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Acquired Immunodeficiency Syndrome PreventionKnowledge, Attitudes, and Practices of Primary Care Physicians
Donald H. Gemson, MD, MPH;
John Colombotos, PhD;
Jack Elinson, PhD;
E. James Fordyce, PhD;
Margaret Hynes, MPH;
Rand Stoneburner, MD, MPH
Arch Intern Med. 1991;151(6):1102-1108.
Abstract
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We conducted a telephone survey of a probability sample of 473 internists, family practitioners, general practitioners, and obstetrician-gynecologists in New York City (NY) in 1988 to assess their knowledge, attitudes, and practices with respect to the prevention of the acquired immunodeficiency syndrome (AIDS). Although 71% of the physicians had cared for a patient with AIDS and 90% had been involved in ordering the human immunodeficiency virus antibody test, only about a third of them took appropriate sexual histories of new patients and only about a quarter (28%) counseled new patients about reducing the risk of contracting AIDS. Multivariate analysis revealed that physician knowledge about AIDS prevention was associated with younger age, more positive attitude toward homosexual males and intravenous drug users, confidence that counseling would result in behavioral change among patients, and specialty other than obstetrics-gynecology. Results indicate a need for increased training and education of primary care physicians about AIDS prevention.
(Arch Intern Med. 1991;151:1102-1108)
Author Affiliations
From the Division of Sociomedical Sciences, Columbia University School of Public Health (Drs Gemson, Colombotos, and Elinson, and Ms Hynes) and the Division of AIDS Research, New York City Department of Health (Drs Fordyce and Stoneburner), New York, NY.
Footnotes
Accepted for publication December 14, 1990.
Reprint requests to the Division of Sociomedical Sciences, Columbia University School of Public Health, 600 W 168th St, New York, NY 10032 (Dr Gemson).
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