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AIDS Patient Care STDS. 2006 Jan;20(1):19-29.

Reframing "prevention with positives": incorporating counseling techniques that improve the health of HIV-positive patients.

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1
Division of Behavioral Sciences, University of California San Francisco, 94117, USA. Barbara.gerbert@ucsf.edu

Abstract

Federal HIV prevention strategy seeks to increase efforts by health care providers to identify and reduce their HIV-positive patients' transmission-related behaviors. Implementation of these recommendations will be hindered if providers perceive these efforts have the potential to harm their relationships with patients. Because transmission-related behaviors (unsafe sex and sharing needles) and the related issues of drug and alcohol use also jeopardize the health of HIV-positive patients, providers can use patient-centered counseling when addressing those behaviors. We suggest efforts to increase provider-delivered transmission-prevention counseling be reframed so that "prevention with positives" includes the goal of protecting HIV-positive patients' health. We review the specific consequences of these risky behaviors on HIV-positive patients' health and review brief counseling strategies appropriate for HIV care providers.

PMID:
16426152
PMCID:
PMC2567830
DOI:
10.1089/apc.2006.20.19
[Indexed for MEDLINE]
Free PMC Article
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