TABLE 3—
Multivariable Analysis of Dentists’ Attitudes Toward HIV Testing in Dental Setting, by Dentists’ Characteristics: American Dental Association Survey Center, 2010–2011
| Respondent’s Characteristics | Willing to Offer HIV Testing, OR (95% CI) | Believes HIV Testing Part of Dental Role, OR (95% CI) |
| Important that all persons 13 y and older get tested for HIV at least once | ||
| Not important at all | 0.47** (0.32, 0.67) | 0.41** (0.26, 0.65) |
| Somewhat unimportant | 0.69** (0.53, 0.90) | 0.66** (0.49, 0.89) |
| Somewhat important (Ref) | 1.00 | 1.00 |
| Very important | 1.56** (1.16, 2.10) | 1.81** (1.35, 2.45) |
| Missing, not applicable, don’t know | 0.79 (0.30, 2.07) | 1.80 (0.64, 5.04) |
| Clinical knowledge of HIV | ||
| None or limited knowledge | 0.98 (0.72, 1.33) | 1.00 (0.71, 1.40) |
| Moderate knowledge (Ref) | 1.00 | 1.00 |
| Good knowledge | 1.01 (0.78, 1.29) | 1.18 (0.90, 1.54) |
| Excellent knowledge | 0.96 (0.58, 1.58) | 1.25 (0.74, 2.13) |
| Missing, not applicable, don’t know | 0.52 (0.13, 2.12) | 2.30 (0.54, 9.73) |
| Training received in HIV testing and counseling | ||
| None (Ref) | 1.00 | 1.00 |
| < 1 h | 1.00 (0.73, 1.37) | 0.98 (0.70, 1.38) |
| 1–4 h | 1.28 (0.88, 1.87) | 1.59* (1.08, 2.36) |
| 5–8 h | 0.67 (0.36, 1.26) | 0.92 (0.47, 1.81) |
| > 8 h | 1.92 (0.98, 3.77) | 1.78 (0.91, 3.49) |
| Missing, not applicable, don’t know | 0.61 (0.23, 1.62) | 0.95 (0.32, 2.79) |
| Demographic characteristics | ||
| Age | 1.00 (0.99, 1.01) | 1.01* (1.00, 1.03) |
| Male | 0.83 (0.64, 1.09) | 0.83 (0.62, 1.10) |
| Non-Hispanic White (Ref) | 1.00 | 1.00 |
| African American | 1.31 (0.77, 2.23) | 2.18** (1.24, 3.81) |
| Hispanic | 1.02 (0.62, 1.67) | 1.15 (0.69, 1.92) |
| Asian American | 0.96 (0.69, 1.34) | 0.96 (0.68, 1.37) |
| Other race | 1.28 (0.81, 2.04) | 1.28 (0.79, 2.06) |
| Required $100 incentive payment | 0.72* (0.55, 0.94) | 0.91 (0.68, 1.22) |
| American Dental Association membership | 1.18 (0.93, 1.50) | 0.85 (0.66, 1.09) |
| Received Medicaid reimbursement | 0.98 (0.76, 1.26) | 1.01 (0.77, 1.33) |
| Had treated HIV patients within 5 y | 1.04 (0.82, 1.31) | 0.91 (0.70, 1.17) |
| Had recommended an HIV test to a patient | 1.33 (0.99, 1.79) | 1.52** (1.12, 2.06) |
| Reported familiarity with 2006 CDC recommendations | 1.04 (0.75, 1.44) | 1.67** (1.18, 2.38) |
| If they were to offer testing, would be concerned about negative reactions from their patients | ||
| Strongly disagree | 2.34* (1.14, 4.84) | 2.12* (1.02, 4.40) |
| Disagree | 1.37* (1.06, 1.76) | 2.23** (1.72, 2.89) |
| Agree (Ref) | 1.00 | 1.00 |
| Strongly agree | 0.63** (0.44, 0.89) | 0.56** (0.37, 0.86) |
| Missing, not applicable, don’t know | 0.37* (0.15, 0.92) | 0.45 (0.16, 1.29) |
| If they were to offer testing, patients' perception of them would improve | ||
| Strongly disagree | 0.18** (0.071, 0.46) | 0.06** (0.016, 0.25) |
| Disagree | 0.44** (0.33, 0.59) | 0.33** (0.24, 0.45) |
| Agree (Ref) | 1.00 | 1.00 |
| Strongly agree | 1.11 (0.43, 2.88) | 4.31** (1.46, 12.69) |
| Missing, not applicable, don’t know | 1.26 (0.47, 3.35) | 0.79 (0.29, 2.13) |
| If they were to offer testing, colleagues’ perceptions of them would improve | ||
| Strongly disagree | 0.80 (0.39, 1.63) | 1.26 (0.54, 2.95) |
| Disagree (Ref) | 1.00 | 1.00 |
| Agree | 1.57** (1.16, 2.12) | 1.93** (1.42, 2.62) |
| Strongly agree | 1.58 (0.60, 4.17) | 1.85 (0.66, 5.17) |
| Missing, not applicable, don’t know | 0.61 (0.24, 1.52) | 0.69 (0.26, 1.82) |
| Practice settings | ||
| Solo private practice | 1.18 (0.74, 1.87) | 0.80 (0.48, 1.33) |
| Group private practice | 1.23 (0.76, 1.99) | 0.67 (0.40, 1.13) |
| Strata | ||
| Ryan White EMAa (Ref) | 1.00 | 1.00 |
| Non–Ryan White EMAa (A) | 1.03 (0.74, 1.44) | 1.02 (0.71, 1.48) |
| Non–Ryan White EMAa (B) | 1.07 (0.69, 1.68) | 0.69 (0.41, 1.15) |
| Non–Ryan White EMAa (C) | 1.06 (0.68, 1.66) | 0.89 (0.54, 1.46) |
| Public health dentistry stratum | 1.17 (0.78, 1.75) | 0.74 (0.49, 1.14) |
Note. CI = confidence interval; EMA = eligible metropolitan area; OR = odds ratio. Because of missing data, we used 1777 observations in our multivariate statistical analysis.
aThe referent denotes Ryan White EMAs. Non-Ryan White EMA (A) denotes metropolitan areas that are not EMAs. Non-Ryan White EMA (B) denotes micropolitan areas, and Non-Ryan White EMA (C) denotes rural areas. (Ryan White CARE Act, Pub L No. 101–381, 104 Stat. 576, enacted August 18, 1990.)
*P < .05; **P < .01.