Receipt of HIV/STD prevention counseling by HIV-infected adults receiving medical care in the United States.
OBJECTIVE
Guidelines recommend risk-reduction counseling by HIV providers to all HIV-infected persons. Among HIV-infected adults receiving medical care in the United States, we estimated prevalence of exposure to three types of HIV/sexually transmitted disease (STD) risk-reduction interventions and described the characteristics of persons who received these interventions.


METHODS
Data were from the Medical Monitoring Project (MMP), a supplemental HIV surveillance system designed to produce nationally representative estimates of behavioral and clinical characteristics of HIV-infected adults receiving medical care in the United States.


METHODS
Descriptive analyses were conducted to estimate the exposure to each type of HIV/STD risk-reduction intervention. Bivariate and multivariable analyses were conducted to assess associations between the selected correlates with each exposure variable.


RESULTS
About 44% of participants reported a one-on-one conversation with a healthcare provider about HIV/STD prevention, 30% with a prevention program worker, 16% reported participation in a small group risk-reduction intervention, and 52% reported receiving at least one of the three interventions in the past 12 months. Minority race/ethnicity, low income, and risky sexual behavior consistently predicted greater intervention exposure. However, 39% of persons who reported risky sex did not receive any HIV/STD risk-reduction interventions.


CONCLUSIONS
HIV-infected persons in care with fewer resources or those who engaged in risk behaviors were more likely to receive HIV/STD risk-reduction interventions. However, less than half of HIV-infected persons in care received HIV/STD prevention counseling from their provider, an intervention that has been shown to be effective and is supported by guidelines.
Division of HIV/AIDS Prevention, The U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Yuko
Y
Mizuno
Julia
J
Zhu
Nicole
N
Crepaz
Linda
L
Beer
David W
DW
Purcell
Christopher H
CH
Johnson
Eduardo E
EE
Valverde
Jacek
J
Skarbinski
D000293:Adolescent; D000328:Adult; D003376:Counseling; D003430:Cross-Sectional Studies; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission*; D006266:Health Education; D006302:Health Services Research; D006801:Humans; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D014481:United States; D055815:Young Adult