Counseling to reduce high-risk sexual behavior in HIV care: A multi-center, direct observation study

Tabor E. Flickinger, Stephen Berry, Philip (Todd) Korthuis, Somnath (Som) Saha, M. Barton Laws, Victoria Sharp, Richard D. Moore, Mary Catherine Beach

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

A key opportunity to reduce HIV transmission lies with healthcare providers counseling HIV-infected patients about safer sex. We audio-recorded and transcribed clinical encounters between 45 healthcare providers and 417 of their HIV-infected patients at four outpatient sites in the United States. We used logistic regressions to evaluate associations between patient and provider characteristics, and the occurrence of discussion (any talk about sex) and counseling (advice about safer sex). Of the 417 encounters, discussion of sex occurred in 187 (45% of encounters, 95% CI: 40-50%). Counseling occurred for 49% (95% CI: 35-63%) of patients reporting unsafe sex. Discussion of sex was more likely with younger or less-educated patients and with less cultural difference between patient and provider, while counseling was associated with greater provider mindfulness and lower provider empathy. These findings suggest targets to improve communication regarding sexual risk reduction in HIV care.

Original languageEnglish (US)
Pages (from-to)416-424
Number of pages9
JournalAIDS Patient Care and STDs
Volume27
Issue number7
DOIs
StatePublished - Jul 1 2013

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Risk-Taking
Sexual Behavior
Counseling
Observation
HIV
Safe Sex
Health Personnel
Sex Counseling
Mindfulness
Unsafe Sex
Risk Reduction Behavior
Outpatients
Logistic Models
Communication

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Counseling to reduce high-risk sexual behavior in HIV care : A multi-center, direct observation study. / Flickinger, Tabor E.; Berry, Stephen; Korthuis, Philip (Todd); Saha, Somnath (Som); Laws, M. Barton; Sharp, Victoria; Moore, Richard D.; Beach, Mary Catherine.

In: AIDS Patient Care and STDs, Vol. 27, No. 7, 01.07.2013, p. 416-424.

Research output: Contribution to journalArticle

Flickinger, Tabor E. ; Berry, Stephen ; Korthuis, Philip (Todd) ; Saha, Somnath (Som) ; Laws, M. Barton ; Sharp, Victoria ; Moore, Richard D. ; Beach, Mary Catherine. / Counseling to reduce high-risk sexual behavior in HIV care : A multi-center, direct observation study. In: AIDS Patient Care and STDs. 2013 ; Vol. 27, No. 7. pp. 416-424.
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