Wayne T. Steward ^1*, Edwin D. Charlebois ¹, Mallory O. Johnson ¹, Robert H. Remien ², Risë B. Goldstein ³, F. Lennie Wong ³, Stephen F. Morin ¹

¹ University of California, San Francisco
² New York State Psychiatric Institute and Columbia University
³ University of California, Los Angeles

^* To whom correspondence should be addressed. E-mail: wayne.steward{at}ucsf.edu.

	Abstract

Unprotected sexual intercourse remains a primary mode of HIV transmission in the United States. We found that receipt of services to reduce HIV transmission-risk behaviors was low among 3787 HIV-infected individuals and that men who have sex with men were especially unlikely to receive these services even though they were more likely to report unprotected sexual intercourse with seronegative and unknown serostatus casual partners. Greater efforts should be made to ensure that prevention counseling is delivered to all HIV-infected persons, especially men who have sex with men.

Key Words: Access to Care, Health Service Delivery, HIV/AIDS, Prevention, Public Health Practice