title: Sexually transmitted disease testing protocols, sexually transmitted disease testing, and discussion of sexual behaviors in HIV clinics in Los Angeles County.
abstract: OBJECTIVE
  The objective of this study was to evaluate the use of written protocols for sexually transmitted disease (STD) screening, the frequency and types of STD tests performed, and the occurrence and frequency of obtaining sexual risk assessments among HIV clinics.
  
  
  METHODS
  A survey was administered to 36 medical directors, clinic directors, and HIV providers representing 48 HIV healthcare clinics in Los Angeles.
  
  
  RESULTS
  The use of a written or electronic protocol for STD testing was reported by 50% of clinics. Clinics with written or electronic STD protocols were significantly more likely to report questioning patients at each visit regarding their sexual practices (prevalence ratio, 2.2; 95% confidence interval, 1.4-3.4). Clinics with written or electronic protocols were not more likely to report more frequent STD testing.
  
  
  CONCLUSIONS
  Written or electronic protocols for STD testing may promote sexual risk assessment questioning among HIV healthcare providers and may help to ensure STD testing per Centers for Disease Control and Prevention/IDSA guidelines for HIV-positive persons at sexual risk.
authors.affiliation: CDC/NCHSTP/DSTDP, Arizona Department of Health Services, Office of Infectious Disease Services, Phoenix, Arizona 85007-3237, USA. taylorm@azdhs.gov
authors.forename: Melanie M
authors.initials: MM
authors.lastname: Taylor
authors.forename: Tracie
authors.initials: T
authors.lastname: McClain
authors.forename: Marjan
authors.initials: M
authors.lastname: Javanbakht
authors.forename: Bessie
authors.initials: B
authors.lastname: Brown
authors.forename: Getahun
authors.initials: G
authors.lastname: Aynalem
authors.forename: Lisa V
authors.initials: LV
authors.lastname: Smith
authors.forename: Peter R
authors.initials: PR
authors.lastname: Kerndt
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Peterman
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards; D002985:Clinical Protocols; D003142:Communication; D005260:Female; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D015995:Prevalence; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control*; D011795:Surveys and Questionnaires / Q000592:standards*