Receipt of HIV/STD Prevention Counseling by HIV-Infected Adults Receiving Medical Care in the United States

Details

• Alternative Title:
  AIDS
• Personal Author:
  Mizuno, Yuko ; Zhu, Julia ; Crepaz, Nicole ; Beer, Linda ; Purcell, David W. ; Johnson, Christopher H. ; Valverde, Eduardo E. ; Skarbinski, Jacek
• Description:
  Objective
  
  Guidelines recommend risk-reduction counseling by HIV providers to all HIV-infected persons. Among HIV-infected adults receiving medical care in the United States, we estimated prevalence of exposure to three types of HIV/sexually transmitted disease (STD) risk-reduction interventions and described the characteristics of persons who received these interventions.
  
  Design
  
  Data were from the Medical Monitoring Project (MMP), a supplemental HIV surveillance system designed to produce nationally representative estimates of behavioral and clinical characteristics of HIV-infected adults receiving medical care in the United States.
  
  Methods
  
  Descriptive analyses were conducted to estimate the exposure to each type of HIV/STD risk-reduction intervention. Bivariate and multivariable analyses were conducted to assess associations between the selected correlates with each exposure variable.
  
  Results
  
  About 44% of participants reported a one-on-one conversation with a health care provider about HIV/STD prevention, 30% with a prevention program worker, 16% reported participation in a small group risk-reduction intervention, and 52% reported receiving at least one of the three interventions in the past 12 months. Minority race/ethnicity, low income, and risky sexual behavior consistently predicted greater intervention exposure. However, 39% of persons who reported risky sex did not receive any HIV/STD risk-reduction interventions.
  
  Conclusions
  
  HIV-infected persons in care with fewer resources or those who engaged in risk behaviors were more likely to receive HIV/STD risk-reduction interventions. However, less than half of HIV-infected persons in care received HIV/STD prevention counseling from their provider, an intervention that has been shown to be effective and is supported by guidelines.
  
  
• Subjects:
  Adolescent Adult Counseling Cross-Sectional Studies Disease Transmission, Infectious Female Health Education Health Services Research HIV Infections Humans Male Middle Aged Risk Reduction Behavior Young Adult

  More +
• Source:
  AIDS. 28(3):407-415.
• Pubmed ID:
  24056066
• Pubmed Central ID:
  PMC4645275
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States ; PS09-937/PS/NCHHSTP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  28
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a3321ea36832b372163612c4ae6a138129fa2d0367be57ea76b5fabee870d76d
• Download URL:
  https://stacks.cdc.gov/view/cdc/36483/cdc_36483_DS1.pdf
• File Type:
  [PDF - 436.14 KB ]