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1996-02-27
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Document 0487
DOCN M9630487
TI Prevalence and detection of HIV risk behavior in primary care:
implications for clinical preventive services.
DT 9603
AU Ward J; Sanson-Fisher R; Needs Assessment and Health Outcomes Unit,
Central Sydney Area; Health Service, Camperdown, New South Wales,
Australia.
SO Am J Prev Med. 1995 Jul-Aug;11(4):224-30. Unique Identifier : AIDSLINE
MED/96019077
AB Despite their potential to reduce the incidence of HIV infection through
primary prevention, family physicians report low levels of routine
identification of patients at risk and counseling. This may reflect
perceptions that few of their patients are at risk, that patients at
risk will self-disclose during consultations, or that a
physician-initiated approach is unacceptable to patients presenting for
non-HIV-related problems. Our aim was to determine the prevalence of
risk factors for HIV infection and HIV testing among patients in general
practice, the acceptability to patients of opportunistic identification
of risk during routine consultations and the accuracy of general
practitioners' assessment of HIV risk. Our setting included randomly
selected general practitioners' surgeries in metropolitan Sydney,
Australia. We conducted a self-administered survey about risk factors in
a consecutive sample of patients 18-50 years of age and compared it to a
checklist about patient's risk factors completed by general
practitioners unaware of the patients' answers. Of 1,030 patients, 43
(4%) were at risk of HIV infection having received blood transfusions
between 1980 and 1985 and seven (1%) had injected intravenous drugs in
the previous 12 months. In the previous 12 months, 133 (21%) female and
110 (28%) male patients had been in nonmutually monogamous heterosexual
relationships. Only 26% always used condoms. While the majority of
patients indicated they were heterosexual, 42 (4%) were homosexual and
23 (2%) bisexual. Of those men who had had sex with other men, 39%
always used condoms.(ABSTRACT TRUNCATED AT 250 WORDS)
DE Adult Aged Female Human HIV Infections/*PREVENTION & CONTROL Male
Middle Age New South Wales *Patient Acceptance of Health Care
Physician-Patient Relations *Physician's Practice Patterns *Primary
Prevention/STANDARDS Risk Factors *Risk-Taking Sex Behavior
Substance Abuse, Intravenous Support, Non-U.S. Gov't CLINICAL TRIAL
JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).