Prevalence and Detection of HIV Risk Behavior in Primary Care: Implications for Clinical Preventive Services

Ward, Jeanette; Sanson‐Fisher, Rob

doi:10.1016/s0749-3797(18)30450-1

Cited by 20 publications

(12 citation statements)

References 24 publications

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“…Very few studies have analyzed sexual behaviours in patients seen in GP practices; those who did also pointed to frequent high risk sexual behaviour [26]. In an Australian study, about a quarter of the patients aged 18-50 had been in "nonmutually monogamous heterosexual relationships" with low rates of condom use [27]. We found that the proportion of people that had occasional partners was much higher among our respondents than among the general population.…”

Section: Discussionmentioning

confidence: 74%

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Dubois-Arber

Meystre‐Agustoni

Jeannin³

et al. 2010

BMC Public Health

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BackgroundTo determine male outpatient attenders' sexual behaviours, expectations and experience of talking about their sexuality and sexual health needs with a doctor.MethodsA survey was conducted among all male patients aged 18-70, recruited from the two main medical outpatient clinics in Lausanne, Switzerland, in 2005-2006. The anonymous self-administered questionnaire included questions on sexual behaviour, HIV/STI information needs, expectations and experiences regarding discussion of sexual matters with a doctor.ResultsThe response rate was 53.0% (N = 1452). The mean age was 37.7 years. Overall, 13.4% of patients were defined as at STI risk - i.e. having not consistently used condoms with casual partners in the last 6 months, or with a paid partner during the last intercourse - regarding their sexual behaviour in the last year. 90.9% would have liked their physician to ask them questions concerning their sexual life; only 61.4% had ever had such a discussion. The multivariate analysis showed that patients at risk tended to have the following characteristics: recruited from the HIV testing clinic, lived alone, declared no religion, had a low level of education, felt uninformed about HIV/AIDS, were younger, had had concurrent sexual partners in the last 12 months. However they were not more likely to have discussed sexual matters with their doctor than patients not at risk.ConclusionRecording the sexual history and advice on the prevention of the risks of STI should become routine practice for primary health care doctors.

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Section: Discussionmentioning

confidence: 74%

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Dubois-Arber

Meystre‐Agustoni

Jeannin³

et al. 2010

BMC Public Health

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“…The response rate of eligible practices approached to be involved in the study was 42%. It is difficult to compare this to the rates in the studies found in the review of the literature as only nine 2,4,6,10,12,13,18,20,21 of 19 repor ted their practice participation rates. These varied from 56% to 98%.…”

Section: Pirotta Gunn and Harrison Ar Ticlementioning

confidence: 97%

Measuring Prevalence: Accurate sampling in general practice waiting room surveys: methodological issues

Pirotta

Gunn

Harrison

2002

Australian and New Zealand Journal of Public Health

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“…Of the 40 articles identified, 28 were data driven studies related to sexual risk behavior. Most of these studies defined monogamy as having one sexual partner over some time period ranging from 30 days (2,13–17) to one year (13,16,18,19,20,21) with 3 months (13,22–25) and 6 months (18,26–32) being frequent time frames. Four studies did not define monogamy (33–36) and three defined monogamy as “current” with no time frame parameters (37–39).…”

Section: Introductionmentioning

confidence: 99%

Is Monogamy or Committed Relationship Status a Marker for Low Sexual Risk among Men in Substance Abuse Treatment? Clinical and Methodological Considerations

Calsyn

Campbell

Tross

et al. 2011

The American Journal of Drug and Alcohol Abuse

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Background HIV prevention interventions often promote monogamy to reduce sexual risk. However, there is little consensus about how to define monogamy. Objective Determine the extent to which recent monogamy and/or being in a committed relationship serve as markers for low sexual risk among men in substance abuse treatment. Methods Participants were 360 men enrolled in the NIDA Clinical Trials Network “Real Men Are Safe” protocol who completed all assessments (baseline, 3 months, 6 months). Self- reported behaviors included: number of sexual partners; type of relationships; frequency of vaginal/anal intercourse; percentage of condom use. Results The rate of self-reported monogamy in the prior 90 days was stable across assessments (54.2%, 53.1%. 58.3%). However, at each assessment 7.5–10% of monogamous men identified their partner as a casual partner, and only 123 (34.2%) reported being monogamous at every assessment. Of these, 20 (5.6%) reported being monogamous with different partners across assessments. Men with both committed relationship and casual partners reported more condom use with their committed relationship partners than men with only a committed relationship partner. Conclusion Clinicians and researchers should consider individual relationship context and behavior, and avoid assuming that recent monogamy or being in a committed relationship denotes low risk. Scientific Significance This study provides evidence that, in male drug users, monogamy does not necessarily reflect low sexual risk. Rather, ‘monogamous’ men actually encompass various combinations of partner types and levels of risk behavior, that are unstable, even over brief time periods. Clinicians and researchers must take these variations into account.

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Prevalence and Detection of HIV Risk Behavior in Primary Care: Implications for Clinical Preventive Services

Cited by 20 publications

References 24 publications

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?

Measuring Prevalence: Accurate sampling in general practice waiting room surveys: methodological issues

Is Monogamy or Committed Relationship Status a Marker for Low Sexual Risk among Men in Substance Abuse Treatment? Clinical and Methodological Considerations

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