Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States-2013.
Evidence-based guidelines have long recommended that HIV care providers deliver HIV transmission risk-reduction (RR) services, but recent data are needed to assess their adoption.



The authors surveyed a probability sample of 1234 US HIV care providers on delivery of 9 sexual behavior- and 7 substance use-related HIV transmission RR services and created an indicator of "adequate" delivery of services in each area, defined as performing approximately 70% or more of applicable services.



Providers were most likely to encourage patients to disclose HIV status to all partners since HIV diagnosis (81%) and least likely to ask about disclosure to new sex and drug injection partners at follow-up visits (both 41%). Adequate delivery of sexual behavior- and substance use-related RR services was low (37% and 43%, respectively).



The majority of US HIV care providers may need additional support to improve delivery of comprehensive HIV transmission RR services.
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA lbeer@cdc.gov.
Linda
L
Beer
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
John
J
Weiser
Survey Research Center, University of Michigan, Ann Arbor, MI, USA.
Brady T
BT
West
Altarum Institute, Ann Arbor, MI, USA.
Chris
C
Duke
Altarum Institute, Ann Arbor, MI, USA.
Garrett
G
Gremel
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jacek
J
Skarbinski
D000328:Adult; D000368:Aged; D017028:Caregivers; D003376:Counseling / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission*; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D019966:Substance-Related Disorders; D014481:United States
HIV risk reduction; prevention with positives; provider survey; risk-reduction counseling