| Titre : | Delivery of HIV prevention counseling by physicians at HIV medical care settings in 4 US cities. (2004) |
| Auteurs : | Lisa-R METSCH ; Pamela ANDERSON-MAHONEY ; Carlos DEL RIO ; Gordon DICKINSON ; Wayne-A DUFFUS ; Lytt GARDNER ; Alan-E GREENBERG ; Peter KERNDT ; Margaret PEREYRA ; Steffanie-A STRATHDEE ; Antiretroviral treatment and Access Study Group. INC ; Centers for Disease Control and Prevention. National Center for Hiv Std and Tb Prevention. Division of Hiv Aids Prevention. Atlanta. USA ; Health Research Association. Los Angeles. CA. USA ; University of Miami School of Medicine. Department of Epidemiology and Public Health. Miami. FL. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 7, 2004) |
| Pagination : | 1186-1192 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Relation médecin malade ; Profession santé ; Médecin ; Soins ; Prévention santé ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS HhoR0xAC. Diffusion soumise à autorisation]. Objectives : We investigated physicians'delivery of HIV prevention counseling to newly diagnosed and established HIV-positive patients. Methods : A questionnaire was developed and mailed to 417 HIV physicians in 4 US cities. Results : Overall, rates of counseling on the part of physicians were low. Physicians reported counseling newly diagnosed patients more than established patients. Factors associated with increased counseling included having sufficient time with patients and familiarity with treatment guidelines. Physicians who perceived their patients to have mental health and substance abuse problems, who served more male patients, and who were infectious disease specialists were less likely to counsel patients. Conclusions : Intervention strategies with physicians should be developed to overcome barriers to providing counseling to HIV-positive patients. |
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