title: Providers' HIV prevention discussions with HIV-seropositive injection drug users.
abstract: Public health agencies have recommended incorporating HIV prevention counseling into the medical care of persons living with HIV/AIDS. Injection drug users (IDUs) especially need HIV risk-reduction counseling because of their high risk for HIV transmission through both sexual and injection behaviors. The objective of this study was to assess the prevalence of, and patient factors associated with, the delivery of HIV prevention messages to HIV-seropositive IDUs in primary care settings. A majority of participants reported having an HIV prevention discussion with their provider during their most recent primary care visit. Factors significantly associated with report of such discussion were being Hispanic or non-Hispanic Black; high school education or less; and better perception of engagement with provider. Medical providers should provide prevention messages to all HIV-seropositive IDUs, regardless of demographic factors. Effective HIV prevention interventions in primary care settings, including interventions to improve patient-provider communication, are needed for HIV-seropositive IDUs.
authors.affiliation: Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, 1801 NW 9th Avenue, Suite 200, FL 33136, USA. jwilkins@med.miami.edu
authors.forename: James D
authors.initials: JD
authors.lastname: Wilkinson
authors.forename: Wei
authors.initials: W
authors.lastname: Zhao
authors.forename: Scott
authors.initials: S
authors.lastname: Santibanez
authors.forename: Julia
authors.initials: J
authors.lastname: Arnsten
authors.forename: Amy
authors.initials: A
authors.lastname: Knowlton
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Gómez
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Metsch
mesh_terms: D000328:Adult; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control / Q000635:transmission*; D006679:HIV Seropositivity / Q000523:psychology / Q000635:transmission; D006282:Health Personnel / Q000193:education / Q000523:psychology; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods; D011314:Preventive Health Services; D011320:Primary Health Care; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000523:psychology