HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Related articles in AJPH Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Otten, M W Articles by Peterman, T A Search for Related Content PubMed PubMed Citation Articles by Otten, M W, Jr Articles by Peterman, T A

Changes in sexually transmitted disease rates after HIV testing and posttest counseling, Miami, 1988 to 1989.

M W Otten, Jr, A A Zaidi, J E Wroten, J J Witte and T A Peterman

Division of STD/HIV Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. 30333.

OBJECTIVES. The effects of posttest counseling on acquisition of sexually transmitted diseases in patients at a large urban sexually transmitted disease clinic were studied. METHODS. Comparisons were made of the percentage of patients who had a positive gonorrhea culture (or any sexually transmitted disease) in the 6 months before and after human immunodeficiency virus (HIV) counseling and testing. RESULTS. For 331 patients counseled about a positive HIV test, the percentage with gonorrhea was 6.3 before and 4.5 after posttest counseling (29% decrease). For 666 patients counseled about a negative test, the percentage with gonorrhea was 2.4 before and 5.0 after posttest counseling (106% increase). With any sexually transmitted disease as the outcome, patients who tested positive for HIV had a 12% decrease and patients who tested negative had a 103% increase after counseling. CONCLUSIONS. HIV counseling and testing was associated with a moderate decrease in sexually transmitted diseases among patients who tested positive for the virus, but risk increased for patients who tested negative. This suggests a need to improve posttest counseling in this clinic and to assess the effects of counseling and testing in other clinics.

Related articles in AJPH:

The efficacy of testing and counseling in limiting HIV transmission.

D A Cohen
AJPH 1994 84: 321. [PDF]  

Increasing the effectiveness of HIV counseling.

D Hirano, F R Slaughter, L Sands, and G A Gellert
AJPH 1994 84: 1179-1180. [PDF]  

Do HIV testing and counseling increase risk behavior?

E Chamot, D J Laborde, and J C Rice
AJPH 1995 85: 1297-1298. [PDF]  

This article has been cited by other articles:

				A. D. Paltiel, R. P. Walensky, B. R. Schackman, G. R. Seage III, L. M. Mercincavage, M. C. Weinstein, and K. A. Freedberg Expanded HIV Screening in the United States: Effect on Clinical Outcomes, HIV Transmission, and Costs Ann Intern Med, December 5, 2006; 145(11): 797 - 806. [Abstract] [Full Text] [PDF]

				R. Chou, L. H. Huffman, R. Fu, A. K. Smits, and P. T. Korthuis Screening for HIV: A Review of the Evidence for the U.S. Preventive Services Task Force Ann Intern Med, July 5, 2005; 143(1): 55 - 73. [Abstract] [Full Text] [PDF]

				H. Amaro, A. C. Morrill, J. Dai, H. Cabral, and A. Raj Heterosexual Behavioral Maintenance and Change Following HIV Counseling and Testing J Health Psychol, March 1, 2005; 10(2): 287 - 300. [Abstract] [PDF]

				V. Joshi, Y.-I. Hser, C. E. Grella, and R. Houlton Sex-Related HIV Risk Reduction Behavior among Adolescents in DATOS-A Journal of Adolescent Research, November 1, 2001; 16(6): 642 - 660. [Abstract] [PDF]

				L. R. Clark, C. Brasseux, D. Richmond, P. Getson, and L. J. D'Angelo Effect of HIV Counseling and Testing on Sexually Transmitted Diseases and Condom Use in an Urban Adolescent Population Arch Pediatr Adolesc Med, March 1, 1998; 152(3): 269 - 273. [Abstract] [Full Text] [PDF]