title: Prevention counseling practices of HIV care providers with patients new to HIV medical care: medical monitoring project provider survey, 2009.
abstract: OBJECTIVE
  To determine the prevalence of prevention counseling discussions between HIV care providers and their patients who are newly linked to care and to assess factors that facilitate such discussions.
  
  
  METHODS
  In 2009, a probability sample of HIV care providers in 582 outpatient settings in the United States and Puerto Rico was surveyed regarding provider's HIV prevention discussions with HIV-infected patients newly linked to HIV medical care.
  
  
  RESULTS
  A majority of providers reported consistently discussing HIV transmission risk reduction (76%), sexually transmitted disease risk (66%), and adherence to antiretroviral regimens (87%). Only 35% of providers reported consistently discussing partner counseling services.
  
  
  CONCLUSIONS
  The proportion of providers engaged in HIV prevention counseling with patients newly linked to HIV care is generally high, but more work is needed to encourage providers to fully participate as partners in prevention, which is central to preventing onward transmission of HIV.
authors.affiliation: Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Valverde
authors.forename: Linda
authors.initials: L
authors.lastname: Beer
authors.forename: Christopher
authors.initials: C
authors.lastname: Johnson
authors.forename: Janet M
authors.initials: JM
authors.lastname: Blair
authors.forename: Christine L
authors.initials: CL
authors.lastname: Mattson
authors.forename: Catherine
authors.initials: C
authors.lastname: Sanders
authors.forename: John
authors.initials: J
authors.lastname: Weiser
authors.forename: Jacek
authors.initials: J
authors.lastname: Skarbinski
mesh_terms: D000328:Adult; D000368:Aged; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000628:therapy / Q000635:transmission; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010823:Physician Assistants; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D012747:Sexual Partners; D014481:United States; D055815:Young Adult
keywords: HIV; HIV care providers; counseling; prevention; providers