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Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States—2013
Author(s) -
Linda Beer,
John Weiser,
Brady T. West,
Chris Duke,
Garrett W. Gremel,
Jacek Skarbinski
Publication year - 2015
Publication title -
journal of the international association of providers of aids care (jiapac)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.813
H-Index - 31
eISSN - 2325-9582
pISSN - 2325-9574
DOI - 10.1177/2325957415612128
Subject(s) - human immunodeficiency virus (hiv) , transmission (telecommunications) , medicine , service provider , family medicine , business , service (business) , telecommunications , marketing , computer science
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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