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Refraining "Prevention with Positives": Incorporating Counseling Techniques That Improve the Health of HIV-Positive Patients
Journal article   Open access

Refraining "Prevention with Positives": Incorporating Counseling Techniques That Improve the Health of HIV-Positive Patients

Barbara Gerbert, Dale W Danley, Karen Herzig, Kathleen Clanon, Daniel Ciccarone, Paul Gilbert and M Allerton
AIDS patient care and STDs, Vol.20(1), pp.19-29
01/01/2006
DOI: 10.1089/apc.2006.20.19
PMID: 16426152
url
https://www.ncbi.nlm.nih.gov/pmc/articles/2567830View
Open Access

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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