Effect of HIV Posttest Counseling on STD Incidence

Jonathan Mark Zenilman, Beth Erickson, Robin Fox, Cindy A. Reichart, Edward W. Hook

Research output: Contribution to journalArticle

Abstract

Objective. —To evaluate the effectiveness of human immunodeficiency virus (HIV) testing and posttest counseling in reducing subsequent high-risk behavior. Methods. —The incidence of sexually transmitted diseases (STDs) in the Baltimore, Md, public STD clinic population after HIV testing and counseling was determined by chart review and was compared in two groups, 868 HIV-seropositive patients and 1104 HIV-seronegative patients, matched by age, sex, and month in which HIV test was conducted. Patients were observed for incident STDs at intervals of 6 through 23 months. Patients with incident STDs were classified hierarchically after being notified of the HIV test result and receiving posttest counseling. Results. —Of HIV-seropositive patients, 615 (71%) returned for their test results and received posttest counseling; 694 HIV-seronegative patients (63%) returned. Of all those who returned for results and posttest counseling, 60 (9.7%) of 615 HIV-seropositive patients and 61 (8.8%) of 694 HIV-seronegative patients were diagnosed at least once with definite STD (syphilis, gonorrhea, or trichomoniasis) (P, not significant). Twenty-four HIV-seropositive patients (3.9%) and 71 HIVseronegative patients (10.2%) returned with probable STD (nongonococcal urethritis or pelvic inflammatory disease) (P

Original languageEnglish (US)
Pages (from-to)843-845
Number of pages3
JournalJournal of the American Medical Association
Volume267
Issue number6
DOIs
StatePublished - Feb 12 1992

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Sexually Transmitted Diseases
Counseling
HIV
Incidence
Pelvic Inflammatory Disease
Urethritis
Baltimore
Gonorrhea
Syphilis
Risk-Taking

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effect of HIV Posttest Counseling on STD Incidence. / Zenilman, Jonathan Mark; Erickson, Beth; Fox, Robin; Reichart, Cindy A.; Hook, Edward W.

In: Journal of the American Medical Association, Vol. 267, No. 6, 12.02.1992, p. 843-845.

Research output: Contribution to journalArticle

Zenilman, Jonathan Mark ; Erickson, Beth ; Fox, Robin ; Reichart, Cindy A. ; Hook, Edward W. / Effect of HIV Posttest Counseling on STD Incidence. In: Journal of the American Medical Association. 1992 ; Vol. 267, No. 6. pp. 843-845.
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