       Document 0190
 DOCN  M9460190
 TI    AIDS risk assessment in primary care.
 DT    9404
 AU    Hearst N; Department of Family and Community Medicine, University of;
       California, San Francisco 94143.
 SO    J Am Board Fam Pract. 1994 Jan-Feb;7(1):44-8. Unique Identifier :
       AIDSLINE MED/94182483
 AB    BACKGROUND: Human immunodeficiency virus (HIV) disease is a major cause
       of premature death in the United States. Primary care physicians can and
       should play an important role in its prevention. Detailed acquired
       immunodeficiency syndrome (AIDS) education, however, is not a
       cost-effective use of physicians' time for the great majority of
       patients, most of whom are at low risk for HIV infection. METHODS:
       Recommendations for AIDS prevention in the primary care setting were
       formulated based on a review of the published literature and on the
       author's personal experience as an AIDS epidemiologist and a practicing
       family physician. RESULTS AND CONCLUSIONS: Because risk for HIV
       infection is not uniform, primary care physicians can have the greatest
       impact by concentrating their prevention efforts on the minority of
       patients who are at high risk. This article proposes a 30-second AIDS
       risk assessment for use in routine adult health care. Patients found to
       be at high risk should receive counseling on HIV risk reduction based on
       their individual needs. Also described are other situations when primary
       care providers should talk with their patients about AIDS prevention.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/*PREVENTION &  CONTROL
       Counseling  *Family Practice  Female  Human  Male  *Medical History
       Taking  Patient Education  Primary Prevention  Risk Factors  Support,
       U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

