CHANGES IN SEXUALLY-TRANSMITTED DISEASE RATES AFTER HIV TESTING AND POSTTEST COUNSELING, MIAMI, 1988 TO 1989

被引:109
作者
OTTEN, MW
ZAIDI, AA
WROTEN, JE
WITTE, JJ
PETERMAN, TA
机构
[1] CTR DIS CONTROL & PREVENT,CTR PREVENT SERV,DIV STD HIV PREVENT,ATLANTA,GA
[2] FLORIDA STATE DEPT HLTH & REHABIL SERV,TALLAHASSEE,FL
关键词
D O I
10.2105/AJPH.83.4.529
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. The effects of posttest counseling on acquisition of sexually transmitted diseases in patients at a large urban sexually transmitted disease clinic were studied. Methods. Comparisons were made of the percentage of patients who had a positive gonorrhea culture (or any sexually transmitted disease) in the 6 months before and after human immunodeficiency virus (HIV) counseling and testing. Results. For 331 patients counseled about a positive HIV test, the percentage with gonorrhea was 6.3 before and 4.5 after posttest counseling (29% decrease). For 666 patients counseled about a negative test, the percentage with gonorrhea was 2.4 before and 5.0 after posttest counseling (106% increase). With any sexually transmitted disease as the outcome, patients who tested positive for HIV had a 12% decrease and patients who tested negative had a 103% increase after counseling. Conclusions. HIV counseling and testing was associated with a moderate decrease in sexually transmitted diseases among patients who tested positive for the virus, but risk increased for patients who tested negative. This suggests a need to improve posttest counseling in this clinic and to assess the effects of counseling and testing in other clinics.
引用
收藏
页码:529 / 533
页数:5
相关论文
共 15 条
  • [1] CALSYN DA, 1990, 6TH INT C AIDS SAN F, P126
  • [2] Cochran W.G., 1977, SAMPLING TECHNIQUES, Vthird, P150
  • [3] Dean A. G., 1990, EPI INFO VERSION 5 W
  • [4] HIGH-RISK SEXUAL-BEHAVIOR AND KNOWLEDGE OF HIV ANTIBODY STATUS IN THE SAN-FRANCISCO-CITY-CLINIC-COHORT
    DOLL, LS
    OMALLEY, PM
    PERSHING, AL
    DARROW, WW
    HESSOL, NA
    LIFSON, AR
    [J]. HEALTH PSYCHOLOGY, 1990, 9 (03) : 253 - 265
  • [5] FITTE JE, 1990, DHHS PHS911250 PUBL
  • [6] EVIDENCE FOR THE EFFECTS OF HIV ANTIBODY COUNSELING AND TESTING ON RISK BEHAVIORS
    HIGGINS, DL
    GALAVOTTI, C
    OREILLY, KR
    SCHNELL, DJ
    MOORE, M
    RUGG, DL
    JOHNSON, R
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 266 (17): : 2419 - 2429
  • [7] EFFECTS OF HIV ANTIBODY-TEST KNOWLEDGE ON SUBSEQUENT SEXUAL BEHAVIORS IN A COHORT OF HOMOSEXUALLY ACTIVE MEN
    MCCUSKER, J
    STODDARD, AM
    MAYER, KH
    ZAPKA, J
    MORRISON, C
    SALTZMAN, SP
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1988, 78 (04) : 462 - 467
  • [8] Ostrow D G, 1989, AIDS Educ Prev, V1, P1
  • [9] OTTEN MW, 1990, 6TH INT C AIDS SAN F, P675
  • [10] STALL R, 1989, EPIDEMIOLOGY AIDS EX