Frequency and thoroughness of STD/HIV risk assessment by physicians in a high-risk metropolitan area
Boekeloo, B. O., Marx, E. S., Kral, A., Coughlin, S. C., Bowman, M., & Rabin, D. L. (1991). Frequency and thoroughness of STD/HIV risk assessment by physicians in a high-risk metropolitan area. American Journal of Public Health, 81(12), 1645-1648.
The US Preventive Services Task Force recommends that all primary care physicians assess the sexually transmitted disease/human immunodeficiency virus (STD/HIV) risk of all adolescent and adult patients. To determine whether factors amenable to change through continuing medical education are associated with frequent and thorough STD/HIV risk assessment, a telephone survey of primary care physicians in the Washington, DC metropolitan area was conducted (n = 961). Thirty-seven percent of physicians reported regularly asking new adult patients about their sexual practices; 60% asked new adolescent patients. STD/HIV risk questioning was associated with physicians' confidence in their ability to help prevent HIV, comfort with discussing patients' sexual practices, and perception of a large STD/HIV problem in their practice. These findings suggest that continuing medical education should target improvement in physicians' sexual practice questioning skills