Table 2.

Examples from Dialogues of Discussion and Counseling Regarding Sexual Behavior

Category	Sexual topic discussed
Subcategory	Brief denial of sexual activity	Safety of sex unclear	Indication of unsafe sex	Indication of safe sex
Example	D: Okay. And are you currently sexually active? P: No, I'm not. D: Okay.	D: So are you seeing anybody? P: As a relationship? D: As a relationship, yeah. P: Well I have a friend. I see him off and on. D: Right, right. P: I'm sexually active, if that's the answer. D: Any questions about what you're doing or what any of that? P: No. I mean the only problem I – I keep getting this rash.	P: I slept with someone I shouldn't have, cuz I wasn't safe, and they were positive, so. D: And when was that? P: Um I didn't tell you last time I saw you, but it was right before I saw you last time. D: All right, so we saw each other- P: Last month. D: So when you were saying you didn't use a condom, was that for both insertive and receptive? P: Yeah.	D: You guys using safe sex? P: Always have. D: Condoms? P: Yeah, right D: Every time, right? P: Every time. D: What's her status? Is she positive? P: Uh, negative. Been together for four years.

Category	Counseling regarding sexual behavior
Subcategory	Counseling occurred	Missed opportunity for counseling
Example	D: Are you sexually active? P: Yeah, I'm still with her dad every now and then. Every now and then. D: You guys use condoms? P: Sometimes. D: That's important. P: I know. I tell him that. I tell him and then – well you know how it is. [laughs] D: I know, and it's fine, it's – you want to protect yourself, too. P: Right. D: You don't want to end up with something else. P: Right.	D: So we're gonna swab your throat, okay? P: Don't they have to swab everything? [Laughs]. D: Not if you didn't have anal sex, we don't. But if you did, we do. P: I just think the whole thing wouldn't hurt. D: OK.

D, Provider speech; P, Patient speech.