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

Division of Behavioral Sciences, University of California San Francisco, 94117, USA.
AIDS PATIENT CARE and STDs (Impact Factor: 3.58). 02/2006; 20(1):19-29. DOI: 10.1089/apc.2006.20.19
Source: PubMed

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.

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