title: Indian patients' attitudes towards chairside screening in a dental setting for medical conditions.
abstract: BACKGROUND
  India has a high prevalence of cardiovascular disease (CVD), diabetes mellitus (DM), tuberculosis (TB), human immunodeficiency virus/acquired immune-deficiency syndrome (HIV/AIDS) and hepatitis B. United States-based studies indicate provider and patient support for medical screening in the dental setting. We assessed patient attitudes towards, and willingness to participate in, medical screening in the dental setting in India.
  
  
  METHODS
  A 5-point Likert scale survey (with scores ranging from 1=very important/willing to 5=very unimportant/unwilling) was given to a convenience sample of adult patients visiting five university-based dental clinics (clinic group) and one private-practice setting (private group). The Mann-Whitney U-test was used to compare mean response scores between patient groups. Logistic regression was used to assess factors associated with a favourable outcome.
  
  
  RESULTS
  Both patient groups felt it important for dentists to identify increased risk for medical conditions (89.3% vs. 94.9%, respectively; P=0.02). The majority of patients were willing to have a dentist screen for the specified conditions: CVD (80.6% clinic and 84.5% private); DM (84.5% clinic and 77.5% private); TB (76.7% clinic and 73.2% private); hepatitis (73.3% clinic and 67.5% private); and HIV/AIDS (71.0% clinic and 70.5% private). The majority of patients were willing to participate in chairside screening that yielded immediate results (84.6% clinic and 86.1% private), discuss results immediately (85.8% clinic and 87.2% private) and pay 150 Indian rupees (55.9% clinic and 91.7% private). Younger patients (<40 years of age) were significantly less likely to respond favourably to: importance of medical screening in dental settings [adjusted odds ratio (OR)=0.63; 95% confidence interval (95% CI): 0.26-0.84] and be available for screening that yielded immediate results (adjusted OR=0.63; 95% CI: 0.40-0.99).
  
  
  CONCLUSIONS
  Indian dental patients were in favour of chairside medical screening.
authors.affiliation: Nair Hospital Dental College, Mumbai, India.
authors.forename: Kaustubh
authors.initials: K
authors.lastname: Sansare
authors.affiliation: Government Dental College, Aurangabad, India.
authors.forename: Mamta
authors.initials: M
authors.lastname: Raghav
authors.affiliation: Topiwala National Medical College, Mumbai, India.
authors.forename: Abhiram
authors.initials: A
authors.lastname: Kasbe
authors.affiliation: Nair Hospital Dental College, Mumbai, India.
authors.forename: Freny
authors.initials: F
authors.lastname: Karjodkar
authors.affiliation: Dr. Harvansh Singh Judge Institute of Dental Sciences & Hospital, Punjab University, Chandigarh, India.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Sharma
authors.affiliation: Postgraduate Institute of Dental Sciences, Rohtak, India.
authors.forename: Ambika
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Postgraduate Institute of Dental Sciences, Rohtak, India.
authors.forename: Harneet
authors.initials: H
authors.lastname: Singh
authors.affiliation: Rashtreeya Vidyalaya Dental College, Bangalore, India.
authors.forename: Asha
authors.initials: A
authors.lastname: Iyengar
authors.affiliation: Rashtreeya Vidyalaya Dental College, Bangalore, India.
authors.forename: Seema
authors.initials: S
authors.lastname: Patil
authors.affiliation: Thai Mogambikai Dental College and Hospital, Chennai, India.
authors.forename: Sanarpalayam C
authors.initials: SC
authors.lastname: Selvamuthukumar
authors.affiliation: Thai Mogambikai Dental College and Hospital, Chennai, India.
authors.forename: Chandrasekaran
authors.initials: C
authors.lastname: Krithika
authors.affiliation: School of Dental Medicine, University at Buffalo, Buffalo, NY, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Glick
authors.affiliation: Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College, Valhalla, NY, USA.
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Greenberg
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D002318:Cardiovascular Diseases / Q000175:diagnosis; D002908:Chronic Disease; D003740:Dental Clinics; D003815:Dentists; D003920:Diabetes Mellitus / Q000175:diagnosis; D005260:Female; D015658:HIV Infections / Q000175:diagnosis; D006509:Hepatitis B / Q000175:diagnosis; D006784:Hospitals, Teaching; D006801:Humans; D007194:India; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D019095:Point-of-Care Systems; D011331:Private Practice; D012307:Risk Factors; D014376:Tuberculosis / Q000175:diagnosis; D055815:Young Adult
keywords: Medical screening; attitudes; dental setting