Back to Search
Start Over
Evidence-Based Interventions Implemented into HIV Primary Care Clinics to Make Sexually Transmitted Infection Screening and Testing Routine: Outcomes of a Multi-Site Study.
- Source :
-
AIDS Patient Care & STDs . 2022 Supplement 2, Vol. 36, p92-103. 12p. - Publication Year :
- 2022
-
Abstract
- In response to rising rates of bacterial sexually transmitted infections (STIs) in the United States, this evaluative study of the implementation of four evidence-based interventions was developed and implemented. In three STI and HIV high-incidence jurisdictions of the United States, nine federally funded Health Resources and Services Administration Ryan White HIV/AIDS Program clinical demonstration sites implemented (1) audio computer-assisted self-interview sexual history taking, (2) patient self-collection of urogenital and extragenital site chlamydia/gonorrhea nucleic acid amplification test specimens, (3) sexual and gender minority welcoming indicators, and (4) provider training, to make STI screening, testing, and treatment routine in their HIV primary care clinics. The priority populations of young adults, men who have sex with men, and sexual and gender minority patients were found to have risk behaviors identified in the self-interview sexual history, to prefer to self-collect urogenital and extragenital site specimens for STI testing, and to notice and like the sexual and gender minority welcoming indicators. Testing positive for a bacterial STI was significantly associated with using alcohol or recreational drugs before sex, being younger than 50 years, and having two or more sexual partners with other concurrent sexual partners. Of 255 cases of chlamydia, gonorrhea, and syphilis infections, only 13.73% of patients reported related symptoms when screened and tested. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SEXUALLY transmitted disease diagnosis
*GENITOURINARY organ microbiology
*DIAGNOSIS of bacterial diseases
*HIV infections
*RESEARCH
*CHLAMYDIA
*RISK-taking behavior
*GONORRHEA
*HUMAN sexuality
*AGE distribution
*SYPHILIS
*EVIDENCE-based medicine
*MEDICAL screening
*INTERVIEWING
*DRUG abuse
*HUMAN services programs
*PRIMARY health care
*MEDICAL history taking
*SEX customs
*SEXUAL minorities
*ALCOHOL drinking
*DESCRIPTIVE statistics
*MEN who have sex with men
*SEXUAL partners
*NUCLEIC acid amplification techniques
Subjects
Details
- Language :
- English
- ISSN :
- 10872914
- Volume :
- 36
- Database :
- Academic Search Index
- Journal :
- AIDS Patient Care & STDs
- Publication Type :
- Academic Journal
- Accession number :
- 159444240
- Full Text :
- https://doi.org/10.1089/apc.2022.0131