title: Frequency and Determinants of Preventive Care Counseling by HIV Medical Care Providers during Encounters with Newly Diagnosed and Established HIV-Infected Patients.
abstract: This study evaluates the frequency and determinants of preventive care counseling by HIV medical care providers (HMCPs) during encounters with newly diagnosed and established HIV-infected patients. Data used were from a probability sample of HMCPs in Houston/Harris County, Texas, surveyed in 2009. Overall, HMCPs offered more preventive care counseling to newly diagnosed than the established patients (adjusted odds ratio [AOR] = 7.28; 95% confidence interval [CI] = 2.86-16.80). They were more likely to counsel newly diagnosed patients than the established ones on medication and adherence (AOR = 14.70; 95% CI = 1.24-24.94), HIV risk reduction (AOR = 5.91; 95% CI = 0.48-7.13), and disease screening (AOR = 7.20; 95% CI = 0.72-11.81). HIV medical care providers who were less than 45 years of age, infectious disease specialists, and had less than 30 minutes of encounter time were less likely to counsel patients regardless of the status. Our findings suggest the need for HMCPs to improve their preventive care counseling efforts, in order to help patients build skills for adopting and maintaining safe behavior that could assist in reducing the risk of HIV transmission.
authors.affiliation: Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, Houston, TX, USA Institute of Community Health, University of Houston College of Pharmacy, Texas Medical Center, Houston, TX, USA osaro.mgbere@houstontx.gov.
authors.forename: Osaro
authors.initials: O
authors.lastname: Mgbere
authors.affiliation: Infectious Diseases Section, Michael E. DeBakey VA Medical Center, Houston, TX, USA Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Maria C
authors.initials: MC
authors.lastname: Rodriguez-Barradas
authors.affiliation: Department of Internal Medicine, Division of Infectious Diseases, University of Texas Health Science Center, Houston, TX, USA.
authors.forename: Tanvir K
authors.initials: TK
authors.lastname: Bell
authors.affiliation: Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, Houston, TX, USA.
authors.forename: Salma
authors.initials: S
authors.lastname: Khuwaja
authors.affiliation: Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, Houston, TX, USA.
authors.forename: Raouf
authors.initials: R
authors.lastname: Arafat
authors.affiliation: Institute of Community Health, University of Houston College of Pharmacy, Texas Medical Center, Houston, TX, USA.
authors.forename: Ekere J
authors.initials: EJ
authors.lastname: Essien
authors.affiliation: Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, Houston, TX, USA.
authors.forename: Mamta
authors.initials: M
authors.lastname: Singh
authors.affiliation: Legacy Community Health Services, Montrose Campus, Houston, TX, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Simmons
authors.affiliation: Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, Houston, TX, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Aguilar
mesh_terms: D000328:Adult; D003376:Counseling / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000628:therapy*; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D013781:Texas / Q000453:epidemiology
keywords: HIV medical care provider; HIV/AIDS; Houston/Harris County; Texas; preventive care counseling