Physicians can help prevent transmission of HIV by assessing HIV positive patients for risky sexual and needle-sharing behaviors, and by providing risk reduction counseling.
From 1995 to 1997, we gathered data on the HIV transmission prevention assessment and counseling practices of 44 San Francisco Bay area physicians in face-to-face, semistructured interviews.
A refined coding scheme and constant comparative analytic method were used.
Although physicians varied in their responses to coded items, two styles of engagement, at the extremes, emerged from the data : « consultant » and « collaborator. » Consultants conducted transmission prevention assessment and counseling during initial visits or upon medical cues (e.g., presence of sexually transmitted disesases) and viewed themselves primarily as information sources, whereas collaborators regularly conducted transmission prevention counseling and viewed themselves as actively helping patients reduce transmission risk.
Physicians who fell between the two styles generally did not conduct regular counseling themselves, but many used referrals to health educators.
The findings suggest that consultant and collaborator styles may influence patients differently, and offer insight into the role that physicians can play in transmission prevention with HIV positive patients.
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Transmission homme homme, Médecin, Malade, Pratique professionnelle, Epidémiologie, Evaluation, Prévention, Facteur risque, Homme, Entretien, Etats Unis, Amérique du Nord, Amérique, Immunopathologie, Immunodéficit, Personnel sanitaire
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Transmission from man to man, Physician, Patient, Professional practice, Epidemiology, Evaluation, Prevention, Risk factor, Human, Interview, United States, North America, America, Immunopathology, Immune deficiency, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0482995
Code Inist : 002B05C02D. Création : 22/03/2000.