Linda Beer1, John Weiser2, Brady T West3, Chris Duke4, Garrett Gremel4, Jacek Skarbinski2. 1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA lbeer@cdc.gov. 2. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA. 3. Survey Research Center, University of Michigan, Ann Arbor, MI, USA. 4. Altarum Institute, Ann Arbor, MI, USA.
Abstract
OBJECTIVES: Evidence-based guidelines have long recommended that HIV care providers deliver HIV transmission risk-reduction (RR) services, but recent data are needed to assess their adoption. METHODS: The authors surveyed a probability sample of 1234 US HIV care providers on delivery of 9 sexual behavior- and 7 substance use-related HIV transmission RR services and created an indicator of "adequate" delivery of services in each area, defined as performing approximately 70% or more of applicable services. RESULTS: Providers were most likely to encourage patients to disclose HIV status to all partners since HIV diagnosis (81%) and least likely to ask about disclosure to new sex and drug injection partners at follow-up visits (both 41%). Adequate delivery of sexual behavior- and substance use-related RR services was low (37% and 43%, respectively). CONCLUSION: The majority of US HIV care providers may need additional support to improve delivery of comprehensive HIV transmission RR services.
OBJECTIVES: Evidence-based guidelines have long recommended that HIV care providers deliver HIV transmission risk-reduction (RR) services, but recent data are needed to assess their adoption. METHODS: The authors surveyed a probability sample of 1234 US HIV care providers on delivery of 9 sexual behavior- and 7 substance use-related HIV transmission RR services and created an indicator of "adequate" delivery of services in each area, defined as performing approximately 70% or more of applicable services. RESULTS: Providers were most likely to encourage patients to disclose HIV status to all partners since HIV diagnosis (81%) and least likely to ask about disclosure to new sex and drug injection partners at follow-up visits (both 41%). Adequate delivery of sexual behavior- and substance use-related RR services was low (37% and 43%, respectively). CONCLUSION: The majority of US HIV care providers may need additional support to improve delivery of comprehensive HIV transmission RR services.
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