title: Factors associated with Army obstetricians-gynecologists' practice of HIV prevention education during routine gynecologic care.
abstract: The authors evaluate obstetricians-gynecologists' (OB-GYNs') anxiety about clinical uncertainty and patient, physician, and organizational factors associated with their selection of HIV-related educational activities for high-risk and low-risk written case simulations. A total of 117 U.S. Army OB-GYNs completed a mailed, anonymous questionnaire. Overall, informants were much less likely to educate in response to the low-risk simulation; however, more informants who were anxious about uncertainty were more likely to do so in a model that included supportive institutional policies, willingness to educate despite patient barriers, and comfort with the topic. OB-GYNs were more likely to educate in response to the high-risk simulation given greater willingness to discuss HIV despite organizational barriers, supportive policies, and comfort. Findings suggest a need to better understand the role that anxiety about uncertainty plays in HIV prevention and the need to promote organizational policies that support and remove barriers to clinically based education.
authors.affiliation: Division of Health Promotion and Sports Medicine, Oregon Health Sciences University, Portland, 97201-3098, USA. goldschm@ohsu.edu
authors.forename: M H
authors.initials: MH
authors.lastname: Goldschmidt
authors.forename: R A
authors.initials: RA
authors.lastname: Jenkins
mesh_terms: D001007:Anxiety / Q000145:classification*; D001291:Attitude of Health Personnel; D003376:Counseling / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006176:Gynecology / Q000706:statistics & numerical data; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D008297:Male; D008887:Military Medicine / Q000458:organization & administration*; D009774:Obstetrics / Q000706:statistics & numerical data; D016134:Organizational Policy; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D016544:Patient Simulation; D010817:Physician-Patient Relations; D010820:Physicians / Q000145:classification / Q000523:psychology*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014481:United States