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- Title
Frequency and Determinants of Preventive Care Counseling by HIV Medical Care Providers during Encounters with Newly Diagnosed and Established HIV-Infected Patients.
- Authors
Mgbere, Osaro; Rodriguez-Barradas, Maria C.; Bell, Tanvir K.; Khuwaja, Salma; Arafat, Raouf; Essien, Ekere J.; Singh, Mamta; Simmons, Paul; Aguilar, Jonathan
- Abstract
This study evaluates the frequency and determinants of preventive care counseling by HIV medical care providers (HMCPs) during encounters with newly diagnosed and established HIV-infected patients. Data used were from a probability sample of HMCPs in Houston/Harris County, Texas, surveyed in 2009. Overall, HMCPs offered more preventive care counseling to newly diagnosed than the established patients (adjusted odds ratio [AOR] = 7.28; 95% confidence interval [CI] = 2.86-16.80). They were more likely to counsel newly diagnosed patients than the established ones on medication and adherence (AOR = 14.70; 95% CI = 1.24-24.94), HIV risk reduction (AOR = 5.91; 95% CI = 0.48-7.13), and disease screening (AOR = 7.20; 95% CI = 0.72-11.81). HIV medical care providers who were less than 45 years of age, infectious disease specialists, and had less than 30 minutes of encounter time were less likely to counsel patients regardless of the status. Our findings suggest the need for HMCPs to improve their preventive care counseling efforts, in order to help patients build skills for adopting and maintaining safe behavior that could assist in reducing the risk of HIV transmission.
- Subjects
TEXAS; HEALTH counseling; THERAPEUTICS; HIV infections; HIV-positive persons; HEALTH behavior research; HIV infection transmission; DIAGNOSIS of HIV infections; HIV prevention; HIV infection epidemiology; COUNSELING; MEDICAL personnel; PATIENT participation
- Publication
Journal of the International Association of Providers of AIDS Care, 2016, Vol 15, Issue 3, p215
- ISSN
2325-9582
- Publication type
journal article
- DOI
10.1177/2325957414556352