Secondary Prevention of HIV: An Assessment of Safer-Sex Counseling Practices in an Urban HIV Clinic
The objective of this investigation was to assess the delivery of safer-sex counseling to HIV-positive patients followed at an urban HIV clinic.
A convenience sample of eighty-nine patients agreed to be interviewed with regards to their knowledge of the risks of unsafe sex, their experiences with safe-sex counseling, and the impact that safer-sex counseling had on their behavior.
Most patients (89%) reported sexual activity since being diagnosed with HIV and 22% admitted that their behaviors put either themselves or their partners at risk. Most were aware of the risks of acquiring an STD (63%) or transmitting HIV (60%), but many did not know about the risk of superinfection with drug-resistant HIV. The majority of patients use protection in the form of condoms (73%) or a combination of condoms and abstinence (11%). Many, however, reported that they used no protection (15%). Barriers to safe sex included inconvenience, oral sex, alcohol, drugs and anonymous sex. Most patients reported that they had been counseled by their providers, 43% of which reported changing their behavior as a result. Most importantly, nearly all patients (87/89) reported feeling comfortable discussing secondary prevention with their providers. Providers that have frequent contact with HIV-positive patients can have a tremendous impact in reducing high-risk behaviors through specifically tailored prevention messages delivered in a compassionate and non-judgmental manner.
School Location:USA - Connecticut
Source Type:Master's Thesis
Keywords:sexually transmitted diseases sexual behavior hiv infections safe sex aids united states
Date of Publication:03/25/2008