Table 1.
Checklist Items Specific to Sexual History and HIV Counseling with Subscale Designation
| SH Explains need to take a detailed sexual history (e.g., because of the STD concern…) |
| SH Number of partners in last year |
| SH Number of partners total |
| SH Men, women, or both |
| SH Asks about sexual behaviors |
| SH Asks about specific sex behaviors, oral sex |
| SH Asks about specific sex behaviors, anal intercourse |
| SH Condom use |
| SH Birth control of any kind |
| SH History of sexually transmitted diseases (STDs) |
| SH Student asks about specific STDs—At least 2—herpes, gonorrhea, etc. |
| ED Student explains that history of unprotected sex puts patient at risk for infections. |
| ED Discusses danger of intoxication leading to high-risk behaviors such as unprotected sex |
| ED Student explains BCPs may prevent pregnancy but will not prevent STDs |
| ED Student discusses myth that only certain types of people get STDs |
| ED Explains sexually transmitted diseases are transmitted through direct contact |
| ED Student explains transmission of HIV is through blood and bodily fluids |
| ED Discusses heterosexual transmission of HIV |
| ED Counsels about route of transmission by intercourse |
| ED Counsels about route of transmission of HIV for direct blood exposure, needles, and transfusions |
| ED Counsels about theoretical route of transmission, oral sex |
| ED Explains HIV may be transmitted but remain latent for many years |
| ED Discusses difference between HIV and AIDS |
| CU Recommends condom use |
| CU Describes why condom use is important if abstinence is not chosen |
| CU Asks whether patient feels comfortable discussing using a condom with partners |
| CU Discusses a woman's right to insist her partner use a condom |
| CU Describes how to use a condom |
| Test Discusses HIV testing |
| Test Discusses testing for GC and chlamydia |
| Test Discusses testing for syphilis and or hepatitis (B, C) |
| Test Assures the patient of the confidentiality of HIV test |
| Test Recommends HIV tests |
| Test Recommends GC and chlamydia testing |
| Test Recommends syphilis and or hepatitis (B, C) testing |
SH, sexual history inquiry; ED, HIV and STD transmission education; CU, condom use counseling; Test, HIV and STD testing.
STD, sexually transmitted disease; BCP, birth control protection; GC, gonorrhea.