HIV and Routine Healthcare Provider Sexual History Taking Among Physicians: Missed Opportunities in Primary Care
Continuing Education Statements of Credit Learn More
The National Medical Association is accredited by the Accreditation Council for Continuing Medical Education to...
•The National Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
•The National Medical Association designates this online enduring activity for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
•The National Medical Association has been reviewed and approved as an Authorized Provider by the International Association for Continuing Medical Education and Training (IACET), 8405 Greensboro Drive, Suite 800, McLean, VA 22102-5120. The National Medical Association has awarded 0.2 of CEUs to participants who successfully complete this program.
•Participants must achieve a total combined score of at least 80% correct on the post activity assessments to receive credit.
Acknowledgement of Support and Disclosure Learn More
This activity was supported by and developed in partnership with the Centers for Disease Control and Prevention...
This activity was
supported by and developed in partnership with the Centers for Disease Control
and Prevention; Division of HIV/AIDS Prevention (DHAP) and Division of Sexually
Transmitted Diseases Prevention (DSTDP)
The following faculty and
planners declare that they, or their spouse/partner, do not have any relevant
financial relationship in any amount with a relevant medical commercial
interest:
Faculty:
•Christian Chandler
•Wilbert C. Jordan, M.D., MPH
•Madeline Sutton, M.D., MPH
Planners:
•Cheryl Dukes
•Alisa Mosley
•Colin Syphax
Background Needs Assessment Learn More
Revised recommendations from the Centers for Disease Control and Prevention suggest routine HIV screening for all...
–Revised recommendations from the
Centers for Disease Control and Prevention suggest routine HIV screening for
all individuals ages 13 – 64 in all healthcare settings; and annual testing, at
a minimum, is recommended for high-risk individuals such as MSM. In 2008, initial feedback from NMA providers
suggested that routine sexual history discussions, particularly with African
American male patients, would facilitate the provider-patient dialogue about
routine HIV screening and likely improve their ability to provide routine HIV
testing for their patients. Through its agreement with CDC, the NMA launched a
project to provide additional training for their physician members on how to
more effectively use a validated sexual history form as part of their routine
medical encounters with African American male patients. The potential
significance of this effort resides in the surveillance data on rates of new
infections and persons living with HIV and AIDS in the United States, which
point to the disproportionate burden of disease for African Americans, in
particular Black MSM.
–Sexual history taking is regarded
as a proactive strategy to reducing the incidence of HIV/STD infections,
because it is thought that providers who have knowledge of patients’ sexual
behaviors and practices are better able to assess individuals’ risks for
HIV/STDs, recommend appropriate prevention and treatment, and conduct safe sex
counseling.
References & Suggested Readings View All
• Centers for Disease Control and Prevention. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2005: 55(RR-14): 1-17
• Centers for Disease Control and Prevention. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2005: 55(RR-14): 1-17.
• Centers for Disease Control and Prevention (2009). HIV/AIDS Surveillance Report, 2007. US Department of Health and Human Services, CDC: 2009: 1- 63. Available at: Click to View.
• Centers for Disease Control and Prevention. Subpopulation estimates from the HIV Incidence Surveillance System – Untied States, 2006. MMWR. 2008; 57(36): 985-989.
• Centers for Disease Control and Prevention. Trends in HIV/AIDS Diagnoses Among Men Who Have Sex with Men --- 33 States, 2001 – 2006. MMWR. 2008; 57(25): 681-686.
• Wimberly YH, Hogben M, Moore-Ruffin J, Moore S, Fry-Johnson Y. Sexual history-taking among primary care physicians. Journal of the National Medical Association. 2006; 98(12): 1924-1929.
• Nusbaum MR. The proactive sexual health history. American Family Physician. 2002; 66(9): 1705-1712.
• Dorell, C. Role of preventive healthcare in HIV prevention among young African American men who have sex with men. Paper presented at: the American Public Health Association Annual Meeting; October 25-29, 2008; San Diego, CA.
• Petroll AE, McAuliffe TL, Seal DW, Pinkerton S.D. HIV testing rates, testing locations, and healthcare utilization among African American men. Journal of Urban Health. 2008; 86: 119-131
Dr. Madeline Sutton is a board-certified obstetrician/gynecologist who is currently serving as the Team Lead for the Minority HIV/AIDS Research Initiative (MARI) in the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention (CDC). Her main research areas at CDC have ...
Wilbert C. Jordan, M.D., M.P.H., Co-Principal Investigator, Co-Director, Clinical Research Core. Wilbert C. Jordan, M.D., M.P.H., is the medical director of the OASIS Clinic of King/Drew Medical Center. Dr. Jordan has been involved with the AIDS epidemic from its recognition and in 1983 reported ...
Cristian Chandler is a graduate student at the University of South Florida (USF) College of Public Health earning a master’s degree (MPH) in Socio-health Science. He holds a BA in sociology from the University of South Florida with a minor in public health and was a member of the honors college. ...
