Changes in sexually transmitted disease rates after HIV testing and posttest counseling, Miami, 1988 to 1989.
| Autor: | Otten MW Jr; Division of STD/HIV Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. 30333., Zaidi AA, Wroten JE, Witte JJ, Peterman TA |
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| Jazyk: | angličtina |
| Zdroj: | American journal of public health [Am J Public Health] 1993 Apr; Vol. 83 (4), pp. 529-33. |
| DOI: | 10.2105/ajph.83.4.529 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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