Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Dec;81(12):1645–1648. doi: 10.2105/ajph.81.12.1645

Frequency and thoroughness of STD/HIV risk assessment by physicians in a high-risk metropolitan area.

B O Boekeloo 1, E S Marx 1, A H Kral 1, S C Coughlin 1, M Bowman 1, D L Rabin 1
PMCID: PMC1405261  PMID: 1746664

Abstract

The US Preventive Services Task Force recommends that all primary care physicians assess the sexually transmitted disease/human immunodeficiency virus (STD/HIV) risk of all adolescent and adult patients. To determine whether factors amenable to change through continuing medical education are associated with frequent and thorough STD/HIV risk assessment, a telephone survey of primary care physicians in the Washington, DC metropolitan area was conducted (n = 961). Thirty-seven percent of physicians reported regularly asking new adult patients about their sexual practices; 60% asked new adolescent patients. STD/HIV risk questioning was associated with physicians' confidence in their ability to help prevent HIV, comfort with discussing patients' sexual practices, and perception of a large STD/HIV problem in their practice. These findings suggest that continuing medical education should target improvement in physicians' sexual practice questioning skills.

Full text

PDF
1648

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Fredman L., Rabin D. L., Bowman M., Bandemer C., Sardeson K., Taggart V. S., English D. K. Primary care physicians' assessment and prevention of HIV infection. Am J Prev Med. 1989 Jul-Aug;5(4):188–195. [PubMed] [Google Scholar]
  2. Gemson D. H., Colombotos J., Elinson J., Fordyce E. J., Hynes M., Stoneburner R. Acquired immunodeficiency syndrome prevention. Knowledge, attitudes, and practices of primary care physicians. Arch Intern Med. 1991 Jun;151(6):1102–1108. doi: 10.1001/archinte.151.6.1102. [DOI] [PubMed] [Google Scholar]
  3. Gerbert B., Maguire B. T., Coates T. J. Are patients talking to their physicians about AIDS? Am J Public Health. 1990 Apr;80(4):467–469. doi: 10.2105/ajph.80.4.467. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gonzalez-Willis A., Rafi I., Boekeloo B., Bowman M., Sardeson K., Taggart V., Burnett R., Rabin D. Using simulated patients to train physicians in sexual risk assessment and risk reduction. Acad Med. 1990 Sep;65(9 Suppl):S7–S8. doi: 10.1097/00001888-199009000-00018. [DOI] [PubMed] [Google Scholar]
  5. Hoppe R. B., Farquhar L. J., Henry R., Stoffelmayr B. Residents' attitudes towards and skills in counseling: using undetected standardized patients. J Gen Intern Med. 1990 Sep-Oct;5(5):415–420. doi: 10.1007/BF02599430. [DOI] [PubMed] [Google Scholar]
  6. Lewis C. E., Freeman H. E., Corey C. R. AIDS-related competence of California's primary care physicians. Am J Public Health. 1987 Jul;77(7):795–799. doi: 10.2105/ajph.77.7.795. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lewis C. E., Freeman H. E. The sexual history-taking and counseling practices of primary care physicians. West J Med. 1987 Aug;147(2):165–167. [PMC free article] [PubMed] [Google Scholar]
  8. Lewis C. E., Montgomery K. The AIDS-related experiences and practices of primary care physicians in Los Angeles: 1984-89. Am J Public Health. 1990 Dec;80(12):1511–1513. doi: 10.2105/ajph.80.12.1511. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lewis C. E. Sexual practices: are physicians addressing the issues? J Gen Intern Med. 1990 Sep-Oct;5(5 Suppl):S78–S81. doi: 10.1007/BF02600848. [DOI] [PubMed] [Google Scholar]
  10. Norman G. R., Neufeld V. R., Walsh A., Woodward C. A., McConvey G. A. Measuring physicians' performances by using simulated patients. J Med Educ. 1985 Dec;60(12):925–934. doi: 10.1097/00001888-198512000-00004. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES