 82.4 to 100 percent. The results showed an increase in the participants' knowledge and positive attitudes regarding treatment for patients with HIV and other vulnerable populations post-rotation compared to pre-rotation. Results after graduation found that most respondents were practicing in private settings or in academic institutions as residents but were willing to treat a diverse patient population. These findings support the role of training programs, such as the CBDPP, for expanding the dental workforce to treating vulnerable populations including people living with HIV/AIDS.
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Rose A
authors.initials: RA
authors.lastname: Hamershock
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry. rajabiun@bu.edu.
authors.forename: Serena
authors.initials: S
authors.lastname: Rajabiun
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Jane E
authors.initials: JE
authors.lastname: Fox
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Mahyar
authors.initials: M
authors.lastname: Mofidi
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Stephen N
authors.initials: SN
authors.lastname: Abel
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Jill A
authors.initials: JA
authors.lastname: York
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Carol
authors.initials: C
authors.lastname: Kunzel
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Moussa
authors.initials: M
authors.lastname: Sanogo
authors.affiliation: Ms. Hamershock is Research Assistant, Health and Disability Working Group, Boston University School of Public Health; Ms. Rajabiun is Senior Evaluator, Health and Disability Working Group, Boston University School of Public Health; Ms. Fox is Project Director, Health and Disability Working Group, Boston University School of Public Health; Dr. Mofidi is Chief Dental Officer, HIV/AIDS Bureau, U.S. Health Resources and Services Administration; Dr. Abel is Associate Dean for Community and Professional Initiatives, University at Buffalo School of Dental Medicine; Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair in Dental Public Health, and Associate Professor, Department of Community Dentistry, Rutgers School of Dental Medicine; Dr. Kunzel is Associate Professor of Dental Community Health and Sociomedical Sciences, Columbia University College of Dental Medicine; Dr. Sanogo is Research Scientist and Community-Based Dental Partnership Program Manager, Section of Social and Behavioral Sciences, Columbia University College of Dental Medicine; and Dr. Mayfield is Associate Dean for Clinical Affairs, University of Louisville School of Dentistry.
authors.forename: Theresa G
authors.initials: TG
authors.lastname: Mayfield
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002321:Career Choice; D003149:Community Dentistry / Q000193:education; D003159:Community-Institutional Relations; D017742:Dental Care for Chronically Ill; D004497:Education, Dental; D015658:HIV Infections / Q000523:psychology*; D006297:Health Services Accessibility; D006801:Humans; D033182:Intention; D007396:Internship and Residency; D011231:Preceptorship; D011331:Private Practice; D013335:Students, Dental / Q000523:psychology*; D014481:United States; D014488:United States Health Resources and Services Administration; D035862:Vulnerable Populations
keywords: HIV/AIDS; access to oral health care; community-based dental education; dental education; dental residents; dental students; patients with special needs; professional behavior; professional knowledge; underserved patients