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Physicians' effectiveness in assessing risk for human immunodeficiency virus infection
K J Ferguson1, J T Stapleton, C M Helms
1Offices of Consultation and Research in Medical Education, University of Iowa College of Medicine, Iowa City 52242.
Archives of Internal Medicine
|March 1, 1991
Summary
Physicians rarely screen patients for human immunodeficiency virus (HIV) risk behaviors, despite recommendations. Enhanced training in substance abuse and sexuality counseling is crucial for improving HIV screening and patient care.
Area of Science:
- Medical Education
- Public Health
- Infectious Diseases
Background:
- Physicians are recommended to screen patients for human immunodeficiency virus (HIV) risk behaviors.
- Routine HIV risk assessment is not consistently practiced by healthcare providers.
- Low acquired immunodeficiency syndrome (AIDS) prevalence settings may have unique challenges in HIV screening.
Purpose of the Study:
- To survey physicians regarding their HIV screening practices.
- To assess physician training in substance abuse and human sexuality.
- To evaluate physician confidence and comfort in discussing sensitive health topics.
Main Methods:
- Survey of faculty, fellows, and residents at a midwestern teaching hospital.
- Inquiry into experience with HIV screening, substance abuse, and human sexuality training.
- Assessment of confidence and comfort levels in patient interactions.
Main Results:
- Only 11% of physicians routinely screened for high-risk behaviors.
- Most physicians received human sexuality training, but not substance abuse screening training.
- Training correlated with increased confidence in addressing sensitive topics and caring for HIV-infected patients.
Conclusions:
- A significant gap exists in routine HIV risk assessment by physicians.
- Training in substance abuse and sexual activity counseling is needed.
- Improved training can enhance physician confidence and patient care for HIV prevention.