Author(s): Otten MW Jr, Zaidi AA, Wroten JE, Witte JJ, Peterman TA, Otten MW Jr, Zaidi AA, Wroten JE, Witte JJ, Peterman TA
Abstract Share this page
Abstract 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.
This article was published in Am J Public Health
and referenced in Journal of AIDS & Clinical Research