       Document 0487
 DOCN  M9630487
 TI    Prevalence and detection of HIV risk behavior in primary care:
       implications for clinical preventive services.
 DT    9603
 AU    Ward J; Sanson-Fisher R; Needs Assessment and Health Outcomes Unit,
       Central Sydney Area; Health Service, Camperdown, New South Wales,
       Australia.
 SO    Am J Prev Med. 1995 Jul-Aug;11(4):224-30. Unique Identifier : AIDSLINE
       MED/96019077
 AB    Despite their potential to reduce the incidence of HIV infection through
       primary prevention, family physicians report low levels of routine
       identification of patients at risk and counseling. This may reflect
       perceptions that few of their patients are at risk, that patients at
       risk will self-disclose during consultations, or that a
       physician-initiated approach is unacceptable to patients presenting for
       non-HIV-related problems. Our aim was to determine the prevalence of
       risk factors for HIV infection and HIV testing among patients in general
       practice, the acceptability to patients of opportunistic identification
       of risk during routine consultations and the accuracy of general
       practitioners' assessment of HIV risk. Our setting included randomly
       selected general practitioners' surgeries in metropolitan Sydney,
       Australia. We conducted a self-administered survey about risk factors in
       a consecutive sample of patients 18-50 years of age and compared it to a
       checklist about patient's risk factors completed by general
       practitioners unaware of the patients' answers. Of 1,030 patients, 43
       (4%) were at risk of HIV infection having received blood transfusions
       between 1980 and 1985 and seven (1%) had injected intravenous drugs in
       the previous 12 months. In the previous 12 months, 133 (21%) female and
       110 (28%) male patients had been in nonmutually monogamous heterosexual
       relationships. Only 26% always used condoms. While the majority of
       patients indicated they were heterosexual, 42 (4%) were homosexual and
       23 (2%) bisexual. Of those men who had had sex with other men, 39%
       always used condoms.(ABSTRACT TRUNCATED AT 250 WORDS)
 DE    Adult  Aged  Female  Human  HIV Infections/*PREVENTION & CONTROL  Male
       Middle Age  New South Wales  *Patient Acceptance of Health Care
       Physician-Patient Relations  *Physician's Practice Patterns  *Primary
       Prevention/STANDARDS  Risk Factors  *Risk-Taking  Sex Behavior
       Substance Abuse, Intravenous  Support, Non-U.S. Gov't  CLINICAL TRIAL
       JOURNAL ARTICLE  RANDOMIZED CONTROLLED TRIAL

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

