Delivery of HIV Prevention Counseling by Physicians at HIV Medical Care Settings in 4 US Cities

Metsch, Lisa R.; Pereyra, Margaret; del Rio, Carlos; Gardner, Lytt; Greenberg, Alan E.; Duffus, Wayne A.; Dickinson, Gordon; Kerndt, Peter; Anderson-Mahoney, Pamela; Strathdee, Steffanie A.
July 2004
American Journal of Public Health;Jul2004, Vol. 94 Issue 7, p1186
Academic Journal
Objectives. We investigated physicians' delivery of HIV prevention counseling to newly diagnosed and established HIV-positive patients. Methods. A questionnaire was developed and mailed to 417 HIV physicians in 4 US cities. Results. Overall, rates of counseling on the part of physicians were low. Physicians reported counseling newly diagnosed patients more than established patients. Factors associated with increased counseling included having sufficient time with patients and familiarity with treatment guidelines. Physicians who perceived their patients to have mental health and substance abuse problems, who served more male patients, and who were infectious disease specialists were less likely to counsel patients. Conclusions. Intervention strategies with physicians should be developed to overcome barriers to providing counseling to HIV-positive patients. (Am J Public Health. 2004;94:1186-1192).


Related Articles

  • Primary care physicians are urged to be more aggressive in HIV prevention.  // Modern Medicine;Sep96, Vol. 64 Issue 9, p21 

    Announces the release of the booklet `A Physician Guide to HIV Prevention,' by the American Medical Association (AMA). Encouragement to physicians to have candid and personal talks with their patients about high-risk behaviors; HIV prevention efforts of AMA; Importance of HIV counseling.

  • COUNSELING Y VIH/SIDA: Consecuencias teóricas de un estudio empírico. Gordillo Álvarez-Valdés, Mª Victoria // Revista Española de Pedagogía;2002, Issue 221, p67 

    This article is a consequence of an empirical research about the association between psychological and social variables and adherence to treatment in HIV infected patients. We present here theoretical conclusions infered from the empirical data and the literature about this topic. The discussion...

  • HIV Testing on Demand. Harvey, Ann; Goldschmidt, Ronald H. // American Family Physician;5/1/2005, Vol. 71 Issue 9, p1823 

    Addresses a question regarding the case of a male patient who frequently requests for HIV testing from a primary care physician without any reason. Reasons why many HIV-infected persons remain undiagnosed; Guidelines for dealing with such patients; Ways to facilitate discussion with the patient...

  • Dilemmas in sexual health. O'Mahony, Colm; Steedman, Nicola // Pulse;7/6/2011, Vol. 71 Issue 24, p22 

    The article presents the advice of consultants to several case studies related to sexual health problems. It offers information on the prevalence of anal genital warts in young children. It provides details on how to distinguish epididymo-orchitis from torsion for the case of an 18-year-old man...

  • The role of HIV counselling and testing in sexual health behaviour change among undergraduates in Lagos, Nigeria. Wusu, Onipede; Okoukoni, Saturday // Tanzania Journal of Health Research;Feb2011, Vol. 13 Issue 1, p32 

    In developing countries risky sexual behaviour among young people is on the increase. This study examined the likelihood of HIV counselling and testing (HCT) in reducing risky sexual behaviour among undergraduates in Lagos Metropolis in Nigeria. The main hypothesis tested in the study was the...

  • How can you say, 'Don't panic'? Pega Ren // Xtra West (Vancouver);9/8/2011, Issue 471, p19 

    The article presents an expert's advice to an inquiry on how a person can stay calm after he or she was diagnosed with HIV virus.

  • Support groups for men living with HIV/AIDS.  // Gay & Lesbian Times;8/18/2005, Issue 921, p20 

    Reports on the establishment of The Center's Living With HIV Groups to provide HIV/AIDS-infected community members with free counseling and support group services to help manage the challenges of surviving and help participants to begin living enriched lives in San Diego, California.

  • Improve the quality of counseling for HIV in the district of Guédiawaye. Maty, Sakho D.; Karim, Seck; Baly, Ouattara; Alioune, Gaye; Bintou, Sylla // Retrovirology;2012 Supplement 1, Vol. 9 Issue Supplment 1, p1 

    An abstract of the article "Improve the quality of counseling for HIV in the district of Guédiawaye," by Sakho D. Maty, Seck Karim, Ouattara Baly, Gaye Alioune, and Sylla Bintou is presented.

  • AIDS-related ethical and legal issues for mental health professionals. Hughes, Rosemary B.; Friedman, Ann Lorentson // Journal of Mental Health Counseling;Oct94, Vol. 16 Issue 4, p445 

    Examines ethical and legal issues raised by HIV/AIDS for mental health professionals. Professional responsibility; Competence; Confidentiality; Court cases that have implications for mental health counselors working with HIV-positive clients.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics