PMID: 15220703Jun 29, 2004Paper

Missed opportunities: prevention with HIV-infected patients in clinical care settings

Journal of Acquired Immune Deficiency Syndromes : JAIDS
S F MorinMargaret A Chesney

Abstract

To assess current practices related to prevention with HIV-positive patients in Ryan White-funded primary care settings and the barriers to providing such services. Exit surveys about HIV prevention services were conducted with 618 HIV-infected patients at 16 primary HIV care clinics receiving Ryan White CARE Act funding. To place the exit survey findings in context, qualitative in-depth interviews were conducted with 16 clinic administrators, 32 primary care providers, 32 support service providers, and 64 patients. One quarter of patients reported having had a general discussion of "safer sex and ways to prevent transmission to others" during that day's primary care visit. However, only 6% reported discussing specific sexual activities. HIV prevention counseling was less common than counseling for adherence to antiretroviral therapy, emotional issues, and diet and nutrition (P < 0.001). Patients in clinics with established procedures for HIV prevention counseling were significantly more likely to report receiving such services (odds ratio = 2.17). Qualitative interviews identified barriers to providing prevention services as lack of time, training, funding for staffing, and providers' understanding of their roles and responsib...Continue Reading

Associated Clinical Trials

References

May 1, 1994·American Journal of Public Health·M K CampbellR S Sandler
Apr 1, 1993·Annals of Internal Medicine·J F HollisA Biglan
May 1, 1997·Preventive Medicine·J CornuzB Burnand
Dec 24, 1998·The New England Journal of Medicine·S A BozzetteM F Shapiro
Jul 8, 1999·American Journal of Public Health·L A WilliamsK K Holmes
May 24, 2001·AIDS·N DupinJ P Escande
Jun 8, 2001·American Journal of Public Health·K K FoxW C Levine
Jun 13, 2001·Sexually Transmitted Infections·I G StolteR A Coutinho

❮ Previous
Next ❯

Citations

Apr 28, 2006·AIDS and Behavior·James D WilkinsonUNKNOWN INSPIRE Study Group
Jan 24, 2007·AIDS and Behavior·Robert H RemienUNKNOWN NIMH Healthy Living Project Team
May 15, 2007·AIDS and Behavior·Matthew R GoldenRobert D Harrington
Jun 20, 2007·AIDS and Behavior·Stephen F MorinCarol Dawson Rose
Apr 12, 2008·AIDS and Behavior·Lourdes IllaMario Sanchez-Martinez
Jun 1, 2006·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Tracey E WilsonBruce Agins
Nov 15, 2007·Current Infectious Disease Reports·Christopher S Hall, Jeanne D Marrazzo
Jun 24, 2009·Current Infectious Disease Reports·Wayne A Duffus, Ikechukwu U Ogbuanu
Jun 1, 2005·The Medical Clinics of North America·Victoria A Cargill, Valerie E Stone
Mar 19, 2005·Cell Death and Differentiation·E GirardiG Ippolito
Dec 2, 2005·The New England Journal of Medicine·Thomas R FriedenKelly J Henning
Feb 4, 2012·AIDS Care·Carol Dawson RoseStephen Morin
Jul 16, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lisa R MetschUNKNOWN Antiretroviral Treatment and Access Study (ARTAS) Study Group
Oct 30, 2009·AIDS Patient Care and STDs·Shiela M StraussRobert Norman
May 6, 2009·AIDS Patient Care and STDs·Mari-Lynn DrainoniMichael Relf
Jun 27, 2013·AIDS Patient Care and STDs·Tabor E FlickingerMary Catherine Beach
Nov 8, 2008·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Stephen F MorinUNKNOWN Healthy Living Project Team
Apr 22, 2005·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Christopher M GordonLaura W Cheever
Jun 13, 2009·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Michael V RelfDebra Dekker
Jul 26, 2012·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Kimberly A KoesterJanet J Myers
May 1, 2008·American Journal of Public Health·Wayne T StewardStephen F Morin
Aug 2, 2011·The Journal of the Association of Nurses in AIDS Care : JANAC·Ann E KurthScott McClelland
Mar 17, 2009·The Journal of the Association of Nurses in AIDS Care : JANAC·Patricia P Gilliam, Diane M Straub
Feb 5, 2008·Drug and Alcohol Dependence·Lisa R MetschDogan Eroglu
Nov 23, 2006·The Journal of the Association of Nurses in AIDS Care : JANAC·Lucy A Bradley-Springer, Paul F Cook
Aug 26, 2015·AIDS Care·Rob J FredericksenDonald L Patrick
Sep 12, 2012·Archives of Sexual Behavior·Theo G M SandfortRobert Grossberg
May 8, 2013·Patient Education and Counseling·Tabor E FlickingerMary Catherine Beach
Nov 2, 2014·Journal of the International Association of Providers of AIDS Care·Osaro MgbereJonathan Aguilar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.