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. 2016 Nov;15(6):494-504.
doi: 10.1177/2325957415612128. Epub 2015 Oct 23.

Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States-2013

Linda Beer  1 , John Weiser  2 , Brady T West  3 , Chris Duke  4 , Garrett Gremel  4 , Jacek Skarbinski  2
Affiliations

Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States-2013

Linda Beer et al. J Int Assoc Provid AIDS Care. 2016 Nov.

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.

Keywords: HIV risk reduction; prevention with positives; provider survey; risk-reduction counseling.

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Conflict of interest statement

The authors declare no conflicts of interest.

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