HIV Medical Care Provider Practices for Reducing High-Risk Sexual Behavior: Results of a Qualitative Study
HIV Medical Care Provider Practices for Reducing High-Risk Sexual Behavior: Results of a Qualitative Study
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DOI：
10.1089/apc.2008.0063
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发表时间：
2009-05-01
影响因子：
4.9
通讯作者：
Relf, Michael
中科院分区：
文献类型：
--
作者：
Drainoni, Mari-Lynn;Dekker, Debra;Relf, Michael
确保艾滋病毒感染者采取减少疾病传播的更安全的性行为的第一步是确保他们获得有关性行为危险行为和艾滋病毒传播之间关系的准确信息。保健提供者可以在预防艾滋病毒二次传播方面发挥关键作用；联邦机构和专业准则鼓励提供者就更安全的性行为做法和传播风险向艾滋病毒感染者提供咨询，特别是因为保健接触可能是艾滋病毒感染者获得预防和降低风险干预措施的唯一机会。然而，研究表明，这些机会往往会被错过。在实施城市HIV和STD诊所预防示范项目之前，我们对提供者进行了定性调查，包括医生、护士从业者、医生助理和护士。本次调查的目的是检查诊所预防教育和咨询工作的现状，检查提供预防咨询的障碍和促进者，并确定提供者认为他们需要额外培训的关键领域。
A first step in ensuring that HIV-infected persons practice the safer sexual behaviors that reduce disease transmission is to make certain that they receive accurate information about the relationship between sexual risk behaviors and HIV transmission. Health care providers can play a pivotal role in preventing secondary transmission of HIV; federal agencies and professional guidelines encourage providers to counsel HIV-infected patients about safer sex practices and transmission risks, particularly since the health care encounter may be the only time that HIV-infected persons receive information about prevention and risk reduction interventions. Yet research indicates that these opportunities are often missed. Prior to implementing a prevention demonstration project in an urban HIV and STD clinic, we conducted a qualitative investigation with providers, including physicians, nurse practitioners, physician assistants, and nurses. The purpose of this investigation was to examine the current status of prevention education and counseling efforts at the clinic, examine the barriers and facilitators to providing prevention counseling, and identify key areas where providers believed that they needed additional training.