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. 1990 Sep 15;143(6):493–500.

Physicians' perception of personal risk of HIV infection and AIDS through occupational exposure.

K M Taylor 1, J M Eakin 1, H A Skinner 1, M Kelner 1, M Shapiro 1
PMCID: PMC1452290  PMID: 2207904

Abstract

Physicians' response to acquired immune deficiency syndrome (AIDS) is poorly understood and often attributed to fear of human immunodeficiency virus (HIV) infection through occupational exposure. We surveyed 268 physicians from three geographic regions in North American with different specialties and responsibilities for HIV-positive patients. An important difference was found between the published risk and the physicians' perceived risk of infection after a single occupational exposure. Almost half of the respondents stated that they feared contracting AIDS more than other diseases. The physicians who perceived themselves to be at high physical risk were more likely than the others to report that AIDS had changed the way they interact with their patients (r = 0.26, p less than 0.001). No relation was found between the perception of physical risk and the number of HIV-infected patients (r = -0.07, p = 0.15). However, the perception of social risk showed a small inverse correlation (r = -0.15, p less than 0.02), in which the physicians with more HIV-infected patients reported less concern about negative social consequences. The physicians who perceived themselves to be at high personal risk were more likely than the others to report that surgeons have the right to refuse patients who do not wish to undergo HIV antibody testing (r = -0.16, p less than 0.01 for physical risk; r = -0.29, p less than 0.001 for social risk). Multiple regression analyses indicated that physicians' perception of physical risk was not related to age or sex but was modestly related to income source. The perception of social risk was related to sex and income source. Physicians' perception of personal risk is a crucial, yet often unacknowledged, component of the fight against AIDS. Our findings suggest that lack of attention to this issue is seriously compromising initiatives designed to facilitate physician participation in AIDS care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cotton D. J. The impact of AIDS on the medical care system. JAMA. 1988 Jul 22;260(4):519–523. [PubMed] [Google Scholar]
  2. Dan B. B. Patients without physicians: the new risk of AIDS. JAMA. 1987 Oct 9;258(14):1940–1940. [PubMed] [Google Scholar]
  3. Denes A. E., Smith J. L., Maynard J. E., Doto I. L., Berquist K. R., Finkel A. J. Hepatitis B infection in physicians. Results of a nationwide seroepidemiologic survey. JAMA. 1978 Jan 16;239(3):210–212. [PubMed] [Google Scholar]
  4. Emanuel E. J. Do physicians have an obligation to treat patients with AIDS? N Engl J Med. 1988 Jun 23;318(25):1686–1690. doi: 10.1056/NEJM198806233182511. [DOI] [PubMed] [Google Scholar]
  5. Gerbert B., Maguire B., Badner V., Altman D., Stone G. Why fear persists: health care professionals and AIDS. JAMA. 1988 Dec 16;260(23):3481–3483. [PubMed] [Google Scholar]
  6. Imperato P. J., Feldman J. G., Nayeri K., DeHovitz J. A. Medical students' attitudes towards caring for patients with AIDS in a high incidence area. N Y State J Med. 1988 May;88(5):223–227. [PubMed] [Google Scholar]
  7. Lewis C. E., Freeman H. E., Kaplan S. H., Corey C. R. The impact of a program to enhance the competencies of primary care physicians in caring for patients with AIDS. J Gen Intern Med. 1986 Sep-Oct;1(5):287–294. doi: 10.1007/BF02596205. [DOI] [PubMed] [Google Scholar]
  8. Link R. N., Feingold A. R., Charap M. H., Freeman K., Shelov S. P. Concerns of medical and pediatric house officers about acquiring AIDS from their patients. Am J Public Health. 1988 Apr;78(4):455–459. doi: 10.2105/ajph.78.4.455. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mayer K. H. The clinical challenges of AIDS and HIV infection. Law Med Health Care. 1986 Dec;14(5-6):281–289. doi: 10.1111/j.1748-720x.1986.tb00996.x. [DOI] [PubMed] [Google Scholar]
  10. Moss A., Osmond D., Bacchetti P., Gerberding J., Levy J., Carlson J., Casavant C. Risk of seroconversion for acquired immunodeficiency syndrome (AIDS) in San Francisco health workers. J Occup Med. 1986 Sep;28(9):821–824. doi: 10.1097/00043764-198609000-00013. [DOI] [PubMed] [Google Scholar]
  11. Paine S. L., Briggs D. Knowledge and attitudes of Victorian medical practitioners in relation to the acquired immunodeficiency syndrome. Med J Aust. 1988 Mar 7;148(5):221–225. doi: 10.5694/j.1326-5377.1988.tb99428.x. [DOI] [PubMed] [Google Scholar]
  12. Ponsford G. AIDS in the OR: a surgeon's view. CMAJ. 1987 Dec 1;137(11):1036–1039. [PMC free article] [PubMed] [Google Scholar]
  13. Richardson J. L., Lochner T., McGuigan K., Levine A. M. Physician attitudes and experience regarding the care of patients with acquired immunodeficiency syndrome (AIDS) and related disorders (ARC). Med Care. 1987 Aug;25(8):675–685. doi: 10.1097/00005650-198708000-00001. [DOI] [PubMed] [Google Scholar]
  14. Shultz J. M., MacDonald K. L., Heckert K. A., Osterholm M. T. The Minnesota AIDS physician survey. A statewide survey of physician knowledge and clinical practice regarding AIDS. Minn Med. 1988 May;71(5):277–283. [PubMed] [Google Scholar]
  15. Sim A. J., Dudley H. A. Surgeons and HIV. Br Med J (Clin Res Ed) 1988 Jan 9;296(6615):80–80. doi: 10.1136/bmj.296.6615.80. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Steinbrook R., Lo B., Tirpack J., Dilley J. W., Volberding P. A. Ethical dilemmas in caring for patients with the acquired immunodeficiency syndrome. Ann Intern Med. 1985 Nov;103(5):787–790. doi: 10.7326/0003-4819-103-5-787. [DOI] [PubMed] [Google Scholar]
  17. Taylor K. M., Shapiro M., Skinner H. A., Eakin J., Kelner M. Understanding physicians' response to AIDS. CMAJ. 1989 Mar 15;140(6):597–602. [PMC free article] [PubMed] [Google Scholar]
  18. Wertz D. C., Sorenson J. R., Liebling L., Kessler L., Heeren T. C. Knowledge and attitudes of AIDS health care providers before and after education programs. Public Health Rep. 1987 May-Jun;102(3):248–254. [PMC free article] [PubMed] [Google Scholar]
  19. Whalen J. P. Participation of medical students in the care of patients with AIDS. J Med Educ. 1987 Jan;62(1):53–54. doi: 10.1097/00001888-198701000-00008. [DOI] [PubMed] [Google Scholar]
  20. Zuger A., Miles S. H. Physicians, AIDS, and occupational risk. Historic traditions and ethical obligations. JAMA. 1987 Oct 9;258(14):1924–1928. [PubMed] [Google Scholar]

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