AIDS and Behavior

, Volume 11, Supplement 1, pp 30–38

Sex, Risk and Responsibility: Provider Attitudes and Beliefs Predict HIV Transmission Risk Prevention Counseling in Clinical Care Settings

  • Janet J. Myers
  • Carol Dawson Rose
  • Starley B. Shade
  • Kimberly A. Koester
  • Andre Maiorana
  • Faye Malitz
  • Wayne T. Steward
  • Stephen F. Morin
Original Paper

DOI: 10.1007/s10461-007-9269-9

Cite this article as:
Myers, J.J., Rose, C.D., Shade, S.B. et al. AIDS Behav (2007) 11(Suppl 1): 30. doi:10.1007/s10461-007-9269-9

Abstract

We examined factors associated with the frequency of HIV “prevention with positives” (PwP) counseling delivered by providers participating in demonstration projects at 26 clinics. Three hundred and fifteen primary care and support service providers completed a survey assessing the frequency of PwP delivered at initial medical care visits and at regular care visits. Providers reported delivering PwP counseling to more patients at initial visits (67%) than to those returning for regular care (53%; t = 11.8, p < 0.001). During initial and regular care visits, providers reporting a sense of responsibility for conducting PwP and those regularly discussing the risk of reinfection with patients reported significantly more frequent PwP counseling. Providers expressing a belief that no matter how much counseling was delivered, some HIV-infected patients would still infect others (prevention fatalism) reported significantly less frequent counseling at all visits. To improve the quality and quantity of HIV PwP counseling, providers training should address attitudinal barriers and facilitators to counseling and the importance of addressing risk routinely.

Keywords

HIV prevention with positives Clinic-based prevention Provider attitudes Prevention fatalism 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Janet J. Myers
    • 1
  • Carol Dawson Rose
    • 1
  • Starley B. Shade
    • 1
  • Kimberly A. Koester
    • 1
  • Andre Maiorana
    • 1
  • Faye Malitz
    • 2
  • Wayne T. Steward
    • 1
  • Stephen F. Morin
    • 1
  1. 1.Center for AIDS Prevention StudiesUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.Health Resources and Services AdministrationRockvilleUSA

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